The press conference in Charleston with Black Lung Association leaders pleading for Sen. Manchin to do the right thing and pass the Reconciliation Bill that includes funding for black lung treatments.

By Ramona du Houx

May 12, 2022

CHARLESTON, WV  – On May 12, 2022, in front of the West Virginia Coal Miners Memorial in Charleston, leaders from the Black Lung Association launched a new statewide campaign urging Senator Joe Manchin to fight for a long-term extension of the black lung excise tax on coal companies. Miners with black lung and their families unveiled the “We’re Counting on You, Joe” campaign, which includes digital and radio ads airing across West Virginia featuring testimonials from former miners calling on their home state Senator to use his leading role in budget reconciliation negotiations to deliver certainty for coal miners suffering from black lung.

“We need someone working for us. We can’t fight the lobbyists, they’ve got all kinds of money. We ain’t got nothing. We need someone who is a friend of the coal miners. We work for them, but they ain’t doing nothing for us,” said Gary Hairston, National President of the Black Lung Association. “I watch Joe on TV every other day and see him going to different places, but he won’t even talk to us. He can’t even get on Zoom. He can be everywhere else but for the people who’ve been working for him.”

Last year, there was funding in the Rescue Act for The Black Lung Disability Trust Fund (BLDTF). When Congress failed to pass any extension of the Black Lung Excise Tax and vote on the Reconciliation Budget bill, which would have extended payments to the BLDRF before the new year began. Then the United Miners of West Virginia publicly declared their disappointment in Sen. Manchin’s dramatic pull out of his promise to vote for the Build Back Better Act (Reconciliation bill).

Without payments coming in since January, that single source of revenue for the BLDTF was cut by more than half with the trust fund currently losing more than $2.8 million a week. The trust fund has now seen an estimated more than $53 million in debt added this year alone that will be paid by taxpayers.

“We’ve called Joe’s office twice and tried to get a meeting with Mr. Manchin. For some reason or another, he just doesn’t have the time,” said Jerry Coleman, President, Kanawha County (WV) Black Lung Association. “That’s why all the miners are worried – nobody knows what is going to happen with the trust fund. We’re counting on Joe to make sure he pushes a ten year extension.”

Coal miners and their communities are facing an epidemic as black lung disease has risen to historically unprecedented levels.
Since 2000, after decades of decline, the number of U.S. coal miners diagnosed with black lung disease increased. In Central Appalachia, 1 in 5 veteran miners have the disease and the rate of miners being diagnosed with the most severe form of the disease ― Progressive Massive Fibrosis (PMF) ― is the highest ever recorded. These cases of PMF are being diagnosed in miners with as little as 8 years of experience, who are as young as 38, and even in those that have only worked in surface mines. This resurgence of black lung disease is being driven in large part by miners’ increased exposure to silica dust.

Currently, the BLDTF pays for medical benefits and provides a small monthly living stipend to coal miners who are disabled by black lung disease, and to their surviving dependents. Miners with black lung and their families are hoping Senator Manchin can make sure the budget reconciliation process to includes the long-term stability they need.

If Joe could help us, we would like to have this excise tax extended by 10 years. RIght now, black lung is in epidemic stages. We need Joe’s help,” said Dianna Perdue, Secretary of the National Black Lung Association. “The only thing that widows get is a monthly check. My husband was in the mine for over 30 years and died from black lung. I’m still fighting for his benefits. I’m also trying to help miners get their benefits. It devastates their life. There are so many things in life that have to stop when you can’t breathe.”

At least 4,423 West Virginia mining families currently receive federal black lung benefits, with over $38 million going to West Virginians in 2021. Meanwhile, coal miners are facing an epidemic as black lung disease has risen to historically unprecedented levels, hitting a 25-year high in Appalachian coal mining states.

The incidence rate of black lung, a preventable disease caused by exposure to coal dust and silica on the job, has doubled nationwide since 2000. 1 in 5 veteran coal miners in Central Appalachia now have the disease. Many miners diagnosed with the disease today are younger and sicker than ever before. With more coal companies declaring bankruptcy and more miners getting sick, certainty for the Black Lung Disability Trust Fund will be needed more than ever in the years ahead.

“If it comes down to whether I have to choose between my medical benefits and my bills, I’m going to have to pay my bills. We can’t afford to pay for our medication for black lung,” said Coleman. “We’re putting all of our trust in Joe. It’s his job to take care of West Virginia. I’m from West Virginia and we’re counting on Joe to take care of West Virginia.”

The “We’re Counting on You, Joe” campaign kicks off with the event in Charleston and the release of a new digital ad that will run in West Virginia this month. Radio ads will also air statewide, with an emphasis in the Charleston and Beckley markets. More news about campaign developments will be shared in the weeks ahead.

In America, using coal for electricity has been in decline since 2010 when natural gas proved to be a cheaper source of energy. Then solar and wind energy came on line encouraging the demise further. With the climate crisis upon us and in light of the recent IPCC report found that nations are not doing enough to mitigate the climate emergency. If the world doesn’t transition from fossil fuels that are feeding climate change we will see catastrophic disastrous and humanization crisis.

Sen. Manchin is a top campaign recipient of money from the coal, mining, oil and gas extraction profits.


Coal miners who are disabled from black lung, as well their surviving dependents, are entitled by law to modest living and medical benefits. The Black Lung Disability Trust Fund pays for these benefits in cases where the miners’ employer has gone bankrupt or where no coal company can be identified as responsible for the miner’s disease. 

The trust fund is more important now than ever because a wave of bankruptcies in the coal industry has created increased pressure on the program. It is supported by a small excise tax paid by companies per ton of coal sold domestically, at a rate that was unchanged for more than three decades: $0.55/ ton of surface mined coal, and $1.10/ ton of coal mined underground. 

In 2018, the excise tax was reduced and collected at less than 50 percent of its historic rate for the entirety of 2019, pushing the BLDTF deeper into debt. In 2019 and 2020 the higher, historic rate of the excise tax was reinstated through one-year tax extender bills, but the rate will be cut in half again at the end of this year without action from Congress.

According to the WV Black Lung Association press release, a 10-year extension provides longer-term security for the fund, and for the miners who depend on it compared to short-term, one year extensions.