Didn’t say it was. I will say it is likely most common in the Appalachians.
What was the point? That they are not poor and disadvantaged because you did it in Ohio?
Again my point is, one enthiciity (race if you will) is actually the poorest and likely of the largest numbers but no one really cares about them.
I’m saying you have to do what you have to do wherever you are.
Some people don’t want help if it comes from the government.