After thirty years spent scratching together a middle-class life out of a dirt-poor childhood, Joe Bageant moved back to his hometown of Winchester, Virginia, where he realized that his family and neighbors were the very people who carried George W. Bush to victory. That was ironic, because Winchester, like countless American small towns, is fast becoming the bedrock of a permanent underclass. Two in five of the people in his old neighborhood do not have high school diplomas. Nearly everyone over fifty has serious health problems, and many have no health care. Credit ratings are low or nonexistent, and alcohol, overeating, and Jesus are the preferred avenues of escape.