Orlo Messenger 56 years old, who had a stroke and is home bound, he has a home health care nurse that comes to visit him twice a week. Lyndon B. Johnson declared the "War on Poverty" in the heart of Appalachia, its citizens have been a part of one of the most economically depressed regions in America. With that, comes poor quality in many aspects of society such as technology, transportation, and education. Amongst these drawbacks, is the poor state of health care in the Appalachian region.