Despite a decade of national prosperity, the former manufacturing backbone of the United States is in rougher shape than ever, still searching for some way to replace its long-stilled smokestacks.
Where's it worst? Ohio, which racked up four of the 10 cities on the list in a Forbes magazine analysis.
These, and the other metropolitan areas, face fleeing populations, painful waves of unemployment and barely growing economies.
Read the full story in Forbes magazine.
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