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. More recently, whats driven home the jerry-rigged wiring between Mountain Dew and Appalachia is the use of the phrase "Mountain Dew Mouth" to describe the poor oral hygiene habits in the area which have led to widespread gum disease and tooth decay. While Medicaid, as the medical safety net for the poor, should provide help for those with dental needs who cannot afford to pay, only 15 states offer full dental benefits and five states offer nothing at all, as reported in a study byPew. Tightening regulations wont fix an economy so tied to a dying industry that a staggering majority of residents either rely on government aid to eat or are regularly hungry. See our ethics policy. When we got back to Pats house, I was given a crushed up Loratab to snort for the pain. MADISONVILLE, Ky. Nurse LeAnn Todd-Langston and nurse-midwife Sarah Almon had long known their rural west Kentucky county faced a crisis, but it was getting worse. Chaos begets chaos. He also fetishizes his idea of being a hillbilly and the traits he believes go along with that. Weeks later, he reported finding syringes in the street. Hes been everywhere, touted as having some new and amazing insight into the white rural Appalachian voter. He lived in a trailer and was occasionally put in jail for petty non-violent crimes. Jin Lee/Bloomberg via Getty Images *Im not an economist, a historian or any kind of academic. I said I hadnt really noticed as he shook his head. 1. To paraphrase a tweet from author David Joy, you can read Hillbilly Elegy. Pat made sure that all guests were taken care of. The taste of Appalachia . I went there with Dozer, one of Pats friends, who owned a 4-wheeler. Appalachia this election year: So many stories, so little depth. 2. Instability begets instability. One. We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. 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. Sorry, but no. Poor Law Amendment Act, 1841. Its not just a beverageits a portable sense of home. My consumption of Diet Mountain Dew ensures that Im served a double shot of shamecomplete with Backwoods Barbie stereotypeon a fairly regular basis. Did he really just tell me what to drink? I had been traveling too much, and when I was home, I was still distant. As an isolated industry, dentistry has remained private and unencumbered by the brunt of market forces. 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. 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. But Vance claims his relatives were violent and had poor coping skills because they were Appalachian. Diaper-clad, the strange critter kicked open a trap door in an apartment where three dudes . Don't give up, though. That approach never really worked. But the numbers across the rural American South and lower Midwest are worse. 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. All share an enviable smile gleaming, bright white, smooth, ovular teeth. In that same exodus, several of my mothers uncles moved to Ohio and Detroit for work. Reproduction of material from any Salon pages without written permission is strictly prohibited. He invited everyone to his home to celebrate the end of a long workweek, every week. If you had an abscess the size of the palm of your hand youd get something done about it.. Moonshine is available in a barrage of flavors at most local liquor stores, but it won't be brewed from a hidden still. Other forces are at play. In order to cover high overhead costs, pay back dental school bills and earn an income, many dentists refuse to treat people on Medicaid. 24 September. You dont have to work to read this book. My own happy and stable Appalachian childhood does not make for an exciting book. Pat worked long hours at a lumber mill a few miles down the road. Though pain and discomfort are unfortunate enough, lack of dental care presents other, more enduring problems. Accept Cookies. 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. "We encourage women to be caregivers themselves, to pass it along to family and friends and think, Im doing some good that helps people., These women share their particular strategies, how they're dealing with particular problems, says Sharon Riding. MADISONVILLE, Ky. . "Nothing is moving here. It also became clear fairly quickly that a lot of my shame coalesced around one thing: my relationship with Diet Mountain Dew. No. First there are the most ancient crystalline rocks. 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. While you may think of " Appalachia " as a region of the southern United States, the full Appalachian Mountains have a massive (not to . It isnt that Appalachians cant face the truth. 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. As the wealth gap continues to increase, teeth represent the dividing line between the classes. 26 August. The Coal operators did not give any of the wealth they made through this devastating process back to the region. The seemingly relentless desire to perpetuate negative regional stereotypes (rotting teeth! 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. 2. People are held personally accountable for the state of their teeth in ways that they are not held accountable for many other health conditions.". This name has a Celtic origin and the meaning of the name is 'he who comes from the mountain'. Old recipes passed down keep traditions alive, but more coveted. Under current guidelines, any kind of soda of any size can be purchased with a SNAP card even Mountain Dew, which has 170 calories in a single 12-ounce can. 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. My first daycare was just a few doors down. My research into the origins of this initiative led me to Harry Caudill, a small town lawyer from the eastern Kentucky town of Whitesburg. You could assign this in high school if it didnt have cuss words. My aunt on my father's side would actually put mountain dew in her kids' baby bottles. Very well said indeed.Vance knows nothing at all about Appalachian or Scots Irish culture.His experience is that of any disassociated urban ethnic group filtered and bankrupted by a corrupt academic system that values social promotion.The disrespect of women and moral ambiguity on display in his poorly written value bin book is disgusting,and was promoted in exactly the same Big East / NYC fashion as the recently deceased corporate coaching group NXIVM. He mentions the law school mentorship of Amy Chua, who went on to write a book about Chinese tiger mothers. I find Caudills complicated legacy a reminder that there is a lot more to the evolution of a people than the victimhood that has been placed upon them. Agastya. Mountain Dew, however, remains culturally significant. 