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(Associated Press Video)

Inside a WV Coal Mine (video)

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The seams of coal in some of Eddie Asbury’s mines in McDowell County are so thin workers can barely squeeze down them. They enter on carts nearly flat on their backs, the roof of the mine coursing by just a few inches in front of their faces. They don’t stand up all day.

To keep his business operating with such a paltry amount of coal, Asbury has to do everything himself. He has no use for the shiny, multimillion-dollar mining machines. His equipment is secondhand stuff that he repairs and refurbishes. The coal he and his workers scrape out of the mountain is washed and prepared for sale in a plant Asbury and a colleague built themselves.

Even coal is barely surviving in coal country – and coal is about the only thing that Central Appalachia has.

West Virginia is the only state in the country where more than half of adults are not working, according to the Census Bureau. It is tied with Kentucky for the highest percentage of residents collecting disability payments from Social Security, according to the Kaiser Family Foundation. And the death rate among working-age adults is highest in the nation, 55 percent higher the national average, according to the Centers for Disease Control and Prevention.

And now the one main source for decent-paying work, the brutal life of coal, seems to be drying up for good. The thick, easy, cheap coal is gone, global competition is fierce, and clean air and water regulations are increasing costs and cutting into demand.

Central Appalachia’s struggle is familiar to many rural regions across the U.S., where middle-class jobs are disappearing or gone and young people have no other choice than to leave to find opportunity. But the problems are amplified in coal country, where these difficult economic and social conditions have gripped the region for decades and where there is hardly any flat land to build anything.

But this crisis – and the realization that there won’t be another coal boom in these parts – is leading to a growing understanding that new approaches are needed to help Central Appalachia emerge from decades of deep poverty, under-education and poor health.