James Bounds is a West Virginia miner with black lung disease; it took him 4 1/2 years to get compensation benefits. A provision in Obamacare later made qualifying for those benefits much easier. Kara Lofton/West Virginia Public Broadcasting hide caption

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Kara Lofton/West Virginia Public Broadcasting

Obamacare Repeal Threatens A Health Benefit Popular In Coal Country

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Across the Ohio River from Powhatan Transportation Center — owned by Murray Energy — is a power plant that services mines in West Virginia. Jessica Cheung/NPR hide caption

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In Ohio Coal Country, Job Prospects Lie With Neither Coal Nor Trump's Promises

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Retired coal miners could face the loss of health benefits if Congress doesn't implement a fix by Friday. Steve Helber/AP hide caption

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Retired Coal Miners At Risk Of Losing Promised Health Coverage And Pensions

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(Left to right) Executive Councilor Chris Sununu, Republican gubernatorial hopeful Lt. Gov. Phil Scott, and Indiana Lt. Gov. Eric Holcomb. Jim Cole, Wilson Ring, AJ Mast/AP hide caption

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Workers inspect an area around storage tanks where a chemical leaked into the Elk River at Freedom Industries' storage facility in Charleston, W.Va., in January 2014. Steve Helber/AP hide caption

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Freedom Industries, which owned storage tanks blamed in a January 2014 chemical spill, filed for bankruptcy later that month. The company's facility on Barlow Street is seen on the banks of the Elk River in Charleston, W.Va. Tom Hindman/Getty Images hide caption

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Joel McKinney stands beside a hydroponic tower that is part of his farm outside the Five Loaves and Two Fishes Food Bank. Roxy Todd/West Virginia Public Broadcasting hide caption

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In Coal Country, Farmers Get Creative To Bridge The Fresh Produce Gap

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State lawmakers in West Virginia say their budget choices are only getting tougher. About a third of state residents are on Medicaid. OZinOH/Flickr hide caption

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West Virginia Grapples With High Drug Costs

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A small memorial marks the former homestead of the Nicely family, who died in the June flooding of White Sulphur Springs, W. Va. Kara Lofton/West Virginia Public Broadcasting hide caption

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Emotional Healing After A Flood Can Take Just As Long As Rebuilding

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Mary Mullens, age 93, in her room at Edgewood Summit Retirement Community in Charleston, W.Va. Mullens is a patient of Dr. Todd Goldberg, one of only 36 geriatricians in the state. Kara Lofton/West Virginia Public Broadcasting hide caption

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Kara Lofton/West Virginia Public Broadcasting

Few Young Doctors Are Training To Care For U.S. Elderly

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Shane Altzier sweeps out the mud from the utilities office in Rainelle, W.Va., one of the towns hardest hit by floods that tore through the state on Friday. More rain this week has slowed cleanup efforts. Steve Helber/AP hide caption

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West Virginia State Trooper C.S. Hartman walks from a shed that he checked out as he and other crews search homes on Saturday in Rainelle, W.Va. Steve Helber/AP hide caption

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Federal prosecutors said Don Blankenship operated Massey Energy as a "lawless enterprise." He's seen here leaving a federal courthouse in Charleston, W.Va., on Nov. 17, when the jury began deliberations. Kara Lofton/West Virginia Public Broadcasting hide caption

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Kara Lofton/West Virginia Public Broadcasting

Nancy Bruns, CEO of J.Q. Dickinson Salt-Works, gathers finished salt from an evaporation table in Malden, W.Va. Noah Adams for NPR hide caption

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Fine Brine From Appalachia: The Fancy Mountain Salt That Chefs Prize

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Standing next to the Coal Miner's Statue at the West Virginia Capitol in Charleston on Wednesday, James Bennett rallied alongside other speakers who criticized President Obama's proposed environmental rules that would limit carbon emissions from coal-fired power plants. The rally coincided with president's visit to the state capital to talk about drug abuse. John Raby/AP hide caption

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West Virginia Tells The Story Of America's Shifting Political Climate

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