I live in Kentucky, but work in downtown Cincinnati, Ohio. We are right across the river. Kentucky has a huge misconception. It’s like a lot of states. Northern KY is pretty much Cincinnati suburbs. Louisville feels like a different state and does their own thing. Lexington is all about UK and horses. It’s beautiful with plenty to do. Now, when you get to Eastern KY where my mom’s side of the family is from…… you have some honest, hard working coal-miner types, some hillbillies, and then some total inbreds.Press confernce is over. Get to work.
Just because it's banned does not mean it does not happen. Refer to the Whitakers of the aptly named, Odd, West Virgnia.
Additionally, being "backwards" is more than just inbreeding (although that does not help). It's a lack of educational and social progress. Which then provides the answer to your question - West Virginia. And now, apparently, Iowa.
I went to College in PA, so I think it’s very similar.
