In part, you have a point.
However, if you can’t use your phone or a computer to conduct business because you don’t have service, you are pretty much stuck. You try it. The hopelessness in these communities where time has been passed them by is palpable. And then they are exploited by Big Pharma to boot.
Former coal-miners were told to “learn to code.” What a joke.
And, no, the federal government is not necessary. In a civilization where Facebook “donated” $400 million to states to underwrite “election procedures” why can’t they “donate” to help access basic services?
Even before “Big Pharma” exploited those folks, they had problems with alcohol.
The difference being, of course, that their alcohol problems weren’t subsidized by Medicaid.