why I should give the FIRST FUCK about fucking appalachia

From a philosophical standpoint? They voted for Trump, an outcome for many people that is unexpected and unwelcome. Now people are predicting years of harsh times ahead, from tax issues to healthcare issues to funding for things like roads, schools, and who knows what else.

If people in rural areas feeling left out led to them voting for Trump, an outcome that is seen as unfavorable by Democrats and liberals, it's something worth looking into. Much in the same way Democrats and liberals express a desire that Republicans look into the needs and concerns of minority and women.

Our goal as a country is to help each other not just live well, but to thrive and prosper. To alleviate suffering and hardship whenever, whereever, and however possible. On a day when you're not frustrated and feeling like you're being talked down to, do you honestly think you'd look at others and say "Let them suffer?" You're a good man, so I know you wouldn't. We all make mistakes. Small, big. Some with short term consequences, some with long term consequences. Life's hard enough as it is without us damning and condemning each other.