Other comments mention how fancy casinos look, theyre still disgusting. Most casinos ive been to are not fancy at all. There are large "fancy" tribal casinos and the Vegas casinos but even those reek of smoke and are mostly filled with morbidly obese.
Id go as far to say people who think theres no stigma in the US have only visited Vegas or seen it on TV and dont play pai gow in Spokane bowling alleys on weeknights.