These are the details I remember: I first watched it around 1988, but in not sure if that's when it was released. Opening scene a child is choking on something in a car and the mother pulls a poster board off of a telephone poll, cuts his neck open & opens his airway. I remember the family in the movie was poor, possibly coal miners or farmers. End scene the little girl gets her legs severed on train tracks and the mother has a trash bag of money she's offering the doctor if he can fix her.
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