JD Vance never misses a chance to trash immigrants, but he also never misses a chance to trash Appalachians. If you believed him, they're all drug-addicted hicks with a third grade education and all the men beat their wives.
His book is a load of garbage. He knows nothing about Appalachia.
His mom's addiction predated fentanyl by a decade or three. Can our cowardly media bring that as a follow-up question?