Technically, according to the book, his parents grew up there and he spent summers there. I would say that is "lived". And as you surely know, a larger percentage of the population is addicted to opiates in Appalachia than in most other areas. I would say that is "problematic".
Citation sorely needed. Every time we read about the "opiate catastrophe", Ohio or Indiana features prominently. You know, where he actually was born and also graduated high school and university. I can't believe I'm having this argument with a greenbean account. Why are you embarrassed to denigrate the Appalachian region using a permanent pseudonym?
And this is denigration, which would be accepted for no other region or nation. In the first place, because it defies logic that some lawyer with no particular sociological training would be accepted as some sort of authority about a region he visited as a child during some summers when his hectic home life allowed. Second, because blaming culture for the misfortunes of any particular group of people is the oldest trick of racists, trickle-down economists, and other awful people. This book is full of corny anecdotes proving Vance is one of those awful people; he judged this person for showing up to work late and that person for smoking too many cigarettes. Third, because ITT we've seen Morgantown WV questioned as "authentically Appalachian"; this is serious double standards.
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...