My "pseudonym" or green account is not an issue. Google for any map of opioid crisis ... you'll see the same thing: KY, WV OH lead the way. Just pointing out you seem to have misspoke about his family and how "appalachiany" they were. BTW: You haven't worked with that guy he was describing, the smoker that shows up late (if at all) and takes breaks all the time? I've worked with several of those types. His judgement is on target.
https://www.statnews.com/2017/04/25/opioid-deaths-map/
Your link is interesting, Mr. Vance. It indicates that "drug overdose mortality" has changed over time in various regions of USA. Apparently in 1999 all the Appalachian hillbillies lived in California and the Southwest. For some reason they gradually moved East? Yours is a confusing worldview, to say the least.
It's one thing to dislike a particular person, for whatever reason. It's quite another to see that person as an exemplar of the negative attributes of all the residents of another region where you have never lived. It's another yet when the exemplary person you dislike is also not from that region...