They call each other on behavior like drinking too much soda and then all of a sudden with another group or two, everybodys stopped because something has happened within the group that says, 'This just isnt good.', For UKs Jeffrey Ebersole, programs like this one are policy no-brainers both in terms of cost and disease prevention. This is the third and final part of a series on rural health-care challenges. 45 min, 20 ingredients. unsalted butter, at room temp, sugar, eggs, at room temp and. When I moved away from home, it became very clear that I should be ashamed of drinking Diet Mountain Dew (my parents and I still lovingly abbreviate it as "DMD" in text messages). The two smarter passengers bailed during the flip but I was still hanging on to Dozer with the camera wrapped around my neck as I fell to the ground. Instead, I drink Diet Mountain Dewswish it around in my mouth, feel it all syrup and fizzand pray to God I never become a person who gets above my raising. Frank Browning reported for nearly 30 years for NPR on sex, science and farming. They confer the stigma of economic and even moral failure. At one time, the town was the center of a booming coal mining culture. Just dont read it and think you understand Appalachia. Dew Baby") is a song written by Lana Del Rey and Mike Daly and produced by Emile Haynie and Jeff Bhasker. Mountain Dew is the 4th top-selling carbonated soft drink on the planet; right behind Classic Coke, Pepsi, and Diet Coke - in that order. It's a thing, reports the Salt blog at NPR, and public health advocates in West Virginia and throughout Appalachia say the damage is real and widespread. Low-birth-weight infants also dropped by slightly more than half of state and national norms. Appalachia this election year: So many stories, so little depth. "It makes no sense to be paying for these things twice.". For me, that argument continues to manifest itself on both a personal and interpersonal level. While Mountain Dews target audience today might be neon tank top wearing bros and skateboarding teenagers, my Appalachian demographicnamesake and allwere the original consumers. 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. Vance has chosen the version of his life to tell, and he chooses to emphasize what fits his narrative. The term conjuring is used by people living in Southern Appalachia (including North Georgia, North Carolina, Tennessee, South Carolina, Alabama, Kentucky, West Virginia and Virginia) to describe a practice of folk healing done by members of their remote communities. 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. Statewide, Kentuckys PTB rate was 12.6 percent. 1. (New York: Pergamon) 1977, 6. "Mountain Dew" is a centuries-old mountain slang term for moonshine initially crafted as a mixer for whiskey in the early 1930s. 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. Vance writes of being lucky in his life and he certainly is when it comes to this book. But what exactly did that mean? This material may not be published, broadcast, rewritten or redistributed. Exploring it was simultaneously deeply cathartic and like sticking my hand in an emotional meat grinder. 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". Appalachian English is a term linguists use to describe the speech patterns of people in Appalachia. Lunsford is an attorney, however, he is very fond of folk songs. Appalachian or Southern Baby Names? This article was expanded into a full-length book,Night Comes to Cumberlands. But, as NPR points out, the same drink that celebrates the mountain region of Appalachia is also destroying it. 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. The poverty rate in Appalachia is 17.1% (the national poverty rate is 14.7%), and 87% of the region's 420 counties have more than 1.5 times the U.S. poverty rate. 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. And Part 2 explored the link between transportation and healthcare. With new Mountain Dew flavors seeming. On Friday afternoons he would buy several 30 packs of beer, chicken for the barbecue and many cartons of cigarettes. We can identify them in the plaque in blood vessels leading to arteriosclerosis. 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. "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.". Singer says she would like to see West Virginia and other states in Appalachia try this approach. In more national conversations, it often seems to take up this stunt double role, particularly when addressing rural poverty. 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. But, like so many, I feel helpless. 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/. 