Coal never took very good care of the people of rural West Virginia, but now that it's gone it sounds like they really have nothing. 47% of income in McDowell County is from Federal programs like Social Security, disability, and food stamps. Just 1/3 of the population is in the labor force, which, if they're using the term properly, includes people working or looking for work: the rest are unable to work or not looking for some other reason. People turn to drugs, and that's just not a good long-term solution. Grim.