Well when a state's biggest historic economic staples, coal and tobacco, are two of the largest declining ones in the country, that happens. There are several other issues as well. With so much of the state being rural, and without a public transportation system, lots of people can't afford to work. You have people that have to get a job making $8 an hour, yet then end up paying $200 a month for car insurance... and then if they don't have car insurance, they get caught up in the hundreds of random checkpoints across the country that are looking for drugs, alcohol, AND people driving illegally. So then once they get a ticket for not having insurance... they either continue to drive illegally until they get thrown in jail, or they quit driving because they can't afford it... and if they can't drive, then they can't get back and forth to their $8 an hour job 10 miles away.