. >> berkes: across appalachia, i met dozens of other miners with this advanced black lung disease andtarted reporting their stories. basic black lung diagnosesd doub the last decade. advanced disease quadrupledin since the 1980irginia, west virginia, and kentucky. one in five workincoal miners in appalachia could have diseased lungs.e that's tr the thousands who've been tested and it could be the rate for the rest. the more i reported, the more it became clear it was worse than anyone realized. "go see brandon crum in kentucky," i was told. he's a radiologist whose clinic is overwhelmed with cases of advanced black lung disease, known as progressive massive fibrosis, or pmf. >> so, i'll just show you, for comparison. this is a normal x-ray. and you can see all the dark area, that's the lung, 'cause it's filled with air. and you contrast that to this one. all these, you see all these big white areas, all the way through here? that's all conglomerate fiotic mass, or pmf. the biggest concern at that time, for me, was seeing young men my age, and i'm 43, or younger than i am, with the mos

in places like maine and new england, and these are places that share quite lot in common with appalachia. they're poor, working class communities, often where employment is very labor intensive but all begins down there in southern west virginia, and williamson is this town of 3-point three and a half thousand people where a decade into the epidemic, you have a roughly 20 million pills a year going through this one town of three and a half thousand people. they're being prescribed in -- by pill mills, but also dispensed by pharmacies that are all part of a -- what becomes a very widespread operation to deliver opioids on behalf of the drug companies across all of central appalachia and into ohio and bits of iowa. >> so there's so many questions that come out of that, too, which are, for instance, why is it that we're only hearing about it now? one of the questions that you address and raise but don't totally buy, but obviously see a lot in, i is that this is a group of people who are dismissed as hill billies. they up a off. that's a population whose well-being, health, condition, i pres

one in five working coaliners in appalachia could have diseased lungs.th that's true fothousands who'veeen tested and it could be the rate for the rest. the more i reported, the more it became clear it was worse than anyone realized. "go see brandon crum in kentucky," i was told. he's a radiologist whose clinic is overwhelmed with cases of advanced black lung disease, known as progressive massive fibrosis, or pmf. >> so, i'll just show you, for comparison. this is a normal x-ray. and you can see all the dark area, that's the lung,e it's filled with air. and you contrast that to this one. all these, you see all these big white areas, all the way through here? that's all conglomerate fibroticass, or pmf. the biggest concern at that time, for me, was seeing young men my age, and i'm 43, or younger than i am, with theer most sform of the disease, which is the complicated black lung disease. >> berkes: crum was so concerned, he took his findings to researchers at the national institute for occupationalnd safety aealth, or niosh. so what happened two years ago in terms of you sitting down wit

read dreamland and other books about the opioid crisis, it's a great book largely about opioids in appalachia. but they are everywhere. >> didn't give us the smart remedy, and we promise we will still read it. >> i would say first, secretary azar was right. this was a crisis that came out of the medicine cabinet and came out of people with white coats. in that way it's very different than other drug crises we have had in our society. and so that is the tragedy of it. and the book is probably more about moms than anything, but that angle into the story, what mothers will do for their kids, is incredibly touching. incredibly vivid. but her point is, is that this is a disease that has no respect of persons. if you look at the stats in our country, opioid overdose is if you look at states 1-50, you will see a list unlike any other that you will see when it comes to measures social pathology and you will see in the best 10 states, rich and poor states, and you will see in the worst 10 states, rich and poor states, mostly. looking at some bad outcome, poor states are always hit the hardest and not

advantages are mainly benefitting the rich .this map shows the cancer death rate is highest in appalachia the rural south.the cancer society says poor people are more likely to be exposed to environmental risk factors. they're also less likely to have insurance or to afford regular checkups that can lead to early detection.as a result the poor are much more likely to die of cancer... and the gap is widening.compared with the most affluent counties, the death rate in america's poorest counties is double for cervical cancer and forty percent higher for male lung and liver cancers. ( john ) and i am tracking your bay area forecast. no major hot spots. bay bridge wb 80 is less then 30 min from the maze to sf. san mateo bridge less then 30 min from 880 to 101. richmond bridge drive less than 20 min from the toll to 101. this... terrifying dash -cam video shows the moment a freeway sign fell and crushed a moving car in melbourne 53-y woman behind the wheel of the car suffered only minor neck injuries.why the sign feel. ( robin ) still to come on the kron4 morning news... a live report on the da

