I wouldn’t say “people know”, I would say “people assume”. This is not the complete reason why Appalachia is “poor” or “hillbilly” (I’m assuming you’re using that term in a negative way). I understand where you are coming from, I do…But I am getting so sick of hearing this. Not all of us are pill/meth/crack heads looking for a fix. Have you ever been to any city/county of South-East WVA? Ever been Blountville Tn? It’s hard NOT to find a pill head in either of those places (well it’s all about meth around here)…Maybe I’ve just become hardened to the subject having to be around people like this, but most of the people bring it on themselves.