If you review Nixon's CHIP proposal (https://www.nixonfoundation.org/2015/11/the-nixon-comprehens...), you'll find a proposal that maps pretty closely onto the ACA marketplace that we now have available.
"Mostly shaped by Democrats with major proposals cribbed from Republicans" would be a more accurate assessment.
The fact that Kentuckians loved Kynect and hated Obamacare--which are the exact same thing (aka the ACA)--tells you everything you need to know about the Republican voting public.
This because extreme over COVID. A particular low point was Herman Cain's Twitter account doing COVID denial while, and after, the man died of COVID.
But I also don't doubt that adding the modern conservative delusions and paranoia on top of it all only worsens everything.
The Unlucky Country: Life expectancy and health in regional and remote Australia (2023) - https://apo.org.au/sites/default/files/resource-files/2023-0...
Life expectancy in Far West NSW is almost six years lower than in Sydney, with the divide getting worse.
Those in the Far West are twice as likely to die prematurely compared to those in Sydney, and ‘potentially avoidable’ deaths are two and a half times more likely.
Suicide is twice as likely for residents in the Far West, with rates trending up.
* Sidesteps the US Dem V Rep preconceptions.
* Highlights Rural V. Urban resource differences.
* Similar Political division in that AU regional tends more conservative (by AU standards) than AU urban.
It's absolutely multi factor, but likely more strongly tied to health assets, funding, and reach of public messaging than to political leanings (although asset distribution, funding, and messaging policy are, of course, tied to politics).
It is important to point out though, that the last opportunity to establish single-payer healthcare in the US was prevented by the democratic party.
The famous Hillary quote: "Single payer is off the table"
This is why the RNC has hated on the Clintons so much, and especially Hillary: they were muscling in on republican turf.
It is only (possibly) important to point that out if single-payer healthcare is necessary for an affordable, high quality, universal healthcare system.
That is clearly not the case since there are several examples of first world countries with such systems that are not single-payer, such as Germany, France, Switzerland, and the Netherlands.
Encourage deathly extreme sports for kids/teens/20s/30s? Need more hysteric ball betting.
Build up the belief of rewards in afterlife - vergings towards other religions?
Win by playing a long game.