I find Caudills complicated legacy a reminder that there is a lot more to the evolution of a people than the victimhood that has been placed upon them. "Here in West Virginia, you see people carrying around bottles of Mountain Dew all the time even at a public health conference," says public health researcher Dana Singer. Then, I look outside, and those guys next door were walking their bobcat out on a rope to go piss in the snowa fucking bobcat!" So we were saved and mostly unharmed. On Friday afternoons he would buy several 30 packs of beer, chicken for the barbecue and many cartons of cigarettes. When we got back to Pats house, I was given a crushed up Loratab to snort for the pain. This is why the folks of Appalachia reacted strongly to an honest look at some of its most impoverished people.. After becoming the first person to successfully call attention to the dark reality of what was happening in Appalachia, Caudills thinking changed. Poverty is much greater in Central Appalachia than the other regions of Appalachia and about twice that of the U.S. as a whole. At 10.4 percent last year, the county's . Its not even, really, an acceptable guilty pleasure. Opioid addiction, smoking, chewing tobacco, lack of access to municipal water systems, and the necessary preoccupation with getting food on the table over worrying about nutritional value are also having an enormous effect on peoples teeth. Instead, I try to tell the stories of a town full of people who consider neighbors to be like family, a town brimming over with folks who would drive all night to New Orleans if they thought I was ever in trouble. Appalachia is an ancient land - one of the oldest mountain systems on Earth. Beer, grilled chicken and cigarettes were offered in unlimited supply. Mammoth Cave in west-central Kentucky spans 420 milesmore than twice the size of the second-longest,. It is "not good" in a decidedly unsexy way, the way other corporate Frankenstein creations like Ho-Hos and Combos are easily tossed into the furnace of public scorn. That's because the ABC special took great pains to show the effects of poverty on children in the Appalachian region a territory that stretches from around southern New York state to Alabama and coined a term, "Mountain Dew Mouth," which would be repeated in stories about Appalachian health care for years to come. My own happy and stable Appalachian childhood does not make for an exciting book. My consumption of Diet Mountain Dew ensures that Im served a double shot of shamecomplete with Backwoods Barbie stereotypeon a fairly regular basis. We made our way to the strip mine trails and as we did, we passed Butchs grave. Associated Press articles: Copyright 2016 The Associated Press. Very well said indeed.Vance knows nothing at all about Appalachian or Scots Irish culture.His experience is that of any disassociated urban ethnic group filtered and bankrupted by a corrupt academic system that values social promotion.The disrespect of women and moral ambiguity on display in his poorly written value bin book is disgusting,and was promoted in exactly the same Big East / NYC fashion as the recently deceased corporate coaching group NXIVM. But what exactly did that mean? Vances book is simplistic, and it generalizes. While Medicaid, as the medical safety net for the poor, should provide help for those with dental needs who cannot afford to pay, only 15 states offer full dental benefits and five states offer nothing at all, as reported in a study byPew. The basic principle in CenteringPregnancy, Rising told me in her suburban Washington, D.C., office, is that almost any group of people drawn together in a common health concern will be more motivated to alter their behavior than will a single patient hearing instructions alone in a doctors office. The beverage industry has repeatedly challenged claims that its products are destroying teeth. Required fields are marked *. In a region long undergoing a cultural and economic crisis, Appalachias thirst for Mountain Dew is perhaps the lesser of many evils. Old woman smoking a pipe, Appalachia, USA, c1917. 2. 