And many of them can’t even get food stamps.

From An Overview of Poverty in Appalachia:

Hunger and malnutrition are a hidden disaster for many of the region’s poor. Rural residents pay up to 30% more for their food from local merchants who cannot offer the prices found in most major supermarkets. Pride and physical isolation coupled with lack of public transportation keep many people from applying for food stamps. In a ten-county area in southwestern Virginia, 90,197 families qualified for food stamps in February 1992; however only 51,649 received food stamp assistance.

Yeah. Republicans and the right wing really care about country people.