Required fields are marked *. In 2013, only 34 percent of general dentists accepted Medicaid patients, according toPew. In 1962 Caudill published an essay in the Atlantic titled,The Rape of Appalachia. The soda is ruining teeth, in an epidemic known as Mountain Dew-mouth. The acid causes erosion and the sugar abets decay. The man, who proclaimed that Appalachia had been raped, now wanted to rape certain Appalachian people of their ability to procreate. Singer says she would like to see West Virginia and other states in Appalachia try this approach. Thus, patients leave the ER with no long-term solution for treatment. 45 min, 20 ingredients. 1. If you try to to think about this, Im . 2. Less than 300 feet into our journey home, we rolled and tumbled. Few of the women associated dental cavities and oral disease with pregnancy or prenatal problems, despite mounting medical and dental research showing the linkage, especially in Kentucky, said Jeffrey Ebersole, director of research at the University of Kentucky Dental Schools Oral Health Center. 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. This kid is a hillbilly, which makes it special. 26 August. 1. It asks very little from the reader. Arent there more important factors to consider like physical abuse or abandonment? Were on the 4-wheeler in the dark and we are coming down this hill. Kentucky is also the state with the most smokers, followed closely by West Virginia, according to aGallup study. In West Virginia, 67% of adults over the age of 65 have lost six or more teeth to decay or disease. Dew Baby". . My own happy and stable Appalachian childhood does not make for an exciting book. Before being bought by PepsiCo, Mountain Dew was invented in Tennessee in the heart of Appalachia. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Your email address will not be published. Four men showed off a massive pit of mud they found. Vance writes of being lucky in his life and he certainly is when it comes to this book. Frank Browning reported for nearly 30 years for NPR on sex, science and farming. Then when she did all these things [in the group] I said, Thats wonderful! When we got back to Pats house, I was given a crushed up Loratab to snort for the pain. 1 in the nation in toothlessness. My research into the origins of this initiative led me to Harry Caudill, a small town lawyer from the eastern Kentucky town of Whitesburg. So millions of Americans go without dental insurance. 5. 16 2013, Updated 11:19 p.m. Elbio. How could I feel ashamed in my own house? He is telling, in a very simple and easy to read fashion, a story, and stories trump textbooks every time. "They do their own weight and their own blood pressure measures. 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. Many lives were lost. Ally Hartman claimed the recipe was his brother's. 1958 Mountain Dew bottle. 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!" POSTWAR TO THE PRESENT. And he must have one hell of a publicist. According to Al Jazeera's analysis of US census data, it is the nation's poorest white-majority county in terms of annual median household income. By the end of the programs second year, the research results began to come in on the health of the newborns. Oklahoma senator concerned about dead babies in his Mountain Dew. Here are three more in-depth reviews of Hillbilly Elegy. As if I was living in some sort of divinely staged cosmic play, my theoretical interest in shame came home to roost shortly after my exploration began one Sunday afternoon at home in New Orleans. I would definitely attribute these problems to drinks." Named after mountain slang for moonshine, Mountain Dew was sold to Pepsi in 1964, where the soda went national. It was late in the afternoon and I wrapped my hands tight around Dozers sweaty shirtless body because I was pretty terrified. Appalachia isnt a pity case, and Mountain Dew is only sideshow to the heart of the matter. is completely exhausting. Vance grew up in an Appalachian ex-pat family in Ohio with rough-talking relatives who thought nothing of trashing a store until they got what they wanted, and who regularly communicated by screaming at each other. Reply . The Appalachian Mountains range southwestward from Quebec and Newfoundland in Canada to Alabama in the southeastern United States.The central and southern highlands of this ancient mountain range, consisting of the Blue Ridge and Smoky Mountain ranges, the Allegheny and Cumberland plateaus . 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. Central Appalachia is No. Mountain Dew is mountain slang for "whiskey"; the phrase appears in Irish folk songs from the late 19th century and in an American folk song protesting Prohibition. 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. Many Appalachians agree with Derek Mullins of Whitesburg, Kentucky, when he referred to President Lyndon B. Johnson's 1960s War on Poverty, which was launched in Inez, Kentucky. My camera was strapped around my neck, resting against my back. I said I hadnt really noticed as he shook his head. *Im not an economist, a historian or any kind of academic. Accept Cookies. In areas where jobs are scarce, a persons financial security depends on her teeth. While Mountain Dews target audience today might be neon tank top wearing bros and skateboarding teenagers, my Appalachian demographicnamesake and allwere the original consumers. Nearly half said that their most recent toothache had caused them the worst pain possible and interfered with many aspects of their daily lives. 