rye timhoded times, if you haven't read -- doeg sick "it's a great book, largely about opioids in appalachia, but they are everywhe everywhere." >> give us the smart brevity on beth's big point. >> first that secretary azar was right, this was a crisis that came out of the medicine cabinet and came out of people with white coats. in that way it's very different than other drug crises we have had in our society. that's the tragedy of it. the book is probably more about moms than it is about anything, but that angle into the story what mothers will do for their kids is incredibly touching, incredibly vivid and -- but her point is this is a disease that's no respecter of persons. if you look at the stats in our country opioid overdoses and you look at states 1 to 50 you will see a list unlikely list you will ever see when it comes to a measure in social pathology. you will see in the best 10 states, rich and poor states and you will see in the worst ten states, rich and poor states. mostly if you are looking at a list like that of some bad outcome poor states are always hit the hardest and not

elizabeth from appalachia, virginia, i write you as a wife of a federal correction officer of a federalcorrection facility in the county and i urge you to find a solution for the numerous people that are getting ready to have our world combo. on the saturday my family will not receive the paycheck that my cousin has earned. distress this is causing myself and my husband is compounding. we do not know how we will pay our bills much less feed our childrente and we cannot attempt to get a temporary job because he still has to go do his job. my family's lives are being used as pawns the political workor we are typical working family who live paycheck to paycheck. we pay our bills and taxes and have good credit and this is jeopardized through no fault of our own.oi i can't imagine going to my daughter's dance teacher saying please continue to provide yve d we will pay you eventually or the power company and say please keep our lights on we will pay you eventually. we do not know when that will be , but eventually something has to happen. please do something to fix this. jaclyn, i'm an faa 35

advantages are mainly benefitting the rich .this map shows the cancer death rate is highest in appalachiaand the rural south.the cancer society says poor people are more likely to be exposed to environmental risk factors. they're also less likely to have insurance or to afford regular checkups that can lead to early detection.as a result the poor are much more likely to die of cancer... and the gap is widening.compared with the most affluent counties, the death rate in america's poorest counties is double for cervical cancer and forty percent higher for male lung and liver cancers. (grant) next at 5:30... president trump is set to address the nation in less than an hour. joining us live in studio to talk about what to expect from the speech-- tom del beccaro-- former chair of the california republican party. (vicki) plus-- gavin newsom takes action on his first fullnor. details on the wildfire and emergency response plan he just unveiled today. (grant) our top story tonight at 5:30... on his first full day as governor, gavin newsom announced plans to put a historic amount of resources int

advantages are mainly benefitting the rich .this map shows the cancer death rate is highest in appalachia people are more likely to be exposed to environmental risk factors. they're also less likely to have insurance or to afford regular checkups that can lead to early detection.as a result the poor are much more likely to die of cancer... and the gap is widening.compared with the most affluent counties, the death rate in america's poorest counties is double for cervical cancer and forty percent higher for male lung and liver cancers. ( darya ) now to the warriors ... they snapped a 3-game home losing streak in impressive fashion last night.( james ) golden state was hosting the new york knicks. in the third quarter ... kevin durant got some action ... hitting a 3- pointer.he had 24 points on the night. steph curry was quiet with only 14 points ... but he did have a season-high 14 assists.. klay thompson was on fire all night. he hit 7 three-pointers ... and had a total of 43 points. final score ... 122-95 warriors.next up ... the chicago bulls friday at oracle arena. ( john ) and i am tr

