quote [ The real problem isnâ??t east coast elites donâ??t understand or care about rural America. The real problem is rural America doesnâ??t understand the causes of their own situations and fears and they have shown no interest in finding out. They donâ??t want to know why they feel the way they do or why they are struggling because the donâ??t want to admit it is in large part because of choices theyâ??ve made and horrible things theyâ??ve allowed themselves to believe. ]