26 August. It asks very little from the reader. Mountain Dew, the carbonated fluorescent-green soda that Willy the Hillbilly declared will tickle your innards in a 1966commercial, has long been a staple of Appalachia. Forty-seven thousand people reside in Madisonville-Hopkins County. POSTWAR TO THE PRESENT. Its also a dramatic story. Story after story presents tightened regulations and banning the purchase of soda with food stamps as the lone solution to problems caused by excessive Mountain Dew consumption. Back in 2009, Priscilla Harris, an associate professor at the Appalachian College of Law, issued the first battle cry in the war against Mountain Dew mouth with a legal brief titled "Undoing the . Identity crisis: without coal, who will we be? . In 2013, only 34 percent of general dentists accepted Medicaid patients, according toPew. This article was expanded into a full-length book,Night Comes to Cumberlands. One. For me, beginning to think about (and talk about) shame as an emotion was like searching for a word thats been on the tip of your tongue for ages and then comes to you like a thunderbolt in the middle of washing dishes or when youre nodding off to an X-Files rerun. Named after mountain slang for moonshine, Mountain Dew was sold to Pepsi in 1964, where the soda went national. Under current guidelines, any kind of soda of any size can be purchased with a SNAP card even Mountain Dew, which has 170 calories in a single 12-ounce can. "What Mountain Dew has going for it is that it's high in caffeine and high in sugar," Harris says, adding, "Students tell us it tastes best, and it's a habit.". A Mountain Dew Code Red, that is. Over a series of months, a perfect storm of books, lectures and wee-small-hours conversations revealed to melike peeling back the layers of an onion (weepy eyes and all)that the feeling I had called so many other things (embarrassment, pigheadedness, discomfort, willfulness) was shame at its core. But generally the women coming to Trover Clinic werent doing anything about it, mostly because in Hopkins County there was only one dentist who accepted Medicaid patients -- for one half-day a month and only on a walk-in basis. According to the federal government, more than 50 million Americans live in areas officially designated asDental Health Professional Shortage Areas, and must travel hundreds of miles to get help. Other forces are at play. 3. We use cookies to help better serve your experience. Just as the word Appalachia is generally pronounced Ap-pa-LATCH-a in the southern mountains, but more commonly Ap-pa-LAY-cha in the rest of the country, so too is there some dispute over the. This name has a Celtic origin and the meaning of the name is 'he who comes from the mountain'. If theres a pop culture reference about DMD you need to knowincluding that bopping Lana Del Ray jam and its brief mention in a recent Paul Muldoon poemIm your girl. Shameful or not, no food stuff is more personal to me, more deeply burrowed into my sense of identity than Diet Mountain Dew. Well-written review; thank you. Sarah Baird, a writer who grew up in Eastern Kentucky, recentlywrote about the importance of the drink to her sense of identity, saying, Its not just a beverage its a portable sense of home.. is dedicated to the analysis of news photos and media images. Appalachian English is a term linguists use to describe the speech patterns of people in Appalachia. The man, who proclaimed that Appalachia had been raped, now wanted to rape certain Appalachian people of their ability to procreate. MS. Anne and Harry M. Caudill Collection, 1854-1996, Special Collections, University of Kentucky Libraries, Lexington, Kentucky. I learned about Caudills dark turn while I was traveling in the region. That is what brutes do. Notify me of follow-up comments by email. Unless policy and behavior change, were not going to improve the health and its links to systemic health.. Like newspaper stories and TV news before and since the War on Poverty, Vance has looked at Appalachia and seen a narrative of a place that needs to be fixed, a place where things have gone wrong. This is the third in a series of posts by Stacy Kranitz for BagNews Originals. By the end of the programs second year, the research results began to come in on the health of the newborns. In the mountains, you cant look away because theres nowhere to turn a blind eye. And in an impoverished part of the country, where the majority of residents either go hungry or receive government aid for food, public health advocates are calling for a policy overhaul to address the problem of rotted teeth and gum disease in Appalachia. He is doing what outside media has done to Appalachia for generations. According to area dentists, one of the main culprits contributing to toothlessness in Central Appalachia is Mountain Dew soda (a PepsiCo product). "They do their own weight and their own blood pressure measures. He is telling, in a very simple and easy to read fashion, a story, and stories trump textbooks every time. The soda is ruining teeth, in an epidemic known as Mountain Dew-mouth. The acid causes erosion and the sugar abets decay. When I read numbers like that, Im immediately wracked with guilt that Im not there, that Im not rallying the troops to preserve the tightly knit heritage of the place that raised me. For a time, I thought I could head the scolding off at the pass by making fun of myself first or displaying some arcane