Perhaps they are not really towns with a variety of people, but more like oil rigs, or Alaska oil fields, or some military bases, where pretty much only workers are present, and they rotate in and out on a schedule.

Farming for example has already become quite automated, not so many actual people are needed. Same for mining.

Should everyone who chooses to move to the middle of get a paved road and emergency room subsidized by others? Or just the people who are grandfathered in? Wouldn't it make more sense for these people to move if their needs are not being met, as so many already have?