Often thought of as New York State's Worst City. Debatable, but certainly not out of the realm of possibility. City of about 52,000. Incredibly lame. Often, the people there have an ironic attachment to their dead city. No jobs at all. No skyline. People there don't seem to like to read, either because their library is open for maybe 10 hours each week.
"Dude, can we stop in Utica so I can get some insulin?"
"I'm afraid not. Utica is a shithole and it is better for you to die than go to Utica."