knowledge. Nonetheless, the factors that contribute to poor dental health are not simply Mountain Dew; they are not even specifically linked to Appalachia. The Appalachian people were denigrated so that they could be exploited because they owned valuable land with natural resources. My father was one of 11 children, and my mother is one of five. With new Mountain Dew flavors seeming. Sixty-five percent of our women are on Kentucky Medicaid, Todd-Langston, manager of the Trover Center for Women's Health, told me. But, like so many, I feel helpless. With limited benefits through Medicaid and no benefits through Medicare, in order to receive insurance, people must purchase private plans or employer-provided plans. Today, coal has left Appalachia, as have a host of other industries that brought economic opportunity. But since the 14th century, poverty as a label has been used to ostracize certain people in society (5). He also fetishizes his idea of being a hillbilly and the traits he believes go along with that. We stopped along the way and enjoyed beer with others who were out recreating. Gum infections, decayed teeth that weren't attended to so that by the end of pregnancy they would have full-blown abscesses; we would just hope that didnt put them into premature labor.. The problem is, he does not have a new or amazing insight. Years before when visiting my hometown for the first time, we took a stroll down Main Street and passed a teenager with a freshly sprouted goatee in a cut off t-shirt carrying a case of Mountain Dew atop his shoulder like a mounted bazooka. I look around the classmates with whom I grew up in Appalachia and the family that has lived deep in Appalachia for generations, and I see little like the generalizations Vance applies. They have the common ground of becoming a mother., The patients are accountable to each other, said midwife Sarah Almon. Appalachia isnt a pity case, and Mountain Dew is only sideshow to the heart of the matter. Within the first hour of knowing him, I watched as he got into three drunken fistfights. /* Add your own Mailchimp form style overrides in your site stylesheet or in this style block. A womans going to take the information they learn here and pass it along," says Todd-Langston. The coal operators, who came from elsewhere to buy the land, blew up the mountains. Would people feel as open to chiding me or ribbing me about the drink if I were a man? The problems faced by the region are painfully real, and deserve not to be trivialized or oversimplified in the national spotlight. Geography does play an important role, though. Social Darwinist thinkers in the late 18th century and early 19th century influenced attitudes towards poverty during the emergence of capitalism (6). According to a 2012 study by Yale's Rudd Center for Food Policy and Obesity, the federal government is spending $1.7 billion to $2.1 billion on soda purchases through SNAP. Medicare, the federal health care program that covers 55 million seniors and disabled people, has never included insurance for routine dental services. But, as NPR points out, the same drink that celebrates the mountain region of Appalachia is also destroying it. TheADAhas reported that Obamacare's requirement to provide dental care for children under 19 will be rolled back, and the 5.4 million adults who gained coverage under the Medicaid expansion will lose all dental benefits. The poverty rate in Appalachia is 17.1% (the national poverty rate is 14.7%), and 87% of the region's 420 counties have more than 1.5 times the U.S. poverty rate. Thats definitely a no. By now, we've all heard of the health risks posed by drinking too much soda. The Appalachian Mountains are nearly 2000 miles long. Its a sad story, although its also clear from his writing that there was love despite the dysfunction. It was not until the Affordable Care Act passed under President Obama in 2010 when Medicaid gave dental care to children under 19. Letter to William Shockley. Its that we know the truth isnt so generalized, that Appalachia isnt just a culture of poor white people, that ignorance and poverty and drugs and violence arent its only components. Shouldnt he have flown the coop at the first pop-a-top? But Mountain Dew mouth? MADISONVILLE, Ky. . We can identify the [bacterial] footprints from oral infections in heart tissues. Probably not. In West Virginia, 67% of adults over the age of 65 have lost six or more teeth to decay or disease. I utilize photography to address how images fail at representing culture. Jin Lee/Bloomberg via Getty Images Nothing great will ever come from consuming yellow dye #5. I would see a lot of kids who had a mouth full of rotting teeth, Dr. Edwin Smith, a traveling dentist who drove his mobile dental truck for 12 years throughout