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Bituminous coal is mined in the Appalachian region, primarily to be burned at electricity production plants. Mining is done via both surface and underground mines. Pocahontas bituminous coal at one time fueled half the world's navies and today stokes steel mills and power plants all over the globe.

While coal mining is an important part of Appalachia's economy, many miners are afflicted with black lung disease.

The last words uttered by William Barton Rogers, the founder of MIT, were "bituminous coal".