Detailing the particular culture of the West Virginia Scots-Irish underclass, it’s really about the microcosm that explain the larger ecology of flyover midwestern state.
Drugs, crime, jail time, abusive interactions without any knowledge of other forms of interaction, children growing up in a wild mix of abusive relationship from cradle to grave. Thus, it is not a surpise that these underclass clings to the ideas of flag, religion, and strong extra familial community. And yet the author concludes by simply stating that these people should still try to pull their own weight by the strap of their own boot!
All in all, it is a good book for its details if not its premise and conclusion.