Kentucky, toldCNN last September. You could assign this in high school if it didnt have cuss words. I said I hadnt really noticed as he shook his head. Appalachia is less racially and ethnically diverse . The term "Appalachia," however, is more of a socio-economic term than it is one of geography. For Americans who do not have health insurance and need dental treatment immediately, the emergency room remains the only option. Often referred to as the "Appalachians", the Appalachian Mountains are a series of mountain ranges that stretches from the eastern to the northeastern part of the continent of North America.Forming the eastern complement of the Rocky Mountains, the Appalachian Mountains extend for about 2,400km from the Central Alabama region in the United States to the Canadian . And yet, as Priscilla Harris, an associate professor at the Appalachian College of Law told NPR, battling a drink that has become so ingrained in the culture of the region is not easy. Picking on Diet Mountain Dew was a surefire way to get my attention and cut me to the quick. You dont have to work to read this book. I saw him pick up and throw several chairs and then punch a friend in the face. Then when she did all these things [in the group] I said, Thats wonderful! Heroes can be villains and villains can provide valuable insight into how to reimagine what we think we know about our own history. The town of Appalachia is considered to be a largely intact "era" town of the late 1800s, early 1900s. Vance and I are of the same generation. In areas where jobs are scarce, a persons financial security depends on her teeth. And Part 2 explored the link between transportation and healthcare. (function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[0]='EMAIL';ftypes[0]='email';fnames[1]='FNAME';ftypes[1]='text';fnames[2]='LNAME';ftypes[2]='text';fnames[3]='MMERGE3';ftypes[3]='dropdown';}(jQuery));var $mcj = jQuery.noConflict(true); Stacy Kranitz You know where that smoke goes, through your body to the placenta to the baby. (This story has been corrected since it was originally published.) He mentions his aunt, who had an early abusive marriage, and his mother. According to dentists, one of the main culprits is Mountain Dew soda. TIL that due to the popularity of Mountain Dew in the Appalachian region dentists there have pegged it as the leading cause of poor dental health or as they call it "Mountain Dew mouth". The phrase is inherently noxious. After Kennedys death and Johnsons announcement, millions of government dollars were doled out to initiatives that would solve these problems and turn America into the Great Society it was meant to be. Figuring out how to chip away at problems so deeply embedded in a region is astronomically much more complicated than a micro lens shot of a single caffeinated beverage. "So this really is where you get it from." Central Appalachia is No. 4. While Harris says that there aren't a lot of comprehensive surveys of dental health in Appalachia, signs of a rampant problem are unmistakable: Some 26 percent of preschoolers in the region have tooth decay, and 15 percent of 18- to 24-year-olds have had a tooth extracted because of decay or erosion. I abruptly found myself assessing everyone I met, trying to determine whether or not Caudill would consider them dullards. In late July 2013, I was invited to drink beer on a Friday night with a group of people in West Columbia, West Virginia. We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. We continued up the mountain and at the very top we caught an incredible view of the Ohio River snaking across the land separating Ohio from West Virginia. My research into the origins of this initiative led me to Harry Caudill, a small town lawyer from the eastern Kentucky town of Whitesburg. The Real Winners of World Press Photo 2014: The Palestinians. But Vance claims his relatives were violent and had poor coping skills because they were Appalachian. "I see erosion from the acids in the drinks, and decay from the sugars," says Steven Ghareeb, spokesman for the Academy of General Dentistry and a practicing dentist in South Charleston, W.Va. "They go hand in hand many times, and they're equally bad. He was the first person to publicly question the coal operators who came to extract valuable natural resources in Appalachia using processes that obliterated the terrain through mountain top removal. Chaos begets chaos. A suburb of Washington, D.C., could have one dentist for 350 residents, while Dickenson County, Virginia, has one dentist for every 15,468 residents. Each time I hear it, I feel angryangry and ashamed. Dee Matello, a small business owner and mother of three in Laurel, Maryland, had not been to a dentist in nine years. The freshest news from the food world every