It’s a multifaceted issue thats predominantly socioeconomic. Urban areas are less likely to have greenery, brick and asphalt and concrete make the areas much much hotter than an area with green coverage or even just dirt. High rates of obesity and heart disease, poorer quality food resources make it difficult for the body to adapt.
In some places, GOP policy has made it legal for business to deny water breaks, and if we’re going based solely on statistical distribution of labor per group, blacks have higher rates of outside/physical jobs, another systematic and socioeconomic issue.
The third issue is that in these areas, health care is often poorer quality/under funded, even when they do get to the hospital/ER/urgent care facility, they die at higher rates of similar diseases than other areas.
I used to make graphic art in Paint.net myself, anyone who thinks photoshop has anything special is objectively wrong (we’re going to ignore generative AI tools)
The benefit of photoshop is that’s its more refined in what it does, not that it does anything extra that these foss tools can’t do.
The tooling has years of iteration by paid developers and there are a shitload of high quality presets and brushes and, again, refined use case specific stuff, but yeah GIMP is just as viable as a software to achieve most of what photoshop users online who shit talk it can do. The only people whose opinion even matters is professionals who require photoshop to make money for their bills. Everyone else is just blowing smoke out their ass about it because they think having a better tool automatically makes them better.