From my area of the Midwest around Iowa City, there are decent paths that connect the local towns, but intra-town cycling is far less supported. We have bike lanes (good), on some streets (bad), they're unprotected (bad) and they close on Sunday (bad, also what?). The car-free bike path along the river is shared with pedestrians, and some spandex-festooned idiots don't understand that it's not the place to go fast.
1: https://www.youtube.com/watch?v=gFEfr7Amn6U (5 minute overview of Houten)