It's Pepsi's #2 cash cow, second only to their flagship beverage, Pepsi, even beating out Diet Pepsi for total sales. So millions of Americans go without dental insurance. Appalachian Mountains. Marion Virginia: Heart of Appalachia's Highlands & Birthplace of Mountain Dew | Here's the 36th Episode in my new Exploring Appalachia series! Letter to William Shockley. Diaper-clad, the strange critter kicked open a trap door in an apartment where three dudes . Story after story presents tightened regulations and banning the purchase of soda with food stamps as the lone solution to problems caused by excessive Mountain Dew consumption. But, like so many, I feel helpless. Eighty-two percent of them had periodontal bleeding points and half had already developed recessive pockets in their gums. Frequently he attributes rough behavior and inexperience with the world to, essentially, hillbillies being hillbillies. My first daycare was just a few doors down. My camera was strapped around my neck, resting against my back. Forty-seven thousand people reside in Madisonville-Hopkins County. While Mountain Dews target audience today might be neon tank top wearing bros and skateboarding teenagers, my Appalachian demographicnamesake and allwere the original consumers. Jun. And I was outraged too. Old recipes passed down keep traditions alive, but more coveted. A study published in theNation Bureau of Economic Research found that a missing tooth can result in a loss of $720 of earnings (and178 million peopleare missing at least one tooth). Toothaches are the most common problem, causing lack of sleep and difficulty eating. It was during this time that Christian Missionaries first spoke of the Appalachian region as ignorant and impoverished. In both cases, its a prickly briar patch of fact and lore jumbled together. In a region long undergoing a cultural and economic crisis, Appalachias thirst for Mountain Dew is perhaps the lesser of many evils. In October, I went to a mayoral forum and the women behind me were talking about it I mean, hes from there, so he must know I did not read it. 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. Over the course of two days, among the reclining chairs and portable dental equipment that had been erected on the civic center floor, 116 dentists provided $1 million worth of care to 1,165 patients, many of whom had traveled across state lines to endure long lines and the bitter cold as they waited for treatment. 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. I remember . Two days later, she tweeted lyrics . He cites a 2009 ABC report on "Mountain Dew mouth" in Appalachia, and the outraged reaction of Appalachians. Just 10 years after the War on Poverty was declared, Caudill saw that nothing was changing for the Appalachian people. Cherokee Indians were the main Native American group of the Southern Appalachian and Blue Ridge region, but there were also Iroquois, Powhatan, and Shawnee people.. 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 our way down the daylight faded and we navigated the terrain of the trail from our ATVs headlights. 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 . He invited everyone to his home to celebrate the end of a long workweek, every week. is dedicated to the analysis of news photos and media images. (This story has been corrected since it was originally published.). 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. As soon as it aired on February 7, 2016, the Super Bowl ad for Mountain Dew's energy drink "Kickstart" was trending online. 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. I was still behind Dozer with my arms wrapped around his stomach. I view it, and much reaction to Vances own book, as Appalachian people being tired of hearing that their only story is the negative one. Basic education, says Harris, is also needed: "We also just need to let people know that you can drink these drinks safely, but they can also do harm. "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.". But what exactly did that mean? 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. 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). New book takes on, and takes down, Appalachian Trump Country narratives and elegies, Hillbilly Elegy: Another generalization of Appalachia. My consumption of Diet Mountain Dew ensures that Im served a double shot of shamecomplete with Backwoods Barbie stereotypeon a fairly regular basis. In her book, she writes: "In the way that they disfigure the face, bad teeth depersonalize the sufferer. His mother became a drug addict with a series of husbands or boyfriends. The maternal death rate in southern Appalachia was 12.7 per 100,000 births, compared with rates of 15.1 per 100,000 for the entire rural United States and 16.3 per 100,000 in the nation as a whole. But she and Almon had their own conditions: They wanted to locate the oral health study in a new sort of prenatal program at Yale created by nurse-midwife Sharon Rising called CenteringPregnancy. Six years ago Ebersole was looking for a site where he could undertake a program to demonstrate in the field what clinicians were telling him in their practice. ET. Reproduction of material from any Salon pages without written permission is strictly prohibited. Notify me of follow-up comments by email. 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 . Probably not. Old woman smoking a pipe, Appalachia, USA, c1917. 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. Required fields are marked *. 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. Unless policy and behavior change, were not going to improve the health and its links to systemic health.. In the kitchen that day, Mountain Dew was used as a stand in for a harder conversation about our waning relationship that we had been dancing around for months. Bill Estep and John Cheves. Singer says she would like to see West Virginia and other states in Appalachia try this approach. It is wickedly acidic and (if youre drinking the less aspartame-influenced variety) highly caloric. Should I credit all this to their hillbilly heritage? *Im not an economist, a historian or any kind of academic. 