WELCH, WV - MAY 19: Coal miner Doug Rutherford takes a break after his shift at a small mine on May 19, 2017 outside the city of Welch, West Virginia. West Virginia, a state where President Donald Trump won in a landslide by defeating Hillary Clinton 67.9 percent to 26.2 percent, is also one of the nations poorest states where nearly one in five West Virginians struggled to afford basic necessities in 2015. The state was historically dependent on coal mining and manufacturing. While mine employment is up slightly since the election, the state has continued to see a surge in male unemployment and an epidemic of opioid use among its population. (Photo by Spencer Platt/Getty Images)