Life is tough in pockets of eastern Kentucky. Residents of the Appalachian town of Manchester have a shorter life expectancy than the average American, and rural poverty intertwines with obesity and drug addiction. This region has year-round air pollution from soot, unpaved roads, vehicles, construction sites, and power plants which is more bad news to add to the pile. And in Clay County, 11.7% of residents are on disability, and just 7.4% have a bachelor's degree.
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