This is complete delusion. The average rural Appalachian is either a Boomer Walmartian or severely dysfunctional drug addled trash.
Tourists spend more time in the Appalachian woods than native Appalachians and that's a fact.
Appalachia is actually full of obese shut-ins that don't go outside and never exercise. Stop pretending that this place is some kind unconquerable mountain kingdom full of gun-toting hillbillies. It ain't.