The liberal elites passed the ACA which included Medicaid expansion. Unfortunately many red states rejected the money. The Infrastructure & CHIPs Act as well as the IRA is going to bring lots of money to rural American Yeah, they did fumble on globalization, but finally recognized they needed to do something. The "Conservatives" on the other hand want to prevent money going to rural American workers, stoke anger. and then blame Mexicans and "the Gays" for their problem.s That's their strategy.