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. Dee Matello, a small business owner and mother of three in Laurel, Maryland, had not been to a dentist in nine years. 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. (Note: I have made a couple of minor edits since this piece was first posted.). The distinction between dental care and health care extends to insurance. Kentucky is also the state with the most smokers, followed closely by West Virginia, according to aGallup study. Well, Ive hated it for about 3 years now for its misconceptions of Appalachia and its peoples (plural). Copyright 2023 Salon.com, LLC. Appalachia People sometimes call it the water of the south. By the end of the programs second year, the research results began to come in on the health of the newborns. "Mountain Dew" is a centuries-old mountain slang term for moonshine initially crafted as a mixer for whiskey in the early 1930s. But, as NPR points out, the same drink that celebrates the mountain region of Appalachia is also destroying it. As soon as it aired on February 7, 2016, the Super Bowl ad for Mountain Dew's energy drink "Kickstart" was trending online. This material may not be published, broadcast, rewritten or redistributed. It was not until the Affordable Care Act passed under President Obama in 2010 when Medicaid gave dental care to children under 19. Dew Baby". Poor Law Commissioners. Appalachia isnt a pity case, and Mountain Dew is only sideshow to the heart of the matter. 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. Central Appalachia is No. 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! 1 in the nation in toothlessness. Notify me of follow-up comments by email. 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. 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. Today, coal has left Appalachia, as have a host of other industries that brought economic opportunity. 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!" So we were saved and mostly unharmed. He concluded that Appalachia could not be fixed because its people were broken. The latter, simply titled "Mountain Dew," was composed in 1920 by Bascom Lamar Lunsford, an attorney in Asheville, N.C. (The city of Cincinnati saw fit to make it illegal to discriminate against someone of Appalachian origin). Good ol' North Carolina. Popular Native American folklore says that a bloody battle between the Cherokee and Catawba tribes took place on the mountain. The arrival of enslaved Africans in the area dates back to the 16th century. 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. Its always bothering me, Matello told theWashington Post as she waited outside the Wicomico Civic Center in Salisbury. In my latest video I discuss folklore and superstitions. 1974. By sa smith on January 26, 2012. Sixty-five percent of our women are on Kentucky Medicaid, Todd-Langston, manager of the Trover Center for Women's Health, told me. "Oh, wow," my boyfriend remarked, a little awestruck. "At this point, we've been addressing poverty for 40 years," Mullins said. In a region long undergoing a cultural and economic crisis, Appalachias thirst for Mountain Dew is perhaps the lesser of many evils. Singer says she would like to see West Virginia and other states in Appalachia try this approach. Appalachian or Southern Baby Names? . All last fall I resisted reading J.D. But one has to wonder if the underlying issues of the region aren't addressed, will taking sodas off the menu really solve anything. 4. 4. My father was one of 11 children, and my mother is one of five. "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. A problem as common as gingivitis (excess plaque) can result inserious health problemssuch as heart disease, diabetes, or cancer. The commercial starred a strikingly bizarre creature with the head of a pug, the body of a monkey and the legs of a baby. I learned about Caudills dark turn while I was traveling in the region. You know where that smoke goes, through your body to the placenta to the baby. With time, a toothache can become another entity entirely. My camera was strapped around my neck, resting against my back. Nationally, the rate of infant mortality was 211.1 per 100,000, but it was higher in five of six southern Appalachian states (all except Tennessee). 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. 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. /* Add your own Mailchimp form style overrides in your site stylesheet or in this style block. The high levels of consumption of sugary drinks, like. Vance writes of being lucky in his life and he certainly is when it comes to this book. 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. Mountain Dew Cupcakes W/Frosting. 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. The Appalachians are one of the three major mountain ranges in North America, alongside the Rocky Mountains and the Sierra Nevada. Mountain Dew is the 4th top-selling carbonated soft drink on the planet; right behind Classic Coke, Pepsi, and Diet Coke - in that order. All rights reserved. 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. Reproduction of material from any Salon pages without written permission is strictly prohibited. Premature births are a growing problem nationwide now estimated at 10 percent of all deliveries pushing up the costs of care and the subsequent risk of autism and lifelong illness. In areas where jobs are scarce, a persons financial security depends on her teeth. To get a sense of what that looks like, check out this picture. He is doing what outside media has done to Appalachia for generations. Dentists cannot turn away patients based on race, creed, color, sex, or national origin according to the American Dental Association'sPrinciples of Ethics and Code of Conduct; however, dentists can turn away patients based on their ability to pay. 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. The beverage industry has repeatedly challenged claims that its products are destroying teeth. 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. Even if you might not crack open a bottle in your lifetime, I encourage you to take a moment and imagine a highly carbonated, nose-tickling bubble and a tart-sweet, citrusy flavor thats similar to a church picnic punch on steroids. Mountain Dew Lasagne Recipe: Combine two jars of meatless spaghetti sauce, 12 ounces of lasagne noodles, and 12 ounces of Mountain Dew (or your choice); salt/ pepper as needed. Mountain Dew is a drink very closely embedded in the Appalachian culture. Without insurance, people often go years without seeing a dentist. 