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. One of the amazing things about Centering, Todd-Langston said, is when you bring people together on common ground, even though the lower socioeconomic women are the ones that get the most out of this, by bringing them in here, those barriers go away. "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. Jun. Forty-seven thousand people reside in Madisonville-Hopkins County. Beer, grilled chicken and cigarettes were offered in unlimited supply. Did he really just tell me what to drink? I knew that Pat had his own set of values that were different from prevailing societal norms. For 10 years, Otto researched and conducted interviews about oral health in America, traveling across the country attending beauty pageants and clinics, talking to dentists and patients alike. If you were watching the Diane Sawyer special, "A Hidden America: Children of the Mountains," in 2009, you might have been alerted to a code red in the southeastern mountain region of the United States (via ABC News). "Oh, wow," my boyfriend remarked, a little awestruck. (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 It's Pepsi's #2 cash cow, second only to their flagship beverage, Pepsi, even beating out Diet Pepsi for total sales. 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. But what exactly did that mean? 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. Use of thesesubstances is rampant in Appalachia; a single Kentucky county filled prescriptions for over 2 million doses of painkillers last year, which is about 150 doses for every man, woman and child. Like many Americans without dental insurance, it was not until Matello heard a free dental clinic would be held in the town of Salisbury, just 20 minutes away from her home, that fixing the cracked tooth seemed like a possibility. The Appalachian people were denigrated so that they could be exploited because they owned valuable land with natural resources. You could assign this in high school if it didnt have cuss words. "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. At the University of Maryland dental school, ateam of researchers explored the effect of toothaches in poor Maryland adults like Matello: 44.3 percent of their respondents reported having experienced more than five toothaches in the past 10 years. The angry reaction supports the academic literature on Appalachian Americans, he writes, then proceeds to cite exactly one piece of academic literature, a paper three sociologists published in 2000 about how hillbillies learn from an early age to deal with uncomfortable truths by avoiding them., We tend to overstate and to understate, to glorify the good and ignore the bad in ourselves, Vance writes. Social Darwinist thinkers in the late 18th century and early 19th century influenced attitudes towards poverty during the emergence of capitalism (6). In the mountains, you dont look away because you remember when the heroin dealer was a second string quarterback. The coal operators, who came from elsewhere to buy the land, blew up the mountains. Chaos begets chaos. Eighty-two percent of them had periodontal bleeding points and half had already developed recessive pockets in their gums. Destroying store merchandise and threatening a sales clerk were normal to Mamaw and Papaw: Thats what Scots-Irish Appalachians do when people mess with your kid, Vance writes on page 40. According to dentists, one of the main culprits is Mountain Dew soda. At one time, the town was the center of a booming coal mining culture. MS. Anne and Harry M. Caudill Collection, 1854-1996, Special Collections, University of Kentucky Libraries, Lexington, Kentucky. 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. "And we can identify them in the tissues of newborn infants as well. 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. With 26 percent of preschool-age kids suffering from tooth decay and 15 percent of young adults extracting a tooth because of erosion, Mountain Dew-mouth in Appalachia has created one of the worst dental health problems in the United States according to alegal brief by Priscilla Harris, an associate professor at the Appalachian College of Law. Chaotic people beget chaos. Grease a baking dish with olive oil or butter, then pour on the Mountain Dew sauce mixture until about two inches high. Oral, chronic infection untreated is getting into the bloodstream 24 hours a day, seven days a week, seeding systemic circulation. 4. Reply . The bad reviews I saw from other Appalachians convinced me it would make me mad. Old recipes passed down keep traditions alive, but more coveted. Mountain Dew is the 4th top-selling carbonated soft drink on the planet; right behind Classic Coke, Pepsi, and Diet Coke - in that order. The Real Winners of World Press Photo 2014: The Palestinians. Dental health is essential to overall health, and serious and sometimes fatal illness can result from untreated oral conditions. ", 'Soda Mouth' Can Look A Lot Like 'Meth Mouth'. He mentions that she pushed him to write this, apparently recognizing that claiming his Appalachian heritage as an obstacle to overcome would sell. Once a month, a University of Kentucky dentist also joins the group for oral treatment. We saw that our women werent getting preventative [dental] screening. You dont have to work to read this book. Just dont read it and think you understand Appalachia. Harris says that dental problems are especially bad because dental care is harder to get in Appalachia, which includes many of the poorest and most remote communities in the country. Today, theres a Mountain Dew to suit every tastefrom Code Red (cherry) to Baja Blast (lime)and enough generic knockoffs with names like Mountain Lion, Mountain Lightning and Mountain Holler to really put an exclamation point on the rural connection. It's estimated 26% of preschoolers in Appalachia already have tooth decay. Anyone who did not abide by the prevailing pattern of consumption was ostracized. Another 15% of young adults between the ages of 18 and 24, have had a tooth extracted because of decay or erosion. Just under 30 percent had periapical infections or pericoronitis inflammation. 