The Appalachian Mountains have long been associated with poverty and economic hardship.

Despite the region's rich natural resources, such as coal, timber, and agriculture, many communities have faced economic challenges due to factors like industrial decline, limited access to education and healthcare, and geographical isolation. Historically, the reliance on a few key industries, such as coal mining, has contributed to economic volatility and unemployment. Various efforts have been made to address these issues, but the legacy of economic hardship continues to impact the lives of many residents in the Appalachian region.