Many of you may know towns similar to the one Grandma lives in. It probably hasn't changed much since she first came here as a girl, many decades ago. Midwestern, semi-rural, backwards, and a bit red-necky. Some folks here call it Dogpatch - affectionately or not.
Just to illustrate - I was in the grocery store today waiting behind an old codger checking out. The checkout girl -- yes, girl, probably all of 18 -- concluded the transaction and asked the old guy if he wanted his receipt.
His reply? "It's not big enough to wipe on, so you might as well keep it."