white women from appalachia, chiefs from the apache nation, latino men and women from el paso.re fighting for voting rights. the people are coming together, to decide that we do not need another commemoration, we need a re-consecration! we do not need another remembrance, we need a revival moral revival in america! we do not just need to remember the blood, we need to reach down in the blood, because there is power in the blood! and that is why lindsey o harris is with me, as the cochair. because, there is power power in the blood! there is power when you stand on the shoulders of the martyr! there is power when you refuse to go back! there is power, when he will not turn around! there is power when you focus on love, and truth, and justice, and the truth is, even if one falls, in one generation, we can pick it up, and another generation! so, let us declare, that we are soldiers in the army! we have got to hold up the bloodstained banner, and we have got to hold it up, until we die! no matter what trump does, hold it up! no matter what racists do, hold it out! no matter what in

american people, not to the american people just in places like iowa, south carolina, nevada but in appalachia and nebraska and you have to be able to talk to everyone. they may not like what you have to say but if they believe you're authentic in your message, they may decide to vote for you. >> dan, simone, let's do this again for the next two years. >> sounds like a plan. >> i'm down, i'm down. >> thanks guys. >>> the vice president led a meeting on the shutdown today but did he make any progress? i'll have the latest next. >>> coming up, should speaker pelosi try to rein in some of the freshmen lawmakers in her party? need a change of scenery? kayak searches hundreds of travel sites - even our competitors - so you can be confident you're getting the right flight at the best price. kayak. search one and done. >>> white house officials and senior congressional aides met earlier today in an attempt to find some common ground and bring an end to the two week old government shutdown. the meeting which was overseen by vice president mike pence lasted over two hours but lacked one key ingredient.

people who became hooked on these drugs but it became a distribution center for a whole part of appalachia and beyond, as you see the establishment of one of the biggest pill mills in the country. that came out of an individual named henry vinson who was appropriately, and undertaker. he had just come out of prison he had been in prison serving four years for running a gay escort agency in washington dc but was busted by the secret service and the federal government. he was sent back to williamson by his parole officer and gone to school there and he sees a business opportunity in setting up a group of doctors in an industrial warehouse, technically a pain clinic prescribing drugs to just about anybody who wanted them provided they could slap down the cash. you see williamson become the place to go for a while. for a decade doctors in this pill mill, williamson wellness as it was called, was prescribed thousands until today. without really consulting a patient. you pay $150 you pay up reception. >> american overdose is the title of the book. you are a british reporter for the guardian news

advantages are mainly benefitting the rich .this map shows the cancer death rate is highest in appalachiarural south.the cancer society says poor people are more likely to be exposed to environmental risk factors. they're also less likely to have insurance or to afford regular checkups that can lead to early detection.as a result the poor are much more likely to die of cancer... and the gap is widening.compared with the most affluent counties, the death rate in america's poorest counties is double for cervical cancer and forty percent higher for male lung and liver cancers. (ken) still ahead.. one family's warning to pet owners after a trip to petsmart leads to concerns about their dog's safety. (pam) and how one city is coming together during the government shutdown to make sure your furry friend.. is fed. (sports) coming up in sports, the warriors with a double dose of good news tonight.. no problems against the knicks... and an update on when we can expect boogie cousins in the lineup. details just ahead. with expedia, i saved when i added a hotel to our flight. so even when she grows

so the access to clean water is a huge issue in appalachia and kentucky. >> and a month later the personf the water district gets forced out and a month after that the state legislator mysteriously finds $5 million to help fix the problem. what's constructive to us about that is this was not a six month long investigative project. this was a second week on the job. >> he showed up at the commissioners -- >> well, to give him a little more credit than that, he showed up, went to people's houses and had them turn on. >> and asked for the glass of water and the water was dirty. >> exactly. really good local reporting, but it was not a yearlong investigative project. and it unfortunately it shows these gaps are so severe that if you put even a young reporter in an area you can really have a big impact. >> the business model of the area is essentially philanthropy. >> look, there's a new era of journalism where non-profit is playing a bigger and bigger rule. >> should journalists be skeptical of that, more importantly should the public be skeptical? >> i think we should be as skeptical as we

