The writing deserves upmost recognition for truth and emotion associated with the most heartbreaking disease know to almost everyone in some fashion.
The cast did a fine job of portraying the Appalachian culture of loyalties and unity that Appalachians have for oneanother. West Virginia is the heart of the Appalachian culture. A place where people really do have eachothers backs. A place where people stick together and give strength, where it is needed, to their neighbors as if they were family.
The cinematic seanery of the rolling hills, and peaceful rivers, share with viwers, the heavenly vibe that rings with the area.