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This documentary follows the lives of the Bowling family as they fight to survive in dirt-poor Appalachia. Matriarch Iree has given birth to 13 children, but only two have left to seek better lives in Ohio while the rest have married and started their own impoverished families near home. Uneducated and unskilled, all are unemployed, and domestic violence and alcoholism pose serious problems. The filmmakers explore the family's relationships through interviews and footage of their daily lives.