Yeah that one hurt, a bit. When my family was tight for money (see: my entire childhood) my elderly, health-decaying dad ended up with a second job at Kaufmann's (now, Macy's). It really sucked barely seeing your dad, and knowing your family was subjected to that type of work. Definitely echoing rd95 with the bleak statement.
There's not much else to do in parts of Appalachia, industries died and didn't really come back, and service/insurance/other "white collar" jobs dwindle when there's no economic base propping them up. So, what do you do? You work in the mall, but eventually that closes because people buy online or can't afford to buy anything. Then you end up where we're at now.