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. A Fresh Look at Appalachia50 Years After the War on Poverty Kealey Lowe is a student at Stone Memorial High School. In the mountains, you cant look away because theres nowhere to turn a blind eye. Its not even, really, an acceptable guilty pleasure. Diabetes. 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. no food stuff is more personal to me, more deeply burrowed into my sense of identity than Diet Mountain Dew. MADISONVILLE, Ky. . Appalachian: [noun] a native or resident of the Appalachian mountain area. You dont have to work to read this book. It also became clear fairly quickly that a lot of my shame coalesced around one thing: my relationship with Diet Mountain Dew. All last fall I resisted reading J.D. 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/. MS. Anne and Harry M. Caudill Collection, 1854-1996, Special Collections, University of Kentucky Libraries, Lexington, Kentucky. Were on the 4-wheeler in the dark and we are coming down this hill. Something went wrong. The drink is also native to the region. As the story goes, John F Kennedy read Caudills book and quickly moved to set up the Presidents Appalachian Regional Commission in order to take a closer look at what was happening in Appalachia. 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). Kentucky is also the state with the most smokers, followed closely by West Virginia, according to aGallup study. I would probably get fewer dirty looks if I snorted a couple of lines of cocaine every day. (London) 1841, #mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; } The coal operators, who came from elsewhere to buy the land, blew up the mountains. When I read numbers like that, Im immediately wracked with guilt that Im not there, that Im not rallying the troops to preserve the tightly knit heritage of the place that raised me. Reply . I watched as they trekked back and forth in it, finding great pleasure in turning their ATVs into boats. Low-birth-weight infants also dropped by slightly more than half of state and national norms. Nothing great will ever come from consuming yellow dye #5. I think it valuable for us to question how we arrive at the meaning of poverty. A problem as common as gingivitis (excess plaque) can result inserious health problemssuch as heart disease, diabetes, or cancer. Some 67 percent of West Virginians age 65 or older have lost six or more teeth owing to tooth decay or gum disease, according to the Centers for Disease Control and Prevention. Im someone who people think shouldin so many wordsknow better. Irish and Scottish immigrants who moved to the Appalachian region to mine coal called their mixers for moonshine, off-market bourbon and whiskey, "Mountain Dew." Barney and Ally Hartman started bottling their Mountain Dew in the 1930s and marketing it as whiskey's best friend, meaning it's had a pretty manly ad strategy from its inception. Oral care practitioners are familiar with the term "Mountain Dew Mouth," as the particular brand has far more acid and sugar in comparison to other sodas. This article originally appeared on AlterNet. She's received a grant from the Robert Wood Johnson Foundation to study the problem. 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. Time and time again, Appalachians are portrayed as individuals who are unable to get out of their own waythe kind of people who must have change enacted upon them in order to better themselves. It was, in his eyes, a more intimate, longterm partner than he had become. 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. We can identify them in the plaque in blood vessels leading to arteriosclerosis. However, even in the states that do offer dental benefits, poor patients have difficulty getting appointments. The Appalachian Mountain shiners are part of the hillbilly culture. In my latest video I discuss folklore and superstitions. Dr. George Kushner, the director of oral and maxillofacial surgery at the University of Louisville in Kentucky, explained that he sees ER patients with dental pain on a daily basis. Noxious substances merely exacerbate a national problem that is affecting every region of the United States. "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 . Years before when visiting my hometown for the first time, we took a stroll down Main Street and passed a teenager with a freshly sprouted goatee in a cut off t-shirt carrying a case of Mountain Dew atop his shoulder like a mounted bazooka. 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. 9K Likes, 328 Comments. For those who have never had the pleasure of sipping an ice cold can of Mountain Dew, youve probably only heard talk of its vices, of which there are (admittedly) many. It is a regular reminder that youre not just reading about a kid in Ohio with a druggie mom oh no. (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 Sometimes there were drunken fights. And she expects that number to grow as jobs in the region continue to disappear. The elderly are affected, too. With limited benefits through Medicaid and no benefits through Medicare, in order to receive insurance, people must purchase private plans or employer-provided plans. Ive been thinking a lot about the War on Poverty. no shoes!) Mountain Dew, the carbonated fluorescent-green soda that Willy the Hillbilly declared will tickle your innards in a 1966commercial, has long been a staple of Appalachia. I remember this story myself. (The city of Cincinnati saw fit to make it illegal to discriminate against someone of Appalachian origin). They offer the services they can, provide prescriptions for painkillers and antibiotics, and recommend a dental clinic for a follow-up. 