My wife did her (pharmacy) residency at a hospital in West Virginia, which is both incredibly poor, exploited heavily for coal mining (until the recent fracking boom surge in natural gas killed it), and very white. She definitely spent a lot of her time treating black lung and other mining diseases that didn't involve mining for uranium.
Mining exploits the land, it exploits the people who do it, and our civilization is built on it and absolutely requires enormous quantities of it. I don't have a larger point, just that I try to live with it.