Kentucky flooding raises urgent questions about Appalachia's future - USA TODAY

The 54-year-old, who has lived off Quicksand Road since she was a teenager, said the flooding in recent years – “more and more, worse and worse” – has left difficult dilemmas in a county where median household incomes of $29,538 are less than half the national average.

Now, more say they’re leaving for safer areas, she said, but it’s not that easy.

'I CAN'T GET OUT': As historic flooding raged, Kentucky woman survived by binding herself to her kids with vacuum cord.

Buyouts or building restrictions are difficult in areas where safer options and new home construction are limited.

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