Appalachia: The big white ghetto
The irony of this is that most of these folks dependent on government are registered Republicans.
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http://theweek.com/articles/452321/appalachia-big-white-ghetto
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THERE ARE LOTS of diversions in the Big White Ghetto, the vast moribund matrix of Wonder Bread–hued Appalachian towns and villages stretching from northern Mississippi to southern New York, a slowly dissipating nebula of poverty and misery with its heart in eastern Kentucky, the last redoubt of the Scots-Irish working class that picked up where African slave labor left off, mining and cropping and sawing the raw materials for a modern American economy that would soon run out of profitable uses for the class of people who 500 years ago would have been known, without any derogation, as peasants. Thinking about the future here and its bleak prospects is not much fun at all, so instead you have the pills and the dope, the morning beers, the endless scratch-off lotto cards, healing meetings up on the hill, the federally funded ritual of trading cases of food-stamp Pepsi for packs of Kentucky's Best cigarettes and good old hard currency, tall piles of gas-station nachos, the occasional blast of meth, Narcotics Anonymous meetings, petty crime, the draw, the recreational making and surgical unmaking of teenaged mothers, and death: Life expectancies are short — the typical man here dies well over a decade earlier than does a man in Fairfax County, Va. — and they are getting shorter, women's life expectancy having declined by nearly 1.1 percent from 1987 to 2007.
If the people here weren't 98.5 percent white, we'd call it a reservation.
Driving through these hills, you aren't in the Appalachia of Elmore Leonard's Justified or squatting with Lyndon Johnson on Tom Fletcher's front porch in Martin County, a scene famously photographed by Walter Bennett of Time, the image that launched the so-called War on Poverty. The music isn't "Shady Grove," it's Kanye West. There is still coal mining — which, at $25 an hour or more, provides one of the more desirable occupations outside of government work — but the jobs are moving west, and Harlan County, like many coal-country communities, has lost nearly half of its population over the past 30 years.
There is here a strain of fervid and sometimes apocalyptic Christianity, and visions of the Rapture must have a certain appeal for people who already have been left behind. Like its black urban counterparts, the Big White Ghetto suffers from a whole trainload of social problems, but the most significant among them may be adverse selection: Those who have the required work skills, the academic ability, or the simple desperate native enterprising grit to do so get the hell out as fast as they can, and they have been doing that for decades. As they go, businesses disappear, institutions fall into decline, social networks erode, and there is little or nothing left over for those who remain
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Documentary was made in 1976, but nothing has changed, except, apparently, to get worse. 
advocate - these people would be starving to death.
... that piece on Grundy, VA (right across the border of eastern KY) that appeared the other day. The other article I mention was about the number of people in Grundy, VA who were on disability. Poverty is a killer, for sure. Thanks for sharing the link and reminding us that this never-ending sad story still exists in the "richest country in the world." 
