Fifty years ago when a transplant, regarding Northern Kentucky for the first time, said to himself, “It’s just a big collection of small towns.”It’s what Northern Kentucky remains today. If Northern Kentucky were to merge, it would raise the region’s profile across Kentucky and nationally. Northern Kentucky booms in comparison to the rest of KentuckyHealth outcomes are harder to measure. Northern Kentucky is a big collection of small towns. The Northern Kentucky water and sanitation districts manage their respective bailiwicks professionally and without regard to whose political nest is feathered.