The document discusses mountaintop removal coal mining and its impacts. It provides statistics on coal usage and exports increasing. It then discusses the negative impacts of mountaintop removal on water, jobs, ecosystems, and health. Polls show most Americans and West Virginians oppose mountaintop removal. Alternative mining methods and energy efficiency are presented as alternatives to reduce mountaintop removal. The document advocates for a "Green Deal for Appalachia" to promote renewable energy and healthy jobs.