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Focusing on the often-overlooked experiences of African Americans in Appalachian coal towns, the book provides a critical examination of race, identity, and the socio-political landscape post-2016 election. It highlights the impact of the opioid crisis, joblessness, and population decline while addressing the broader themes of black migration and resilience in the region. Karida L. Brown's work serves as an essential counter-narrative to the dominant stories about Appalachia, shedding light on the lives and struggles of its black residents.