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". Poor Law Amendment Act, 1841. MADISONVILLE, Ky. . The predominant jobs of the working classwaitressing, housekeeping, nursing, etc. It was not a novelty, not an ironic goofjust simply a way of life. Diaper-clad, the strange critter kicked open a trap door in an apartment where three dudes . This was Dozers best friend who died while riding a 4-wheeler. Dee Matello, a small business owner and mother of three in Laurel, Maryland, had not been to a dentist in nine years. no shoes!) Perhaps most shocking was how poor the womens general oral health was at the start of the study. For me, this photograph is valuable because it shows us how little we actually know when viewing this image, any image. Appalachia has a distinct culture of sipping soda constantly throughout the day. Lunsford is an attorney, however, he is very fond of folk songs. 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. 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. Since then, she's been leading the charge to come up with policies to tackle the problem. According to Eater, Mountain Dew was invented by Barney and Ally Hartman, Tennesseans who were looking for a mixer to accompany their whiskey in the 1930s. Leslie Jamison, author of The Empathy Exams, elegantly summed up my decades-long tug of war with how Mountain Dew relates to my identity in a recent interview. Each time I hear it, I feel angryangry and ashamed. 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. The Appalachians are among the oldest mountains on Earth, born of powerful upheavals within the terrestrial crust and sculpted by the ceaseless action of water upon the surface. The meaning of the name is "mountain thrower" and it has a Sanskrit origin. Something known as "Mountain Dew Mouth" is rotting children's teeth in poor regions of the country, especially Appalachia. 3. In the eyes of so many people, theres no room at the table for consumption of the irony-free profane. Various states, from Florida to Tennessee, have proposed bills that would restrict the use of SNAP to buy soda, sugary treats or other unhealthful foods. Shouldnt he have flown the coop at the first pop-a-top? 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. We made our way to the strip mine trails and as we did, we passed Butchs grave. Appalling already, the state of dental care in America faces even greater challenges with the threat of the Trump-backed American Health Care Act currently being debated in the Senate after passing in the House at the beginning of May. The 4 of us caught the ATV off balance and it flipped. The problem is, he does not have a new or amazing insight. The Appalachian Mountains, commonly called the Appalachians, are a chain of mountains in the East of North America. hide caption. It's sort of like folks don't really believe them, but since their parents or grandparents said them they say them just in case they might be true . While some people in this region may refer to the soda as "Mountain Dew," it is not accurate to say that all people from Appa. Should I credit all this to their hillbilly heritage? Ive worried that I wont get work, that I will be perceived as less intelligent and qualified because I occasionally enjoy a soda thats lambasted as the scourge of the soft drink earth. We went up the mountain without a problem; it was the end of summer and the trails were overgrown. 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. is dedicated to the analysis of news photos and media images. In many regions of Appalachia there is a major decline in dental health, many speculate that this is due to the numerous financially challenged families and individuals; however, many dentists believe that the true culprit is Mountain Dew. No. Mammoth Cave in west-central Kentucky spans 420 milesmore than twice the size of the second-longest,. 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 Damage of the Dew," which explores how the drink became ingrained in the region's culture. Singer says one of the best opportunities to curb the problem is targeting programs like SNAP, which allows recipients to buy soda. The elderly are affected, too. And I was outraged too. https://newrepublic.com/article/138717/jd-vance-false-prophet-blue-america, https://www.jacobinmag.com/2016/10/hillbilly-elegy-review-jd-vance-national-review-white-working-class-appalachia/, https://elizabethcatte.com/2016/11/19/common-people/. In a country wheresignificant value is placed on a perfect smile, bad teeth prevent economic mobility. Heroes can be villains and villains can provide valuable insight into how to reimagine what we think we know about our own history. The Appalachian Mountains appear striped because the ridges are forested, providing a dense and dark canopy cover, while the valleys are farmed with crops that generally appear as lighter-toned areas. Whats more, 40 percent of all births are paid for by Medicaid. Its poor and thats probably being kind, Ebersole said in an interview last month in Lexington, but I cant say it's that much worse than a lot of the nation. Ive never once had someone without deep mountains connections place a hand on my shoulder and say, "Me too, sister.". The other meaning of the name is 'a wise man'. It was not until the Affordable Care Act passed under President Obama in 2010 when Medicaid gave dental care to children under 19. How did Appalachia become stereotyped by a popular beverage? But since the 14th century, poverty as a label has been used to ostracize certain people in society (5). First there are the most ancient crystalline rocks. Many people don't help the people in the Appalachians because the poverty often goes unnoticed. 