5. In both cases, its a prickly briar patch of fact and lore jumbled together. Add a global pandemic into the equation and that can make things even scarier. Reply . Mountain Dew bottles by Shutterstock/Darios. In Kentucky, the state with highest proportion of adults under 65 without teeth, Smith has witnessed the extremes ofMountain Dew-mouthtoddlers with baby teeth filled with cavities, kids who won't brush their teeth because of inflamed gums, and teenagers who have pulled out their own rotting teeth with pliers. "Here in West Virginia, you see people carrying around bottles of Mountain Dew all the time even at a public. Answer: There is a common stereotype that people from Appalachia refer to Pepsi's Mountain Dew soda as "Mountain Dew," but this is not true for all people from Appalachia. On April 28, 2009, Del Rey tweeted "Mike Daly is Really fucking good. There were two versions of this song, the first version was written in 1928 and the second was in 1935. Why would this kind of line-in-the-sand stance about a beverage come hundreds (er, thousands) of cans into a relationship? It was officially developed in Knoxville, Tennessee, in the mid-1900s, but it has ties to the wheat and rye distilled by Irish immigrants who settled in the region as coal miners during the previous century. However, even in the states that do offer dental benefits, poor patients have difficulty getting appointments. (This story has been corrected since it was originally published.). At this point, I should probably make this clear: Im no Mountain Dew apologist. Dentists have noticed that the toll soda takes on teeth can resemble the damaging impact of meth. It was not a novelty, not an ironic goofjust simply a way of life. Popular Native American folklore says that a bloody battle between the Cherokee and Catawba tribes took place on the mountain. My consumption of Diet Mountain Dew ensures that Im served a double shot of shamecomplete with Backwoods Barbie stereotypeon a fairly regular basis. MS. Anne and Harry M. Caudill Collection, 1854-1996, Special Collections, University of Kentucky Libraries, Lexington, Kentucky. Id like to think if you cut me open a little Diet Mountain Dew would be right there in my bloodstream, hovering just below the surface, like the homesickness that never quite goes away. And I was outraged too. Chapter 1: Meet the Man Who Focused the World on Eastern Kentuckys Woes.Lexington Herald-Leader (Lexington)16 Dec. 2012. 3. The coal operators, who came from elsewhere to buy the land, blew up the mountains. 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. Without insurance, people often go years without seeing a dentist. This kid is a hillbilly, which makes it special. Upward of a fifth sometimes a quarter of the babies they were delivering at the highly regarded Trover Clinic were below weight and premature. Jun. Without access to preventative measure like regular oral checkups and teeth cleanings, as well as comprehensive care, Americas poor fight an uphill battle, involving increased health risk, social stigma and reinforced economic disadvantage. People exist, of course, who are violent, dysfunctional, addicted, and on welfare. The drink is also native to the region. As an isolated industry, dentistry has remained private and unencumbered by the brunt of market forces. The Appalachians are the oldest mountain range in North America. The two types of rock that characterize the present Appalachian ranges tell much of the story of the mountains' long existence. Kentuckys oral health? I said I hadnt really noticed as he shook his head. Dee Matello, a small business owner and mother of three in Laurel, Maryland, had not been to a dentist in nine years. (Farmland is even lighter than usual in this image because the fields are fallow after the harvest.) 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. But theyre no more the norm than people who arent like that. 1. Reply In the mountains, you cant look away because theres nowhere to turn a blind eye. According to area dentists, one of the main culprits contributing to toothlessness in Central Appalachia is Mountain Dew soda (a PepsiCo product). Appalachia. How the circumstances of a people cannot be defined through an individual still photograph. 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. While you may think of " Appalachia " as a region of the southern United States, the full Appalachian Mountains have a massive (not to . According to a report from WiseG About Us Since then, she's been leading the charge to come up with policies to tackle the problem. Accept Cookies. The fact that it IS a narrative is one big reason why his book has gotten the attention it has, when more deserving explanations of Appalachian culture and history have been perhaps overlooked. Hes been everywhere, touted as having some new and amazing insight into the white rural Appalachian voter. She's received a grant from the Robert Wood Johnson Foundation to study the problem. 