But then, I'm not exactly Mr. Geography.
Well there's the Peoples Socialist Republic of Maryland:
Nearest city with pop. 50,000+: Frederick, MD (81.7 miles, pop. 52,767).
Nearest city with pop. 200,000+: Baltimore, MD (110.8 miles, pop. 651,154).
Nearest city with pop. 1,000,000+: Philadelphia, PA (171.9 miles, pop. 1,517,550).
If you had a two-page map of PA, Lewistown would be right in the crack, right in the middle of the state. My dad was born there, joined the USAF at 17, and got the heck out as soon as he could. I still have relatives in Mifflin County; some people are just unwilling to leave. If they want something better, they gotta go get it, not just sit home and complain!