Uh....skip it. This is a book that doesn't know it's direction. It does have good parts, but those are too few and far between to make this overall worth while to read. I think the main problem is that it's divided into three separate parts:
1. Kid growing up as a hillbilly. This section is actually really well written. It's interesting and overall the most compelling part book. If the whole book was written with this same passion, I would have loved it. It's a hard look at a life that many of us don't experience first hand, thank god.
2. Oh my gosh, can you believe I am at Yale? This entire section is full of "x happened but I'm a hillbilly so how do I handle this? But oh well, I got the job/beautiful wife/interview/help from this professor anyways!" This section although obviously formative in his life (OMG, Yale!) there is not a lot of substance and seems like he basically had to add this section to up his page total
3. They need to help themselves (because I'm a Republican and did it on my own) but I have no suggestions! This section also seemed off and not cohesive. He does make interesting points about giving back and that college is not the path for everyone but offers zero suggestions how to improve people actually effected by opiod abuse and economic hard times. I by no means have the answers but I also didn't write a book about it either.
Overall, it would have been presented better in a collection of essays as opposed to trying to turn it into a "cohesive" narrative.