West Virginia is the cheapest state in the country to buy a home.
I believe KY and IN are next in line.
Drugs are a major problem in WV. It was ground zero for the Opiod crisis. There were more Oxicotin pills given out in one WV county than anywhere else in the USA/World.
The Oxy thing has pretty much run its course. You don’t see as many zombies in Princeton or Bluefield anymore. WV has done a good job of “cleaning itself up”.
Eastern KY is so poor, people in WV make fun of it. That being said, it makes towns in Virginia near the border with KY look good.