The fact is, Appalachia is largely "just" economically depressed region like Northwest Kansas or the Mississippi Floodplain or the drive from Tucson to El Paso, where most jobs are retail and government and the best jobs are in mineral extraction or transportation or industry, but far fewer than in times past. Transportation is a pain but yet it's crisscrossed by critical routes, and life there is pretty normal for rural America. Really, there's only a handful of areas in the US where you can ride the a boom if you time it right, everywhere else things are just okay. In some places you have fewer options. People try to get by, or try to leave. It's odd how much Appalachia has gripped the popular imagination, and how outsiders and a few well-positioned insiders perpetuate it.