You occasionally see studies that include mention cost of manufacture - For instance Cuba technically has lower car emissions mainly because the embargo has forced them to constantly repair cars rather than get new ones. Not aware of any mention of the other facts like maintenance and city planning though, would be cool to see more data about it if it exists.
I suspect I’ve undiagnosed manic-depressive disorder, but either way I get heavy existential dread for 1-4 weeks straight, then reoccurring again in 1-3 months. I also get similar pressure from my industry. So I do feel you :(