I'm from kentucky, and I agree with your assessment. The town I grew up in has ~80% of it's gross income come from welfare. It's rural as rural can be. Tucked into the mountains, dial up internet still the norm. At one point we were ranked 26th in poorest counties in the country (next door Owsley county was second poorest).

It's a beautiful area, unspoiled, old forests lots of water, caves, just beautiful. The county over went wet (meaning they can sell alcohol) and turned themselves into a hippy tourist destination. Rock climbing, craft beer, caving, kayaking, zip lines, the whole nine yards. Over the last decade they went from 3 restaurants to supporting dozens. The place has really prospered.

My home town has a median household income of 16k/yr, vs the tourist destination at 44k/yr.

My hometown is still dry, not a tourist destination, and is exactly the same as it was when I left it.