>> you go to my hometown or the city of cleveland or appalachia and people have the same hopes and dreamspeople think if you work ought you ought to be able to get ahead. if you love your country, you fight for the people who make it work, whether you punch a clock or swipe a badge or raising children or caring for an aging parent or working on a salary or working for tips. and this expansive sort of expansive definition of work, to respect work, to honor work. i don't think our government -- you've got a white house that looks like a retreat for wall street executives. they're not listening to workers. whether it's in the shutdown or the tax bill or it's trump trying to scale back the overtime rule, where 130,000 ohioans, 5 million americans were getting a raise that were working 50 and 60 hours a week. were going to get time and a half for the first time and the president tries to take it away. i mean, it's this long-term betrayal of workers from this administration, from his time as a businessman to now, when that's why he doesn't care about those low-wage workers or any of the 800,000

students are mostly from central and southern appalachia and all of kentucky.amilies earn an average of $29,000 a year, well below the national median household income. what's your unofficial motto? >> ask me about the best education money can't buy. >> reporter: berea's president says that's largely thanks to the school's endowment which covers 75% of its budget. the federal powell program which provides need-based grants to low-income students and fund-raising provide the rest. >> there are schools which have equal resources to ours on a per-student basis. i think we could be a model for what we call affordability and access. >> reporter: over the last decade, private university tuition and fees have shot up by 26% to about $35,000 a year. due to an increasing n -- increase in grants and tax satisfaction, the net loss is lower. families have felt the pinch because of rising inequality and stagnant wages since the recession. >> students are coming from families with higher incomes, simply can't find a seat within our student body. >> reporter: lou codson gradu

>> searchers, law enforcement, volunteers began fanning out into the adjacent 57,000 acre appalachiaforest. all of them with dread in their hearts. >> i would be devastated if this happened to my family. so that's why i want to be out here and try to help as much as i can. >> there were massive searches in town, thousands of people showed up to comb the woods looking for her. it was clear very early on that this was unusual for her. she would not have gotten in the car with someone. she just wasn't the person who would have disappeared. >> tallahassee democrat senior writer jennifer portman covered the story. >> we're talking about north florida in the panhandle area. people are bound by their schools, by their it family, their churches. >> and sunday school teachers with children and a grandchild don't go missing. >> that's exactly right. >> her friends and family were as baffled as the police by sheryl's disappearance. law enforcement was trying to put the pieces together. when they looked into sheryl's background, nothing jumped out at them. two sons, a long settled divorce, no bo

that person might be white or from appalachia. of way, someone who comes from a very elise background. it's something that one use as a weapon. >> i was born in middle america, you know, sort of in the wonder year suburbs of atlanta, georgia, middle of ent pin century, you know, my family was middle class. mile-per-hour dad got laid off. we drove around looking for jobs for two years. even during that time when i was in college, if i was going into an interview, an 6'4" white guy that looked like i'm looked, don't i have an advantage over somebody that walks in that's a 6'4" black guy that may have more money that me, whose dad may have run a company in new york or whatever but doesn't i have a natural built-in advantage just because of built-in discriminations? >> as a brown guy who's a foot shorter than you, i want to tell you, i grew up with two parents -- far better looking. >> well, there is that. >> also my parents came from a background, they had college educations. they had all sorts of advances and they brought those adva

incarcerated women and formerly incarcerated women there read weather in chicago or the bronx or appalachialcommunities of l alabama, the women's stories of the same as the women in the states and towns of mexico or sao paulo. stories of lifetimes of struggles as a result of being cash-poor women navigating through poverty and lack of food and housing. they tell the same stories of criminalization and a drug war that for decades targeted their communities and continues to cause devastating social and economic disruptions that have left women of our communities alone to raise our children, with little to no support or access to meaningful resources. and most disturbing are the stories of being witnesses to end victims of violence, while their trauma goes unacknowledged and untreated. the common stories of sexual violence, often starting during childhood. we also know the pain of being separated from our children, and incarcerated in jails and prisons across this country, that leads to incarceration of our children. women are currently the fastest growing incarceration population in this unit

