Clearing the land for third world garbage!
Darwinism at work. Weeding the garden, so to speak. Drug abuse is a CHOICE. Choose badly and you may die.
I think the collapse of the coal mining economy was the killing blow, especially in SW W.Va. Mostly thanks to Obama’s War on Coal. Leaving little but tourism, governmental largess, and hard scrabble farming to support the state. Those who remain are a strong and proud sort, but poverty is winning. I grieve the loss and social destruction.