Common thread, Appalachia and Indian Reservations (Look at the States with the highest percentage of outhouses) Regulations killed coal and jobs in Appalachia and government keeps native Americans on land where they can’t use their natural resources
Government doesn’t keep Indians on the reservations. The reservations are like the big city housing projects, full of the dead-enders and left-behinds. Most folks with get up and go have long since gotten up and gone. There are a scattering of good jobs for those who remain, and people drive off reservation to work in town or on neighboring ranches and farms, but the percentage of career welfare clients is very high. Alcoholism is also a factor. Most Indians do NOT live on the reservations.