elizabeth from appalachia, virginia, i write you as a wife of a federal correction officer of a federalcorrection facility in the county and i urge you to find a solution for the numerous people that are getting ready to have our world combo. on the saturday my family will not receive the paycheck that my cousin has earned. distress this is causing myself and my husband is compounding. we do not know how we will pay our bills much less feed our childrente and we cannot attempt to get a temporary job because he still has to go do his job. my family's lives are being used as pawns the political workor we are typical working family who live paycheck to paycheck. we pay our bills and taxes and have good credit and this is jeopardized through no fault of our own.oi i can't imagine going to my daughter's dance teacher saying please continue to provide yve d we will pay you eventually or the power company and say please keep our lights on we will pay you eventually. we do not know when that will be , but eventually something has to happen. please do something to fix this. jaclyn, i'm an faa 35

through been a series of reports in appalachia that it said the leakage out of our municipal and ruralsystems of water is like, and west virginia it is 55% is lost at a significant cost to taxpayers and also repairs and to the environment, and for areas that are short on water which doesn't happen to be ours, buffer errors short of what this has to be a daunting challenge for water systems all around the country. i was wondering if this is something you see being, but tt you could address at epa, specific programs under the drinking water state revolving fund the we might have some possibilities to help these systems get more efficient and be better stewards of the environment through the water system? >> i think there is. you're correct, i think we can be helpful and certainly we would be more than happy to work with you and your staff are trying to address those issues. >> it's obviously a country white issue and i think a lot of it has to do with the age of when the systems were built and how this happened then reconstituted here also on the clean power plan replacement, we heard th

i am down here in appalachia, i call it redneck valley.t doesn't take a brainwashing, it takes a light rinse. we have girls jumping off of bridges and we have murder and up.e you have containers coming in from afghanistan. i would like to know what mitch mcconnell and his wife are doing about all the heroin coming in from afghanistan and got our soldiers guarding in the fields. host: to the point of the president's role in this and the idea if he should compromise? what do you think about that? caller: that wall, maybe he ought to play that song by pink floyd, you are just another brick in the wall. erb inwe will go to h pennsylvania. caller: i say he should compromise and here is how, tell the democrats what i am going to do is print signs for every language in south america, you set one foot in the south side of that rio grande with the intent of crossing into this country illegally on the north side of that rio grande and you will be shot on site. host: how is that a compromise? caller: that is the compromise. host: how is that a compro

grown up that way, i've never grown up in dirt poverty either even though we are from appear -- appalachia and i wanted to work on books and put them -- make them african americans not from here in appalachian, alabama or in the deep south black belt to create, that was mainly motivated to create greater audience empathy and to expand the readership of children different races and so forth because i read -- >> host: hey, michael, what's your exact question? how to develop -- >> caller: ethical white male gentile like myself to do that because i've never to increase even if the motive is good i might say my background is not in english major in college -- >> host: only because we are running low on time i'm going leave it there, you gave us a lot to work with, jacqueline woodson. >> guest: i wrote an article, you can find it on the internet, it's called who can tell my story, i suggest you read that. i think that -- if you don't know anybody intimately in the groups that you're writing about, it's going to be a challenge for you to -- to write them. if you don't know anyone who can read it

there have been a series of reports in appalachia that have said that the leakage out of our municipal and our rural systems of water from, it is like, in west virginia, it is 55%, is lost, at a significant cost to taxpayers, and also rate pairs, and also to the environment, and for areas that are short on water which doesn't happen to be ours but areas short on water, this has got to be a daunting challenge for water systems all around the country. and i was wondering if you are, if this is something that you see being addressed, that you could address at epa, are there specific programs there, under the drinking water state revolving fund, that we might have some possibilities to help these systems get more efficient, and be better stewards of the environment through the water systems. >> i think there is. and i think you're recollect under the state revolving loan fund, i think we can be helpful and more than happy to work with you and your staff on trying to address those issues in west virginia. >> i mean it can't, it is obviously a countrywide issue, and i think -- yes, it. >> an