It's a very interesting region. I think they are Scots-Irish people are mostly got left behind. Kind of like the Amish. Sad to hear they're struggling with drugs though like the native peoples. Where I live in Thailand it is very poor but people live good lives, not stressed at all and thriving. Being poor in and of itself is not really not as bad as Americans make it out to be.
Except for the uncomfortable truth that, in the last election, billionaires came out more for the Democrats than the GOP. As did Official Hollywood, Big Entertainment, etc. Reality is that the Democrats are the party of big money.
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