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America from a European perspective
(startrek.website)
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A collection of some classic Lemmy memes for your enjoyment
To be fair, the incest is probably a bit more widespread than that. Also, potentially more popular in Appalachia than around that area. I think eastern Kentucky/West Virginia has the highest rates of inbreeding than any other part of the country, at least that's what some other guy on the internet commented, so that's a fairly trustworthy source.
You should look up Kentucky Blue People.