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The Young Miners Dying of “An Old Man’s Disease”

By Kim Kelly - In These Times, May 17, 2023

Black lung is completely preventable. And it’s on the rise again.

“Is that the wind you hear howlin’ through the holler?
Or the ghost of a widow that cries?
For every man that died for a coal company dollar
A lung full of dust and a heart full of lies”
—“It’s About Blood,” Steve Earle (2020)

Adaptation is a way of life for John Moore. He’s worked construction, run a wig shop and now promotes concerts. The wig shop idea came to him because his middle daughter was having trouble styling her thick, curly hair. He didn’t know much about wigs, or hair in general, so he learned and started turning a profit soon after the grand opening. That’s the kind of man he is — someone who’s always looking out for the next opportunity, the next chance to make it.

When we meet, Moore is wearing a black puffer jacket, a black durag, work boots and a cautious smile. He’s soft-spoken but firm, and he lights up when he talks about his wife and three kids. At a glance, he seems strong, the kind of person who can win an arm-wrestling contest or help you move — like a man with a lot of living left to do.

But instead, Moore, at only 42, is dying of black lung disease.

You see, Moore’s résumé also includes a few lines familiar to many people in Central Appalachia. He spent about 11 years running coal and clearing debris in the mines of Southern West Virginia. During that time, a cruel disease took up residence inside his chest cavity. Now, it is slowly destroying him from the inside.

He’s not alone. Across Central Appalachia — and specifically Kentucky, Virginia and West Virginia — coal miners are struggling to breathe. Many of them aren’t much older than Moore — and many are much younger. Journalist Howard Berkes investigated the spike in a series for NPR in 2012, and multiple studies before and after have shown black lung (known more formally as coal workers’ pneumoconiosis, or CWP) has been on the rise for the past decade.

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