>> pelley: paula meade got the want to bear the cost. the health wagon had the drug for free, and there was no charge for some stern medical advice. >> meade: you are going to die if you don't quit smoking, and it could be within a week. you need to stop now, okay?! >> pelley: she took the advice to stop smoking and took lovenox, but one day she felt so bad, she went back to the e.r. >> moore: and they did a ct scan and an x-ray, and found the blood clot had went to my lung. but they also saw another mass on my lung, and then transported me to a bigger hospital. they found the lesions in my brain, so i was diagnosed with stage 4 lung cancer and brain cancer. >> pelley: what are the doctors telling you? >> moore: i start my treatment on monday, the brain radiation, and he seemed very... i mean, he seemed optimistic. >> pelley: are you hopeful? >> moore: i am. hopeful. >> pelley: hope, especially when the odds are long, has always been essential to survival in appalachia. the recovery from the great recession hasn't arrived. in coal these d