The Atlantic

Rural America Isn't Ready for a Pandemic

In West Virginia, the health infrastructure—one required for a response to the coronavirus—has been hollowed out.
Source: Alec Soth / Magnum

A popular T-shirt in my home state proclaims West Virginia: COVID-19 National Champions, Self-Isolating Since 1863. Until yesterday, West Virginia was the only state not to have a reported case of COVID-19.

I’m a West Virginia native who has been working in public health in the Army for 15 years and back home for the past five. Our status as an isolated region of the country comes with some irritating stereotypes, but we can also poke fun at ourselves. Under the humor of that T-shirt lies some truth. West Virginians feel very protective of our state.

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