Environmental devastation, at least in terms of footprint, is far worse, both in terms of space and noise. Water and processes are cleaner though. The weather is just fucked.

I was primarily thinking of environment when I wrote that comment, but I think there's probably some other things that are, in some ways, worse.

Physical health probably.

Seems like until 100 years ago it was a lot of work to get obese while today it kind of happens if you don't watch out.

It was a lot of work to not suffer long term effects of common infections too, or even second hand smoke. Or more directly, malnutrition and hunger.

Community

The glue for all communities is need. The less you need others, the less you need to compromise for others. It is a double edged sword though, on one hand you want the resiliency and security a tribe provides in order to make the gamble that can lead you to succeed, but on the other hand, individuals always have a goal of freedom and power for themselves so if they succeed they will no longer need the tribe (or at least as much), and hence there is no longer incentive to compromise for it.

The climate.

I am under the impression that smog and pollution were a big problem for urban areas.

Crime is significantly higher.

Deaths from alcoholism and drug addiction are vastly higher.

Is crime higher, or is it that crime is reported more?