It's no surprise that Baltimore is still on the top ten list(s). There was only one republican governor in the 30+ years I've lived in the area. In his term, we had a budget surplus, crime was down, and quality of life was looking up. Not anymore. Plus, that city also decides who the vote goes to for POTUS every election cycle.
I've seen a lot of stuff in that city over the years. Drug addicts panhandling while nodding off in the middle of the street, angry crack whores and drug dealers on every corner damn near, and my personal favorite; a mother of four drinking a 40 ounce bottle of malt liquor whilst puffing on a cigar stuffed with pot on her stoop while her future welfare abusing children run around naked in the street shouting cuss words at the top of their lungs. This is all at around 0700 hours.
Not to mention the one street where there is approximately 20+ titty bars in a 3 block radius. Charm city indeed!