My personal take on this photo has to do with class. Americans live in a Somalia of our making. The Appalachian poor have suicide rates that only keep going up. Those figures kickass Up&Up&Up&Up. Appalachia wrestles with deeply ingrained medieval poverty like no other place on earth. Social statistics for Appalachia are the same as for Somalia. Often, people here live in hovels, abandoned cars in the woods. And dirt floors. Hey, American Assholes, you live in Somalia.