This podcast episode explores the plight of coal miners in the United States, particularly the devastating impact of black lung disease. James Howerton, a former miner suffering from black lung, shares his story, while experts discuss the rising prevalence of this deadly condition and the challenges faced by miners. Despite a decline in coal production, the industry continues to pose health risks due to thinner coal deposits leading to increased dust exposure. Advocacy groups support regulations to reduce silica dust levels and promote screening for black lung, while miners grapple with the physical and emotional toll of their work.