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The show is set in Indiana, and the title is trying to evoke the idea that this is a fun, "meat and potatoes" family sitcom that represents "middle" America (i.e. it's not New York, it's not California, it's not the South ... just the "Heartland"). Here's a "TV Tropes" link that can really do a better job answering your question than me: Flyover Country I ...


I think it refers to the middle class lifestyle of Frankie and the rest of the family. The show is mostly about the day-to-day problems of them in (again) a middle-class town somewhere in the middle of America, to get the audience to relate to the characters.

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