It's fair to think that automation will continue to improve. I imagine it will improve quite a bit in the next 20 years. There may even be breakthroughs in that time that result in AGI or ASI.
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I think the situation in Appalachia is more about poverty and hopelessness than structure and identity. I.e. "shit-life syndrome." Community is a big one too, but that's already severely lacking in most of the modern world.
What I personally think will happen is that wages will get driven so far down where it doesn't make sense for the capitalists to automate. I.e. global south-like living conditions and slavery. The capital owners will not let go of their power or support anything like decent UBI/USI. They'll opt for company-towns and "charity" that serves their purposes.