Been through New Liberty, IA several times trucking. Tiny town in corn/soybeans country.
Not the kind of place you’d think to see a trans, but about 18 years ago I drove for a small trucking company that had a trans driver; a young guy from a nearby farming community. The rest of us drivers were warned not to say anything to offend ‘sheman’ (our term when out of earshot of sheman).
Had his cutup done in Thailand. Wrecked his health. Sad.
That's a sign to immediately find another job.