Black Lung Is Back, And It's Killing Young Miners

Black lung is completely preventable. And it’s on the rise again.

Adaptation is a way of life for John Moore. He’s worked construction, run a wig shop and now promotes concerts. The wig shop idea came to him because his middle daughter was having trouble styling her thick, curly hair. He didn’t know much about wigs, or hair in general, so he learned and started turning a profit soon after the grand opening. That’s the kind of man he is — someone who’s always looking out for the next opportunity, the next chance to make it.

When we meet, Moore is wearing a black puffer jacket, a black durag, work boots and a cautious smile. He’s soft-spoken but firm, and he lights up when he talks about his wife and three kids. At a glance, he seems strong, the kind of person who can win an arm-wrestling contest or help you move — like a man with a lot of living left to do.

But instead, Moore, at only 42, is dying of black lung disease.

You see, Moore’s résumé also includes a few lines familiar to many people in Central Appalachia. He spent about 11 years running coal and clearing debris in the mines of Southern West Virginia. During that time, a cruel disease took up residence inside his chest cavity. Now, it is slowly destroying him from the inside.