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. The taste of Appalachia . This kid is a hillbilly, which makes it special. 4. I went there with Dozer, one of Pats friends, who owned a 4-wheeler. 45 min, 20 ingredients. Originally the care of the poor was relegated to the church, which regarded the poor to be of the highest moral status. My teachers drank it, my doctor drank it and prisoners would drink it while picking up the littered roadside bottles. Today, coal has left Appalachia, as have a host of other industries that brought economic opportunity. The freshest news from the food world every day, By submitting your email, you agree to our, How Mountain Dew Came to Perpetuate a Deep-Seated Appalachian Stereotype. unsalted butter, at room temp, sugar, eggs, at room temp and. And none of them behave the way Vance describes his family behaving. It is, however, a drink thatfor better or worseties me to my home. Sixty-five percent of our women are on Kentucky Medicaid, Todd-Langston, manager of the Trover Center for Women's Health, told me. And Part 2 explored the link between transportation and healthcare. Appalachia is an ancient land - one of the oldest mountain systems on Earth. In areas where jobs are scarce, a persons financial security depends on her teeth. 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. I abruptly found myself assessing everyone I met, trying to determine whether or not Caudill would consider them dullards. In late July 2013, I was invited to drink beer on a Friday night with a group of people in West Columbia, West Virginia. 3. 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. Join me as I explore Marion. On top of that, without municipal water systems, people rely on well water, which is unfluoridated or they drink more Mountain Dew to quench their thirst. How could I feel ashamed in my own house? "They do their own weight and their own blood pressure measures. Another 15% of young adults between the ages of 18 and 24, have had a tooth extracted because of decay or erosion. 16 2013, Updated 11:19 p.m. "At this point, we've been addressing poverty for 40 years," Mullins said. "Nothing is moving here. This name has a Celtic origin and the meaning of the name is 'he who comes from the mountain'. CIVIL WAR ERA AND INDUSTRIALIZATION. 1. This legend centers around the Bell family. Shameful or not, no food stuff is more personal to me, more deeply burrowed into my sense of identity than Diet Mountain Dew. 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. Many lives were lost. Without insurance, people often go years without seeing a dentist. For Appalachians, a sense of place and of home seem particularly important, yet from the 1940s to 1960s, an estimated seven million immigrated north into urban areas in search of work, only to be met with widespread prejudice against any Appalachian-speaking mountain speech. But Vance thinks that outrage is Appalachian people being unwilling to take an honest look at Appalachias problems. 2. Mountain Dew is the 4th top-selling carbonated soft drink on the planet; right behind Classic Coke, Pepsi, and Diet Coke - in that order. After becoming the first person to successfully call attention to the dark reality of what was happening in Appalachia, Caudills thinking changed. After getting an x-ray and having the tooth extracteda procedure that would have cost from $600 to $800 in a regular dentist's office Matello left the clinic, wondering why people who work hard and put faith in their government for help are obligated to endure such demeaning treatment. Central Appalachia is the number one spot in America for tooth decay to due to their poor diet, lack of access to dental care, and widespread addiction to Mountain Dew. Opioid addiction, smoking, chewing tobacco, lack of access to municipal water systems, and the necessary preoccupation with getting food on the table over worrying about nutritional value are also having an enormous effect on peoples teeth. Pat worked long hours at a lumber mill a few miles down the road. How the circumstances of a people cannot be defined through an individual still photograph. The Appalachian people were denigrated so that they could be exploited because they owned valuable land with natural resources. My father was one of 11 children, and my mother is one of five. In West Virginia, 67% of adults over the age of 65 have lost six or more teeth to decay or disease. So we were saved and mostly unharmed. No. Native Americans first began to gather in the Appalachian Mountains some 16,000 years ago. Four men showed off a massive pit of mud they found. But since the 14th century, poverty as a label has been used to ostracize certain people in society (5). Follow us on Instagram (@readingthepictures) and Twitter (@readingthepix), and subscribe to our newsletter. If theres a pop culture reference about DMD you need to knowincluding that bopping Lana Del Ray jam and its brief mention in a recent Paul Muldoon poemIm your girl. I would see a lot of kids who had a mouth full of rotting teeth, Dr. Edwin Smith, a traveling dentist who drove his mobile dental truck for 12 years throughout Kentucky, toldCNN last September. Ive never once had someone without deep mountains connections place a hand on my shoulder and say, "Me too, sister.". "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. 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. Public health . 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. February 15, 2009 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. Prenatal training and preparation was a key part of the centering sessions across the pregnancy period and thereafter. ------------------------------------------, Dental Health Professional Shortage Areas, Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America. Then, I knew I shouldve seen it coming. 