First off, we don’t really know what life is like in the Midwest, but people are there. We know that. People talk about having been there.
And when we’re talking about population density in the mainland US the area west of the Mississippi in general is usually less populated. The northeast is and usually has been the most densely populated portion of the country. Which actually explains why there’s less people there in the fallout universe if you think about it.
More cities with more people likely means more bombs per square mile. More death, more radioactive fallout, more buildings getting leveled.
Nevada sucks, generally, for creating large amounts of population density. Las Vegas and Reno are monuments to man’s hubris, generally, and an exception to the rule of the southwest which is that it’s hard to create large scale societies there. And Las Vegas was protected by Mr. House. He shot down or deactivated most of the bombs that targeted it.
The west coast generally got a lower density of bombs. The west had large scale governments fighting over resources. Concrete yards, supply chains, cities and towns built around vaults, cities run by crime families, generally less radiation in the water supply at least in some areas.
The northeast though got more bombs, more fallout, and two major additional issues. Super mutants and the institute.
The DC area has a bunch of unintelligent and extremely violent super mutants that are not only eating people but also kidnapping people to turn into more super mutants. They have fucking machine guns and suicide bombers and are nearly bulletproof. How do you set up supply lines in that kind of environment? And despite all that people are still trying to set up caravans. Megaton, despite looking kinda gross and being under the thumb of a weird Irish businessman, is a functioning society. Rivet City is a center of scientific research.
Smaller lightly fortified communities like Big Town frequently get raided by super mutants and raiders. These people have been under constant attack for like two centuries. West coast super mutants are generally smarter and can be talked to. Reasoned with. Not so in DC.
And in Boston? They tried to set up a convention to negotiate out a new government but then the institute sent in a synth to kill everyone. And they’ve got synths everywhere. Everyone knows it. Nobody knows who to trust. Nobody knows if the institute will try to kill everyone again if they try to organize. The region clearly wants to get back to society a bit and organize themselves. But forces beyond the ordinary person’s control keeps kicking them in the face again and snuffing all progress. The institute is really good at union busting is what I’m saying.
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