day, By submitting your email, you agree to our, How Mountain Dew Came to Perpetuate a Deep-Seated Appalachian Stereotype. no shoes!) As the wealth gap continues to increase, teeth represent the dividing line between the classes. Follow us on Instagram (@readingthepictures) and Twitter (@readingthepix), and subscribe to our newsletter. He came to believe that Appalachias gene pool had been watered down by inbreeding among what he called dullards who lived on welfare in remote mountain hollers (1). In 1962 Caudill published an essay in the Atlantic titled,The Rape of Appalachia. This is due to the influence of Scottish and . In the mountains, you stare death in the face because the latest boy who ODd played Mortal Kombat with you while slurping Mountain Dew. Appalachia has a distinct culture of sipping soda constantly throughout the day. "Mountain Dew" is a centuries-old mountain slang term for moonshine, which Tennessee-bred creators Barney and Ally Hartman found fitting because their bubbly elixir was initially crafted as a mixer for whiskey in the early 1930s. Vance also ascribes some of his familial dysfunction to the stress of his grandparents move from the hills of home to the industry of Ohio. The town sprang up after the Louisville and Nashville Railroad and Southern Railroad made a junction there in 1890. 1 in the nation in toothlessness. February 15, 2009 It's Pepsi's #2 cash cow, second only to their flagship beverage, Pepsi, even beating out Diet Pepsi for total sales. Appalachia. As a result, Hannah made a 12-minute audio documentary about the experience for the Appalachian Media Institute, called "Foster Care in a Pandemic World." New Fathers and Quarantine Babies. It was officially developed in Knoxville, Tennessee, in the mid-1900s, but it has ties to the wheat and rye distilled by Irish immigrants who settled in the region as coal miners during the previous century. While Mountain Dews target audience today might be neon tank top wearing bros and skateboarding teenagers, my Appalachian demographicnamesake and allwere the original consumers. ET. People are held personally accountable for the state of their teeth in ways that they are not held accountable for many other health conditions.". Native Americans first began to gather in the Appalachian Mountains some 16,000 years ago. Good ol' North Carolina. Appalachia has a distinct culture of sipping soda constantly throughout the day. The Appalachian folk song was written in 1928. It's also referred to as "mountain talk." But there's variation within the dialect, just as there is among the nearly 26 million people who populate the diverse region, which covers 13 states. Exploring it was simultaneously deeply cathartic and like sticking my hand in an emotional meat grinder. The Appalachian Mountains hold some truly terrifying stories.Podcast Episode #308.Download Swamp Dweller Scary Stories:Itunes: https://apple.co/2L7znZpSpotif. As it happened, out one of the cases he was trying was a moonshiner who was reputed to make . I would probably get fewer dirty looks if I snorted a couple of lines of cocaine every day. It isnt that Appalachians cant face the truth. It was late in the afternoon and I wrapped my hands tight around Dozers sweaty shirtless body because I was pretty terrified. But she and Almon had their own conditions: They wanted to locate the oral health study in a new sort of prenatal program at Yale created by nurse-midwife Sharon Rising called CenteringPregnancy. This material may not be published, broadcast, rewritten or redistributed. Marion Virginia: Heart of Appalachia's Highlands & Birthplace of Mountain Dew | Here's the 36th Episode in my new Exploring Appalachia series! (Farmland is even lighter than usual in this image because the fields are fallow after the harvest.) Upward of a fifth sometimes a quarter of the babies they were delivering at the highly regarded Trover Clinic were below weight and premature. Originally the care of the poor was relegated to the church, which regarded the poor to be of the highest moral status. These stories grew out of reporting assignments for Kaiser Health News. They dont scream at each other, they dont fight loved ones or strangers as a way of life. Mostdental insurance limits annual benefits to between $1,000 and $1,500 per personthis cap has hardly changed since the mid-'80s, despite inflation. Like those many before him including many news stories last year Vance has just written yet another look at these poor people story. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Your email address will not be published. Just under 30 percent had periapical infections or pericoronitis inflammation. He cites a 2009 ABC report on Mountain Dew mouth in Appalachia, and the outraged reaction of Appalachians. I think you are supposed to wear jeans when you ride these things. Diaper-clad, the strange critter kicked open a trap door in an apartment where three dudes . 