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. The Bell Witch (who is thought to be a woman named Kate Batts) was supposedly cheated in a land purchase by John Bell, the patriarch of the . In the mountains, you dont look away because you remember when the heroin dealer was a second string quarterback. ------------------------------------------, the link between transportation and healthcare. As the wealth gap continues to increase, teeth represent the dividing line between the classes. However, clinics are often too crowded to meet the demand. Appalachian names are often taken as a southern baby name but there are subtle differences. Well-written review; thank you. Thats definitely a no. 16 2013, Updated 11:19 p.m. 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. Chaotic people beget chaos. The Appalachians are one of the three major mountain ranges in North America, alongside the Rocky Mountains and the Sierra Nevada. Named after mountain slang for moonshine, Mountain Dew was sold to Pepsi in 1964, where the soda went national. In the eyes of so many people, theres no room at the table for consumption of the irony-free profane. Each time I hear it, I feel angryangry and ashamed. Diabetes. 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. This can confuse the viewer who might come across this image of the baby drinking the bright green liquid and see it as a confirmation of a known stereotype. Singer adds, "Here in West Virginia, you see people carrying around bottles of Mountain Dew all the time even at a public health conference.". A little over a year ago, I became obsessed with the concept of shame. Figuring out how to chip away at problems so deeply embedded in a region is astronomically much more complicated than a micro lens shot of a single caffeinated beverage. As it happened, out one of the cases he was trying was a moonshiner who was reputed to make . The Appalachian people were denigrated so that they could be exploited because they owned valuable land with natural resources. "We are using taxpayer dollars to buy soda for the SNAP program, and we are using taxpayer dollars to rip teeth out of people's heads who can't afford dental care and are on Medicaid," says Dana Singer, a research analyst at the Mid-Ohio Valley Health Department in Parkersburg, W.Va., who wants to see stricter regulations on sales of all sugary beverages in the region. Just as the word Appalachia is generally pronounced Ap-pa-LATCH-a in the southern mountains, but more commonly Ap-pa-LAY-cha in the rest of the country, so too is there some dispute over the. His experience is valid, but its not everyones experience. At 10.4 percent last year, the county's . "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. Appalachian Mountains. Reproduction of material from any Salon pages without written permission is strictly prohibited. However, as it stands now, dental care is treated separate from health care, launching an epidemic that weighs heaviest on those who need it most the rural poor. Again, no. Shouldnt he have flown the coop at the first pop-a-top? Within the first hour of knowing him, I watched as he got into three drunken fistfights. 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). "So this really is where you get it from." Ive been thinking a lot about the War on Poverty. (The city of Cincinnati saw fit to make it illegal to discriminate against someone of Appalachian origin). By now, we've all heard of the health risks posed by drinking too much soda. Before being bought by PepsiCo, Mountain Dew was invented in Tennessee in the heart of Appalachia. Pat worked long hours at a lumber mill a few miles down the road. And yet, as Priscilla Harris, an associate professor at the Appalachian College of Law told NPR, battling a drink that has become so ingrained in the culture of the region is not easy. I went there with Dozer, one of Pats friends, who owned a 4-wheeler. Copyright 2023 Salon.com, LLC. Hundreds of prescription medications, as well as chewing tobacco and cigarettes, cause dry mouth, preventing the natural flow of saliva and making teeth more susceptible to decay. By childbirth, all the problems had been treated; continued follow-up monitoring also showed reduced smoking by the mothers and increased breast-feeding, and led to lower levels of prescribed pain medication and sharply reduced number of visits to local emergency rooms for other health problems. In 1962 Caudill published an essay in the Atlantic titled,The Rape of Appalachia. No one I met on the trails that day mentioned the rape of Appalachia nor did anyone mentioned that they missed the mountain. I learned about Caudills dark turn while I was traveling in the region. Perhaps most shocking was how poor the womens general oral health was at the start of the study. ", 'Soda Mouth' Can Look A Lot Like 'Meth Mouth'. 