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An American Challenge: A Report on Economic Trends and Social Issues in Appalachia by Richard A. Couto

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Published in 1994, so it IS out-of-date, but this is one of only a handful of books that really come to grips with issues of our political economy in a scholarly way. Dick Couto (1949-2017) was the Director of the Center for Health Services at Vanderbilt University from 1975 until 1988, an innovative program that combined student and faculty activist and academic engagement, particularly in EastTennessee. He taught at the University of Richmond at the end of his career.

Dubuque, Iowa: Kendell Hunt Publishing, 1994. 291 pages with a Foreword by Jim Sessions, an Index, References, and Appendices. Trade paperback.