You are correct this is not a 3rd world country... but there is more need here than most people in the US can comprehend.  In addition, there are tons of churches here... but on average 75% of the population here in WV is unchurched.  Yes there are churches everywhere... but the overwhelming majority only have 10 to 20 people in them.  Most of my college work is with inner city poverty, but GOD has called us to be here.