1974. 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. My father was one of 11 children, and my mother is one of five. Instead, I try to tell the stories of a town full of people who consider neighbors to be like family, a town brimming over with folks who would drive all night to New Orleans if they thought I was ever in trouble. So even though hospital visits for dental problems cost an enormous amount to the health care system as a wholean estimated $2.7 billion over a three-year period according to one majorstudy people rarely receive the treatment they need. Often referred to as the "Appalachians", the Appalachian Mountains are a series of mountain ranges that stretches from the eastern to the northeastern part of the continent of North America.Forming the eastern complement of the Rocky Mountains, the Appalachian Mountains extend for about 2,400km from the Central Alabama region in the United States to the Canadian . In areas where jobs are scarce, a persons financial security depends on her teeth. Consider what every movie star, news anchor and television personality has in common: not height, weight or ethnicity (though there is certainly an enormous amount of room for more diversity). Thats one reason why their babies get cavities so fast., After more than four years of the oral health and centering program -- during which it has served 500 women -- Todd-Langston and Almon say they believe attitudes in the county may be beginning to change. More than a third of Americans do not have dental coverage, according to aWashington Post article. "At this point, we've been addressing poverty for 40 years," Mullins said. This often resulted in elaborate ATV trails because it was the cheapest and most popular reclamation option. The man, who proclaimed that Appalachia had been raped, now wanted to rape certain Appalachian people of their ability to procreate. O ften, photographers and journalists capture a version of Appalachia that is not a place - a vast geographic region covering 13 states with more than 25 million people - but a social and . Here she races at Crossville Raceway in Cumberland County, Tennessee. 1. But according to Eater, the expression represents much more than teeth made brown and brittle by soda; it is an indication of the much deeper concerns in the area (like rampant drug use, economic stagnation, and lack of access to good healthcare), and how they've created a culture in which poor nutrition is not only the inevitable result but a minor issue by comparison. If others of us dont see that or dont see only that, and are tired of it being the focus Vance has already preemptively inoculated himself from such criticism. I. Waxman Chaim,The Stigma of Poverty: A Critique of Poverty Theories and Policies. is completely exhausting. Something went wrong. See our ethics policy. Part 1 covered diabetes in Appalachia. 2. 210 pound Dozer fell on me and then the 750 pound 4-wheeler fell on Dozer, but Dozer kicked it up with his leg and then the two boys that bailed pushed it back over. Would people feel as open to chiding me or ribbing me about the drink if I were a man? With 50 percent more caffeine than Coke or Pepsi, Mountain Dew seems to be used as a kind of anti-depressant for children in the hills. By sa smith on January 26, 2012. It is not part of hillbilly justice. If his family were acting like violent jerks, its because theyre acting like jerks, not because theyre Appalachian. Regardless of cultural influences Mountain Dew-mouth or not the dental health epidemic in America is rooted in the historical and political legacy of an unequal system. View larger map Learn More About Subregions Appalachia Then and Now According to dentists, one of the main culprits is Mountain Dew soda. Nonetheless, the factors that contribute to poor dental health are not simply Mountain Dew; they are not even specifically linked to Appalachia. He was the first person to publicly question the coal operators who came to extract valuable natural resources in Appalachia using processes that obliterated the terrain through mountain top removal. It turned out that just behind Pats trailer was an old reclaimed strip mine that had been turned into ATV trails for recreational use. With limited benefits through Medicaid and no benefits through Medicare, in order to receive insurance, people must purchase private plans or employer-provided plans. No one I met on the trails that day mentioned the rape of Appalachia nor did anyone mentioned that they missed the mountain. 17 More. The taste of Appalachia . Being violent is not a symptom of Appalachianness. They offer the services they can, provide prescriptions for painkillers and antibiotics, and recommend a dental clinic for a follow-up. 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