In a country this big, there are massive areas just a little bit off of the beaten path where millions of people live where the suffering these numbers speak to is largely taking place - areas where people have few employment or higher education options, stricken by drug epidemics (since producing/moving/usings drugs is glamorous in dismally poor regions), where public schools are abysmally bad, where they have to drive 20 miles for a grocery store that sells produce.

I live here and travel frequently and it's very hard for even me to be in touch with the areas that are suffering. There are huge swaths of Metro Detroit that range from pleasantly functional to fabulously wealthy - a normal person would have to take a weird detour to be exposed to the dysfunctional/left behind part of America. I recently drove through Ohio to visit an amazing state park and the story was much the same. Reputable journalists write about massive unemployment and drug abuse in many regions there, but all I saw was well-maintained infrastructure, cute urban areas and a beautiful park.