It's also the clueless thinking of people on the progressive side that their "solutions" offer anything to these same people. It's always just another round of "they're voting against their own self-interest" when the people saying it have no clue of what their true self-interest is.
I think it's really more of an issue of refusal to accept the solutions that Dems offer, a sticking point of pride & the acceptance of a lot of otherizing.
The Medicaid extension is a prime example. States where people's health is at its worst are those not participating because of a well conditioned aversion to Big Gubmint. Not that people will gain the benefits any other way, of course, but if it means big Gubmint then they're against it as if there's some real alternative. There isn't. Don't want creeping socialism? What Repubs offer isn't better- it's worse.
