If you've ever heard a joke about West Virginia, West Virginians tell the same jokes about people from McDowell County. McDowell County is the poorest county in West Virginia, with a median household income below $22,500, and has the lowest life expectancy in the country for men and the second lowest for women. Opioid abuse is off the charts. This is that Appalachia.
The night before I went into McDowell County I was sitting at a bar in Bluefield in neighboring Mercer County. The gentleman I was speaking with told me they had three rules when they went into McDowell County: have a full tank of gas, make sure your car door locks worked, and bring a gun. He made very clear that he wasn't kidding...