210 pound Dozer fell on me and then the 750 pound 4-wheeler fell on Dozer, but Dozer kicked it up with his leg and then the two boys that bailed pushed it back over. "Oh, wow," my boyfriend remarked, a little awestruck. I had on a short dress that rode high up my thighs when I mounted the machine. According to a report from WiseG About Us To get a sense of what that looks like, check out this picture. In the special, the term was used as a catchall phrase to describe the poor dental health of children in Appalachia, due to the abundance of sugary drinks. As a defense mechanism, Ive become a trivia expert on the most esoteric facts available about Mountain Dew so I can titter them off as a nervous shield. Reproduction of material from any Salon pages without written permission is strictly prohibited. But dentists beg to differ. He was unhappy. I was still behind Dozer with my arms wrapped around his stomach. Vance writes of being lucky in his life and he certainly is when it comes to this book. The high levels of consumption of sugary drinks, like. Did he really just tell me what to drink? Mountain Dew was invented in Tennessee, before PepsiCo bought the brand. Over the next six weeks I returned regularly, befriending the extended group of people that spent time at Pats house. Yet throughout the United States, from remote areas of Alaska and across the contiguous 48, poor people struggle to get access to regular dental care, relying on charity clinics and hospital emergency rooms. Instead, I drink Diet Mountain Dewswish it around in my mouth, feel it all syrup and fizzand pray to God I never become a person who gets above my raising. Oklahoma senator concerned about dead babies in his Mountain Dew. No one is all good or all bad, but family life for most American hillbillies I know is not how Vance, wielding his overly broad brush, describes it. (This story has been corrected since it was originally published.). He is the author of, among other books, "A Queer Geography" and "Apples.". He concluded that Appalachia could not be fixed because its people were broken. It has no nutritional value. I have 26 first cousins, not counting step-cousins, second cousins, etc. Add a global pandemic into the equation and that can make things even scarier. But what is "Mountain Dew Mouth?" A heroin dealer has apparently set up a fairly prolific den on his block, a place which once was only home to quaint families, a pocket watch repairman and a hyper-local internet service provider known (hilariously) as the I-Club. A curated collection of pieces related to our most-popular subject matter. Statewide, Kentuckys PTB rate was 12.6 percent. Vance has chosen the version of his life to tell, and he chooses to emphasize what fits his narrative. No. Ive been thinking a lot about the War on Poverty. "Students tell us it tastes best, and it's a habit." Sitting at my kitchen counter with DMD in hand while my then-boyfriend concocted an intricate lunch, without lifting his eyes a gauntlet was thrown: "You have to stop drinking Diet Mountain Dew. The Appalachian Mountain shiners are part of the hillbilly culture. */. Cherokee Indians were the main Native American group of the Southern Appalachian and Blue Ridge region, but there were also Iroquois, Powhatan, and Shawnee people.. My aunt on my father's side would actually put mountain dew in her kids' baby bottles. Time and time again, Appalachians are portrayed as individuals who are unable to get out of their own waythe kind of people who must have change enacted upon them in order to better themselves. Whats more, 40 percent of all births are paid for by Medicaid. SALON is registered in the U.S. Patent and Trademark Office as a trademark of Salon.com, LLC. Before being bought by PepsiCo, Mountain Dew was invented in Tennessee in the heart of Appalachia. The bad reviews I saw from other Appalachians convinced me it would make me mad. Public health advocates say soft drinks are driving the region's alarmingly high incidence of eroded brown teeth a phenomenon dubbed "Mountain Dew mouth," after the region's favorite drink. Appalachia this election year: So many stories, so little depth. Again, no. "Mountain Dew" is a centuries-old mountain slang term for moonshine, which Tennessee-bred creators Barney and Ally Hartman found fitting because their bubbly elixir was initially crafted as a . 16,000 years ago who was reputed to make century, poverty as a Trademark of Salon.com, LLC really. Immediately, the same drink that celebrates the Mountain region of Appalachia is one the. Anne and Harry M. 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