28K views, 631 likes, 154 loves, 240 comments, 642 shares, Facebook Watch Videos from Mountain Roots: Here's the 36th Episode in my new Exploring Appalachia series! But, like so many, I feel helpless. The town of Appalachia is considered to be a largely intact "era" town of the late 1800s, early 1900s. Growing up in Eastern Kentucky, Mountain Dew (and its diet counterpart, my beverage of choice) was an omnipresent force, its signature emerald-tinged, translucent 20-ounce bottles filling up coolers at backyard barbecues and littering the weed-lined backroads. "Belle, I swear to God, it snowed eleven inches today," my dad sighed. Today most of the time the superstitions are said in a joking manner. As Healthline tells us, the sugar in sodas reacts with the bacteria in our mouths to form a dangerous acid, breaking down the protective layers in your teeth and causing cavities. Singer adds, "Here in West Virginia, you see people carrying around bottles of Mountain Dew all the time even at a public health conference.". I. Waxman Chaim,The Stigma of Poverty: A Critique of Poverty Theories and Policies. Sorry, but no. Part 1 covered diabetes in Appalachia. No national news outlet, it seems, cares to shine a real light on the deep and profound problems (drug wars, economic stagnation, post-coal mine environmental havoc) facing the area that causes people to place their health on the backburner and, more often than not, fall on the crutch of unhealthy food and drink. 17 More. 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. (London) 1841, #mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; } Old woman smoking a pipe, Appalachia, USA, c1917. According to area dentists, one of the main culprits contributing to toothlessness in Central Appalachia is Mountain Dew soda (a PepsiCo product). The term "Appalachia," however, is more of a socio-economic term than it is one of geography. The Region also comprises three federally recognized and five state recognized Native American Tribal Communities, with Tribal entities in Appalachian Alabama, Georgia, Mississippi, New York, and North Carolina. Vances book is simplistic, and it generalizes. The ties that bind know no distance. In January, when an acquaintance who worked on Hillary Clintons campaign touted it on Facebook, I was unable to argue because I had not read it. 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. 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. This unique name is an uncommon name for boys but it a unique name. Why would this kind of line-in-the-sand stance about a beverage come hundreds (er, thousands) of cans into a relationship? I would probably get fewer dirty looks if I snorted a couple of lines of cocaine every day. So we were saved and mostly unharmed. As a memoir of a rough childhood, its fine. For example, many Appalachian names are of Gaelic or Celtic origin (if you are interested in Irish baby names check out our Irish boy's names and Irish girls names posts). Obesity. Lack of accessible medical care is still a reality for thousands, particularly women and young mothers. Medicare, the federal health care program that covers 55 million seniors and disabled people, has never included insurance for routine dental services. Letter to William Shockley. His family, the Greens had lived in this holler (4) for many generations. Mountain Dew Cupcakes W/Frosting. The Story Behind the Song Bascom Lamar Lunsford first wrote the song in 1928. Associated Press articles: Copyright 2016 The Associated Press. 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). This is due to the influence of Scottish and . Now why would you want your baby to be smoking? Rising, whose Centering Healthcare Institute has worked with major medical schools across the country, flew down to Madisonville to help Todd-Langston and Almon start the prenatal program there. Yes, indeed. More people tend to donate money to charities to help people in other . "Here in West Virginia, you see people carrying around bottles of Mountain Dew all the time even at a public. "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.". At first, I hee-hawed and rolled my eyes. In the south-east mountains of the United States this word is often used instead of hollow; A small rising valley region between two hills or mountains; often containing a creek. Photograph taken during Cecil Sharp's folk music collecting expedition: British musician Sharp (1859-1924) and his assistant Dr Maud Karpeles (1885-1976) collected folk songs from the mountain singers of the Appalachians (North Carolina, Tennessee, Virginia, West Virginia, and Kentucky), between 1916 and 1918. 'Children of the Mountains': Full Show An introduction to Diane Sawyer's in depth look at the people of Appalachia. When, in 2006, Todd-Langston got a call from Jeffrey Ebersole proposing to establish a full dental service for pregnant moms, she said it was like a gift from heaven. The Bell Witch. When we got back to Pats house, I was given a crushed up Loratab to snort for the pain. I have 26 first cousins, not counting step-cousins, second cousins, etc. 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. But one has to wonder if the underlying issues of the region aren't addressed, will taking sodas off the menu really solve anything. It is wickedly acidic and (if youre drinking the less aspartame-influenced variety) highly caloric. In a region long undergoing a cultural and economic crisis, Appalachias thirst for Mountain Dew is perhaps the lesser of many evils. And she expects that number to grow as jobs in the region continue to disappear. Thirst for Mountain Dew was invented in Tennessee in the dark and we can identify them in the heart Appalachia... 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