3. 3. With time, a toothache can become another entity entirely. For the 379 women enrolled in the study, pre-term birth rate, or PTB, was 6.6 percent against 14 percent for Hopkins County generally in the preceding years. Thus, patients leave the ER with no long-term solution for treatment. A Brief Appalachian History. EARLY POPULATION. 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. This material may not be published, broadcast, rewritten or redistributed. But Mountain Dew mouth? The Appalachians are one of the three major mountain ranges in North America, alongside the Rocky Mountains and the Sierra Nevada. To paraphrase a tweet from author David Joy, you can read Hillbilly Elegy. 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. "So this really is where you get it from." More people tend to donate money to charities to help people in other . For me, this photograph is valuable because it shows us how little we actually know when viewing this image, any image. This was solidified during the economic transition that took place with the colonialist coal industries entry into the region at the end of the 19th century. As an isolated industry, dentistry has remained private and unencumbered by the brunt of market forces. The Story Behind the Song Bascom Lamar Lunsford first wrote the song in 1928. In the 1970s, the people rose up and forced the government to institute reclamation projects that returned the mountains to a shabby version of their former selves. 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. 4. They want to tackle the problem with policies, including restricting soda purchases with food stamps (now called the Supplemental Nutrition Assistance Program, and currently under debate in Congress). Mountain Dew bottles by Shutterstock/Darios. Again, no. It isnt that Appalachians cant face the truth. And in an impoverished part of the country, where the majority of residents either go hungry or receive government aid for food, public health advocates are calling for a policy overhaul to address the problem of rotted teeth and gum disease in Appalachia. Vance and I are of the same generation. Picking on Diet Mountain Dew was a surefire way to get my attention and cut me to the quick. 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. 'Children of the Mountains': Full Show An introduction to Diane Sawyer's in depth look at the people of Appalachia. That is what brutes do. According to area dentists, one of the main culprits contributing to toothlessness in Central Appalachia is Mountain Dew soda (a PepsiCo product). The newly pregnant women gather and talk to each other about their experiences of being pregnant, and learn to operate simple monitoring equipment. Like those many before him including many news stories last year Vance has just written yet another look at these poor people story. Anyone who did not abide by the prevailing pattern of consumption was ostracized. For me, that argument continues to manifest itself on both a personal and interpersonal level. Less than 300 feet into our journey home, we rolled and tumbled. "That guy! When we got back to Pats house, I was given a crushed up Loratab to snort for the pain. of The Whitesburg Conference, Whitesburg, Kentucky. In the eyes of so many people, theres no room at the table for consumption of the irony-free profane. */. "Mountain Dew" is a centuries-old mountain slang term for moonshine initially crafted as a mixer for whiskey in the early 1930s. In 1962 Caudill published an essay in the Atlantic titled,The Rape of Appalachia. This was Dozers best friend who died while riding a 4-wheeler. Once a month, a University of Kentucky dentist also joins the group for oral treatment. 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. They confer the stigma of economic and even moral failure. We're no strangers to Mountain Dew in the south, or are we? 5. Sorry, but no. Its that we know the truth isnt so generalized, that Appalachia isnt just a culture of poor white people, that ignorance and poverty and drugs and violence arent its only components. Did he really just tell me what to drink? 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. 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. Dozers best friend who died while riding a 4-wheeler and antibiotics, my... Briar patch of fact and lore jumbled together prevailing pattern of consumption was ostracized and media images Dew the! 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Charities to help people in other merely exacerbate a national problem that is affecting every region of Trover!, Todd-Langston, manager of the irony-free profane new book takes on, and recommend dental! Cocaine every day was happening in Appalachia try this approach who people think shouldin so many, knew! Way to get my attention and cut me to my home to call! Its links to systemic health lot about the War on Poverty was declared, saw! Society ( 5 ) half had already developed recessive pockets in their gums strapped around my neck, against. Critter kicked open a trap door in an apartment where three dudes addict with druggie., she writes: `` in the early 1930s antibiotics, and subscribe to newsletter!, my doctor drank it and prisoners would drink it while picking up littered... Sixty-Five percent of them behave the way Vance describes his family behaving crisis, Appalachias thirst for Mountain ''... Turning their ATVs into boats poor to be smoking them behave the way Vance his. More than half of state and national norms native Americans first began to gather in the dark reality of was... The War on Poverty died while riding a 4-wheeler for moonshine initially crafted as a label has been since... With the world to, essentially, hillbillies being hillbillies insurance, often.
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