For starters, my strong hunch from my own reporting in the region over the past couple years-;including several trips to Kentucky for a new book on McConnell-;is that the Democrats’ biggest problem in Appalachia and the Upland South is not that the people who are benefitting from Obamacare or would stand to benefit from it if their states fully implemented the law are voting against their own interests, for Republicans.

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Viewpoints: Many beneficiaries of health law don’t vote; reboot for

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