Appalacia is like... Sudden. You see all these attractive 19 year olds wandering around and then you see their parents. Although, lack of glasses, lack of teeth, these all play a role. Lack of good medical care, most of all. It's really hard to access great care when you have to drive 200 miles.
Many kids who leave Appalacia and start taking care of their health have better health outcomes, but only if they have nagging wives, etc. I mean, the husband has to practically sever a limb to go to a medical provider, and as far as tetanus shots, he probably has some natural immunity or something.
Honestly, were I not his wife, he'd probably still be gibbering in the corner somewhere after his PTSD meltdown, and like, I had to nag, beg and threaten every step of the way. If something is not considered "routine" and whatnot, then it tends to get ignored quite often, or found to be uncomfortable.. My husband did not start improving until I got him to MY psychiatrist, so that I could ACCURATELY report his symptoms, reactions, and phobias. That may not work for everyone but it for sure is working for US. He's just had the first solid night of good sleep and it's been TEN YEARS of trying stuff, and it only happened because he felt so guilty about LYING about even taking his last sleep med.
I get the whole holistic approach but I exploited that guilt 1000% and it was WORTH IT. He's no longer wandering around here moaning in pain like a concentration camp victim. 10 years of NOT REALLY sleeping just isn't good for one's health.
I have immense sympathy for underserved populations, and boy (even urban) have I seen some TERRIBLE outcomes. There are times I am grateful for the virulence of my illness, because it for sure taught me my options were GOOD CONSISTENT self care, that or permanent residency in some sort of nursing home.
Cigarettes are the same. I got myself to the point most people don't get to because I simply did not BELIEVE I had any control over my smoking. Reducing it stopping, really only this past 14 months have given me any
sense of hope at all.
I don't think anyone should be denied the right to
vape. But I do believe it plays a far more SPECIAL role for ex-smokers, that is, to put it bluntly, more sacred. I also believe that if any teen is going to smoke or
vape, they should vape. PERIOD.
Other than that, society will do what it does. And I guess we will see.
Anna