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Appalachia's black lung rates highest in nearly 50 years as miners' protections stall

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Health Appalachia's black lung rates highest in nearly 50 years as miners' protections stall August 5, 20264:01 AM ET From By Howard Berkes , Justin Hicks Like many miners with advanced black lung disease, Tim Balthis looks healthy, sitting with his wife Fran Balthis on their porch in Pound, Va. But a scan of his lungs shows so much fibrotic tissue a doctor told Balthis he was surprised he was still alive. Roger May for NPR hide caption toggle caption Roger May for NPR Respiratory therapist Marcy Freeman doesn't need a research study to confirm for her a return to the dark days of coal mining.

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NPR Topics: News
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Original publisherNPR Topics: News
Canonical URLhttps://www.npr.org/2026/08/05/nx-s1-5894884/appalachia-black-lung-coal-miners-silica-dust
Publication timeWed, 05 Aug 2026 04:01:00 -0400
Retrieval time2026-08-05T08:13:17.701Z
Last seen2026-08-05T08:13:17.701Z
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ClusterXPX8eJQLCwRB · 1 stories
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Opening excerpt (first ~120 words) tap to expand

Health Appalachia's black lung rates highest in nearly 50 years as miners' protections stall August 5, 20264:01 AM ET From By Howard Berkes , Justin Hicks Like many miners with advanced black lung disease, Tim Balthis looks healthy, sitting with his wife Fran Balthis on their porch in Pound, Va. But a scan of his lungs shows so much fibrotic tissue a doctor told Balthis he was surprised he was still alive. Roger May for NPR hide caption toggle caption Roger May for NPR Respiratory therapist Marcy Freeman doesn't need a research study to confirm for her a return to the dark days of coal mining. She finds evidence in a stack of more than 150 funeral programs, all for former patients at her pulmonary rehabilitation clinic in Norton, Virginia.

Excerpt limited to ~120 words for fair-use compliance. The full article is at NPR Topics: News.

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