Vance describes his upbringing and family background while growing up in the city of Middletown, Ohio. He writes about a family history of poverty and low-paying, physical jobs that have since disappeared or worsened in their guarantees, and compares this life with his perspective after leaving it.
Though Vance was raised in Middletown, his mother and her family were from Breathitt County, Kentucky. Their Appalachian values include traits like loyalty and love of country, despite social issues including violence and verbal abuse. He recounts his grandparents' alcoholism and abuse, and his unstable mother's history of drug addictions and failed relationships. Vance's grandparents eventually reconciled and became his de facto guardians. He was pushed by his tough but loving grandmother, and eventually Vance was able to leave Middletown to attend Ohio State University and Yale Law School.[1]
Alongside his personal history, Vance raises questions such as the responsibility of his family and people for their own misfortune. Vance blames hillbilly culture and its supposed encouragement of social rot. Comparatively, he feels that economic insecurity plays a much lesser role. To lend credence to his argument, Vance regularly relies on personal experience. As a grocery store checkout cashier, he watched welfare recipients talk on cell phones although the working Vance could not afford one. His resentment of those who seemed to profit from poor behavior while he struggled, especially combined with his values of personal responsibility and tough love, is presented as a microcosm of the reason for Appalachia's overall political swing from strong Democratic Party to strong Republican affiliations. Likewise, he recounts stories intended to showcase a lack of work ethic including the story of a man who quit after expressing dislike over his job's hours and posted to social media about the "Obama economy", as well as a co-worker, with a pregnant girlfriend, who would skip work.[1]
