Once a busy if impoverished center for the anthracite coal industry, northeastern Pennsylvania exists today as a region suffering inexorable decline--racked by economic hardship and rampant opioid abuse, abandoned by young people, and steeped in xenophobic fear. Paul A. Shackel merges analysis with oral history to document the devastating effects of a lifetime of structural violence on the people who have stayed behind. Heroic stories of workers facing the dangers of underground mining stand beside accounts of people living their lives in a toxic environment and battling deprivation and starvation by foraging, bartering, and relying on the good will of neighbors. As Shackel reveals the effects of these long-term traumas, he sheds light on people’s poor health and lack of well-being. The result is a valuable on-the-ground perspective that expands our understanding of the social fracturing, economic decay, and anger afflicting many communities across the United States. Insightful and dramatic, The Ruined Anthracite combines archaeology, documentary research, and oral history to render the ongoing human cost of environmental devastation and unchecked capitalism.