Respiratory therapist Deena Neace checks James Muncy’s blood pressure and pulse during a therapy session at the New Beginnings Pulmonary Rehab Clinic in South Williamson, Ky. Muncy is one of thousands of coal miners across Appalachia who are dying of advanced black lung.

Respiratory therapist Deena Neace checks James Muncy’s blood pressure and pulse during a therapy session at the New Beginnings Pulmonary Rehab Clinic in South Williamson, Ky. Muncy is one of thousands of coal miners across Appalachia who are dying of advanced black lun