One of the reasons it's so Republican:
However, the community of 5,000 struggles with unemployment because of the decline in coal, tobacco and timber industries. Health issues include drug addiction without effective treatment.
Which party hates these industries more? (and rightfulyl so, I might add)
Which party actually wants to treat drug addicts like patients instead of criminals and provide treatment instead of incarceration?
Tell that to them. But, I reckon that while there is a huge addiction issue there, it is hugely stigmatized, thus making the problem worse.