There’s a train bridge like that in my hometown, but it’s directly over the base of a fairly steep hill. Pretty much anything bigger than a work van is likely to hit it, and I’ve seen a couple of box trucks with the top 6 inches or so of their roof peeled back like a half-open can of sardines.
It was so bad that companies could kick you off of insurance mid-treatment for something like cancer and then deny you for having a pre-existing condition.