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So, they want to cut Medicaid, the US subsidy for healthcare for the poor, even harder then the mainstream of the party is willing to.
https://www.semafor.com/article/05/15/2025/democrats-plot-a-midterm-comeback-fueled-by-republicans-medicaid-cuts
https://apps.npr.org/2024-election-results/west-virginia.html?section=P
Trump won every county in West Virginia.
https://www.cookpolitical.com/vote-tracker/2024/electoral-college
He had the highest percentage share of the popular vote there in any state aside from Wyoming, the other big coal state, with a 41.9 percentage point lead over Harris in the popular vote.
And we already had one term of Trump:
https://qz.com/1960354/trumps-promise-to-put-coal-miners-back-to-work-was-a-failure
https://wvmetronews.com/2025/05/01/medicaid-cuts-would-hit-wv-harder-than-most-states/
"Not only did you not get your promised coal boom, but he took your healthcare away to boot."
EDIT: The Guardian visits McDowell County, West Virginia:
https://www.youtube.com/watch?v=eqceHviNBC4
I remember another video
don't think it's this one, since it'd have to be recent
with the (Democratic) county supervisor of the place saying in an interview that he'd voted for Trump in three elections now, that you never knew, maybe Trump would change things.
I'm betting they'll blame anyone else but Trump here. They'll say someone else is blocking his genius. Victims of scams frequently double down on the scam to protect themselves emotionally.
In an alternate reality Trump would be selling used cars. "This one is a beaut. Better jump on it fast though, I had a guy from Kansas asking about it. Offered $10 grand for it..."