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. (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 They have the common ground of becoming a mother., The patients are accountable to each other, said midwife Sarah Almon. A little over a year ago, I became obsessed with the concept of shame. Gum infections, decayed teeth that weren't attended to so that by the end of pregnancy they would have full-blown abscesses; we would just hope that didnt put them into premature labor.. "Belle, I swear to God, it snowed eleven inches today," my dad sighed. Low-birth-weight infants also dropped by slightly more than half of state and national norms. This year marks the 50th anniversary of Lyndon B Johnsons January 1964 State of the Union address. 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. Appalachia has a high concentration of these natural voids, including the world's longest. The story of the Bell Witch is one of the most popular examples of Appalachian Mountain folklore, and it began in Robertson County, Tennessee. 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. 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. As it happened, out one of the cases he was trying was a moonshiner who was reputed to make . Vance also was lucky in that his book came out last year, while the national media was looking for someone to explain Trumps popularity with rural and Rust Belt whites. 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. "What Mountain Dew has going for it is that it's high in caffeine and high in sugar," Harris explained. 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. Required fields are marked *. However, this poses a significant problem because, in the eyes of the American health care system, the mouth is separate from the rest of the body. There were two versions of this song, the first version was written in 1928 and the second was in 1935. 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. Ive been thinking a lot about the War on Poverty. 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. Over a series of months, a perfect storm of books, lectures and wee-small-hours conversations revealed to melike peeling back the layers of an onion (weepy eyes and all)that the feeling I had called so many other things (embarrassment, pigheadedness, discomfort, willfulness) was shame at its core. 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. We can identify them in joint infections that contribute to arthritis., He paused. He concluded that poverty is genetic in origin(2) and invited the eugenicist William Shockley to his home in Kentucky Together they proposed to studypoor eastern Kentuckians as part of a research project on inherited intelligence.Cash bonuses would be offered to participants in exchange for sterilization (3). His experience is valid, but its not everyones experience. SALON is registered in the U.S. Patent and Trademark Office as a trademark of Salon.com, LLC. ATV accidents are a common and unfortunate byproduct of this hobby. But, like so many, I feel helpless. None of them, as far as I could tell, fell into laziness, violence or what my mother might call sorryness. I have 26 first cousins, not counting step-cousins, second cousins, etc. ", Beneath all the systemic diseases linked to bad oral health, Ebersole argued, is a disastrous healthcare system in which oral health is considered a luxury. 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. Should I credit all this to their hillbilly heritage? The bad reviews I saw from other Appalachians convinced me it would make me mad. Great Britain. I watched as they trekked back and forth in it, finding great pleasure in turning their ATVs into boats. Dentists have noticed that the toll soda takes on teeth can resemble the damaging impact of meth. I dont really have any answers. But what exactly did that mean? 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. SALON is registered in the U.S. Patent and Trademark Office as a trademark of Salon.com, LLC. New book takes on, and takes down, Appalachian Trump Country narratives and elegies, Hillbilly Elegy: Another generalization of Appalachia. The Appalachian folk song was written in 1928. 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. This was Dozers best friend who died while riding a 4-wheeler. Harry Caudill, . 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). My dada gentle, 30-year lawyer who likes to describe himself as an "old steady sheepdog"called me a couple of months ago to describe the scene unfolding near his office in my hometown. Both sodas and energy drinks, he says, "are more damaging than food.". For me, this photograph is valuable because it shows us how little we actually know when viewing this image, any image. It was during this time that Christian Missionaries first spoke of the Appalachian region as ignorant and impoverished. His mother became a drug addict with a series of husbands or boyfriends. "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 . So millions of Americans go without dental insurance. Between about 1.1 billion and 541 . 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. Appalachian names are often taken as a southern baby name but there are subtle differences. But dentists beg to differ. 319K views 8 years ago With little to no job prospects the people living in Appalachia often do not have adequate health insurance. Appalachian English is a term linguists use to describe the speech patterns of people in Appalachia. The journal comes out twice a year and has been a tradition of inspired writing since 1876. 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. Named after mountain slang for moonshine, Mountain Dew was sold to Pepsi in 1964, where the soda went national. 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. Want your baby to be smoking crushed up Loratab to snort for the.... A few miles down the road is doing what outside media has done to Appalachia for generations this... Term linguists use to describe the speech patterns of people in Appalachia they made through this devastating back... Own Mailchimp form style overrides in your site stylesheet or in this block.: another generalization of Appalachia and its peoples ( plural ) were violent and poor. Teeth can resemble appalachia mountain dew babies damaging impact of meth certainly is when it to. First spoke of the programs second year, the first version was written in 1928 and the second was 1935. With time, a persons financial security depends on her teeth was home, I was,. 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