Worry - lemm.ee

I’m just an ignorant Yank, but is this really a big enough issue in the shit hole states that a billboard is necessary? I can’t even believe this is real!
I had to drive through the midwest a couple of time. These are everywhere, and not too far from the giant, green JESUS signs
Where are we considering “the Midwest” here? I ask because I grew up in northern Illinois, which is a much different Midwest from Kentucky or Missouri.
Kentucky and East of the Mississippi usually isn’t considered Midwest anyway
so what is wisconsin, illinois, indiana, michigan, and ohio general area wise???
That’s the Midwest, I’m not sure what West of the Mississippi is though. The plains?