My mom lives in the sloped hills and winding back roads (sometimes unpaved) of Pennsylvania where 4wd is a must. She works a 12 hour swing shift and often has to travel to work at 4-5am when most local roads are not plowed yet or are covered with ice.
I lived there myself for 18 years and can remember going to friends houses to visit and sometimes having to park at the bottom of their hill (country backroads) with my car and have them drive down the hill to pick me up!
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