McDowell County, the poorest in West Virginia, has been emblematic of entrenched American poverty for more than a half-century. John F. Kennedy campaigned here in 1960 and was so appalled that he promised to send help if elected president. His first executive order created the modern food stamp program, whose first recipients were McDowell County residents. When President Lyndon B. Johnson declared "unconditional war on poverty" in 1964, it was the squalor of Appalachia he had in mind. The federal programs that followed — Medicare, Medicaid, free school lunches and others — lifted tens of thousands above a subsistence standard of living.
But a half-century later, with the poverty rate again on the rise, hardship seems merely to have taken on a new face in McDowell County. The economy is declining along with the coal industry, towns are hollowed out as people flee, and communities are scarred by family dissolution, prescription drug abuse and a high rate of imprisonment.
Fifty years after the war on poverty began, its anniversary is being observed with academic conferences and ideological sparring — often focused, explicitly or implicitly, on the "culture" of poor urban residents. Almost forgotten is how many ways poverty plays out in America, and how much long-term poverty is a rural problem.
