This is the story in McDowell County, West Virginia: People are dying at younger ages, dying from a lack of care and, in many cases, from a loss of hope. Norma Jean Rose sits with her granddaughter Terri Amber Whitt, 9 in Raysal, West Virginia. Because she doesn't work and has no savings, she often has to decide sometimes between eating and paying for her medicines. She has heart trouble, and is a diabetic.
(Michele McDonald/Globe Staff)