This is immensely true of Appalachia in general (https://en.wikipedia.org/wiki/Social_and_economic_stratifica...). Having done quite a number of roadtrips up and down I-81, the amount of destitution I've seen has never failed to break my heart. Nothing's ever changed for these people, and the foundational building blocks (infrastructure, education, etc) that they'd need in order to really climb out of poverty have been consistently delayed or disregarded.
Luck plays more of a factor here than in many other parts of the United States at escaping this loop, so programs like this are heartwarming to see in that they aim to give back as part of a broader goal to advance the state of tech.
Drone infrastructure and 5G are probably the two easiest shortcuts to get much of Appalachia equipped with much of what they need to catch up.
Happy to help if you want to email me.
The geography does pose a problem there. It's my understanding hardware on a cellular tower travels in a vertical beam, in addition to the more commonly understood horizontal beam. Altitude placement of towers is a factor as well. Altitude variance in those jagged mountains and rolling hills make for awful propagation. Radio/signals aren't my trade though, there's definitely somebody on HN who knows the specifics.