Earlier quoted context omitted.
I knew about the alcoholism rates, but had always assumed it was a socio-economic / situational driven thing. I understand that historically it was used in some sense to control and indeed damage the Native Americans by the colonists? To what extent alcohol was completely new etc I do not know
[flagged]
There's a difference between growing up in an environment where *a fourth-grader in your class is always scrounging for cigarette butts to smoke (that's what my dad grew up with), and your entire community being fucked up every way to Sunday before they get into high school.
A town with a life expectancy of 50 is far closer to the latter than the former. Throw in violence, maybe a bit of domestic abuse passed down the generations, crime against you, and a dollop of literally nobody outside of it wanting to deal with your shit, and good luck escaping that environment.
But I guess that since it's technically possible for a legless man to crawl a marathon, the rest of his peers are just not trying hard enough...