"Downstate" refers to the southern part of a particular state. It is used to describe areas or regions that are located in the southern portion of a state, typically away from the major cities or urban areas. Full definition
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That was enough to win support from Rep. Tom Reed (R - Corning), whose Southern Tier constituents pay less in state income taxes than those in downstate suburbs of New York City. (politico.com)
Higher education institutions in the state are facing different issues than elementary and secondary schools, and UUP president Frederick Kowal said a primary focus has been the financial troubles of Downstate Medical Center in Brooklyn, which might close. (politico.com)
She graduated from Wheaton College in Wheaton, Illinois in 1998 with a B.A. in Business / Economics and from SUNY Downstate in 2007 with a Master's degree in Midwifery. (fullcirclewomenshealth.com)