A lie. He's not an Appalachian. He's not a Hillbilly. He's a Midwesterner. He also didn't bootstrap his way to anything. His "memoir" is an insulting perpetuation of thr myth of the self made man that doesn't exist and has never existed.

https://time.com/7002807/jd-vance-bootstrapped-myth/

Appalachia needs to be asking themselves what they think Vance will do to help end these vicious cycles of poverty and addiction, especially since he believes that Appalachia's problem is that we're just too weak.