Intended for social scientists, historians, and readers interested in social change and social poverty, this book examines the roots of entrenched poverty in Appalachia. It is both a social history of the creation of chronic poverty (and wealth) in Clay County, KY and an explication of how economic markets, cultural strategies, and the state interact to shape local society. By linking a longitudinal study of a single place to broader understandings of the historical development of the capitalist world system, this book contributes to policy discussions of the underlying causes of persistent rural poverty and reasons for the chronic failure of governmental programs to alleviate such poverty. In doing this study the authors have assembled probably the longest running set of longitudinal data currently available on an American rural population as well as the most extensive body of data available for a persistently poor community in the United States.