Also you need a jobs program for people who insist on living in mountains, refuse to leave or consolidate, and get mad at the idea of government handouts.

I'm sympathetic to Appalachians, most of the women I've dated have been Appalachian actually. There's a lot to love about their culture and history. But as a political block they can be really frustrating as the region is just really inefficient for anything but mining, tourism, and subsistence farming, and the mining is killing them and everyone else.