OAK HILL, W.Va. (AP) — Lisa Emery beams with pride as she talks about her ‘boys,’ the coal miners who come to her clinic. Yet that joy quickly morphs into sorrow as she recounts their struggles with black lung disease, which is increasingly afflicting younger miners in their 30s and 40s.
Emery leads the New River Health Association Black Lung Clinic and is witnessing a striking rise in younger miners requiring serious medical interventions, including double lung transplants, due to the impact of silica dust exposure while mining.
The U.S. Mine Safety and Health Administration (MSHA) previously approved a regulation intended to cut exposure to crystalline silica dust in half—a move that could help protect these miners. But this rule is now in jeopardy amid regulatory rollbacks and political opposition. Retired miners, feeling a sense of betrayal by political leaders, are demanding action to honor commitments to improve their health and safety.
As concerns about mine safety grow, many miners like Mark F. Powell are left grappling with deteriorating health. He laments, “If you’ve ever about drowned… I go through that every morning,” reflecting the daily struggles with breathing that so many face.
Amidst industry pushback against regulations, miners and advocates are standing firm, rallying for stronger protections. As Emery observes, the crisis facing these workers is not just about jobs; it's about saving lives.



















