{"id":15809,"date":"2026-09-30T10:01:00","date_gmt":"2026-09-30T10:01:00","guid":{"rendered":"https:\/\/medical-article.com\/?p=15809"},"modified":"2026-09-30T10:01:00","modified_gmt":"2026-09-30T10:01:00","slug":"rural-maha-followers-say-trump-health-policies-havent-reached-their-communities","status":"publish","type":"post","link":"https:\/\/medical-article.com\/?p=15809","title":{"rendered":"Rural MAHA Followers Say Trump Health Policies Haven\u2019t Reached Their Communities"},"content":{"rendered":"

About half of rural voters identify with Make America Healthy Again<\/a>, a sprawling political movement championed by the Trump administration, but most said President Donald Trump\u2019s healthcare policies have not benefited their communities, according to a new poll<\/a> from The Associated Press in partnership with KFF.<\/p>\n

About 8 in 10 rural voters \u2014 an important voting bloc for Trump and fellow Republicans in recent elections \u2014 said the Trump administration\u2019s policies have had a negative effect or no impact on the health of people where they live. Most MAHA supporters, 68%, also feel this way, according to the national survey of more than 2,000 rural registered voters.<\/p>\n

The findings signal an apparent disconnect between the Trump administration\u2019s MAHA-branded policy priorities and rural America\u2019s perception of their reach and effectiveness.<\/p>\n

Iowa pastor Mike Jager, 58, is a registered Republican and considers himself part of the MAHA movement. The Trump administration\u2019s health policies have had \u201cminimal\u201d impact on the health of his community, Jager said, but he added that Trump\u2019s health secretary, Robert F. Kennedy Jr.<\/a>, is moving the needle \u201cin the right direction.\u201d<\/p>\n

\u201cIt\u2019s a beginning,\u201d Jager said. \u201cIt\u2019s a big ship to try and turn around and course-correct.\u201d<\/p>\n

Kennedy has used the MAHA label to support various agendas, including abandoning long-standing vaccine guidance<\/a>, researching ultraprocessed foods<\/a>, and investing in regenerative agriculture.<\/p>\n

Jager lives in Sumner, Iowa, \u201cless than a quarter mile from where the corn ends and the city begins.\u201d He\u2019s seen family members and neighbors develop diseases that he believes resulted in part from exposure to agricultural chemicals and consumption of unhealthy, processed foods.<\/p>\n

In the June Republican primary for governor, Jager voted for Zach Lahn, a businessman and farmer, who ran on a MAHA platform and beat out Trump-backed U.S. Rep. Randy Feenstra. He plans to vote for him again in November.<\/p>\n

Jager said that President Donald Trump\u2019s health secretary, Robert F. Kennedy Jr., is moving the needle \u201cin the right direction.\u201d (Miriam Alarc\u00f3n Avila for KFF Health News)<\/p>\n

Many Rural Voters Are Prioritizing Health Issues<\/strong><\/p>\n

About two-thirds of rural voters who support MAHA said it\u2019s \u201cextremely\u201d or \u201cvery\u201d important to them to vote for a candidate who does, too, while only 4 in 10 rural voters overall said the same.<\/p>\n

Trump sought to seize on MAHA support during his campaign for another term two years ago. Now, amid tight midterm races, Kennedy has campaigned to galvanize the movement\u2019s support. In May, he attended a MAHA bill signing with Iowa Republican Gov. Kim Reynolds, and in August, he went fishing with Lahn, posting about it on social media.<\/p>\n

Yet the survey indicates voters are noticing \u201cthis weird split in the Trump administration\u201d between what Kennedy messages and what Trump says and does, said David Peterson, a political science professor at Iowa State University.<\/p>\n

\u201cIt\u2019s this mix of things coming out of D.C., out of different pieces of the administration, that\u2019s confusing people,\u201d Peterson said.<\/p>\n

In Iowa, concerns about what\u2019s causing rising cancer rates<\/a> are \u201ca big deal,\u201d he said. For many people who identify with MAHA, being healthy includes taking on corporate agriculture and pharmaceutical companies that they think cause cancer, he added.<\/p>\n

\u201cThe sort of populist messaging around that is appealing right now,\u201d Peterson said.<\/p>\n

In the poll, views on healthcare access and costs largely diverged along party lines. Most Democratic and independent voters said the Trump administration\u2019s healthcare policies have had a negative impact on their healthcare costs and the health and well-being of people in their communities. Republicans were likelier to say there hasn\u2019t been an impact.<\/p>\n

Talking on the phone from her 200-acre farm in Carroll County, Iowa, 71-year-old Donna Klocke said that her husband had died from cancer and that she has neighbors who also have cancer.<\/p>\n

\u201cIt\u2019s just very prevalent,\u201d Klocke said. \u201cWe\u2019re in a farming community. We use chemicals and pesticides and all kinds of things that aren\u2019t necessarily good for us.\u201d<\/p>\n

Klocke, a Democrat, said the MAHA movement is a good idea because she cares about being healthy, but she does not consider herself part of it and will not be voting for a candidate who represents the movement.<\/p>\n

Kennedy, who was an anti-vaccine activist before entering politics and has sent mixed messages<\/a> to Americans about getting the measles vaccine<\/a>, scares her.<\/p>\n

\u201cMeasles are coming back and polio,\u201d Klocke said. \u201cIt\u2019s the measles that really gets me. It\u2019s like, do you not understand how dangerous it is?\u201d<\/p>\n

Donna Klocke cares about being healthy but does not consider herself part of the Make America Healthy Again movement. Her husband died from cancer after a life spent farming the family\u2019s 200 acres in Carroll County, Iowa. (Kathyrn Gamble for KFF Health News)<\/p>\n

Survey Reflects Angst Over Healthcare<\/strong><\/p>\n

About half of rural voters said their communities don\u2019t have enough doctors or other healthcare providers, and even more said there aren\u2019t enough mental health workers specifically. The share of rural voters who said their community does not have enough hospitals increased to 35% from 21% in a similar question asked in a KFF-Washington Post survey in 2017.<\/p>\n

And as with the general population, healthcare, gas, and grocery costs are top pain points. More than 6 in 10 rural voters said they were worried about healthcare costs.<\/p>\n

The level of worry varied based on coverage, with rural voters enrolled in employer plans or Medicare less likely to be worried. The survey found that 80% of working-age rural voters on Medicaid were very or somewhat worried about healthcare costs. Last year, Republicans passed a tax and spending bill<\/a> that cut over $900 billion in projected Medicaid spending over a decade and mandated new eligibility requirements.<\/p>\n

Among rural voters who purchase their own insurance, such as the individual coverage plans available on Affordable Care Act marketplaces, 77% said they were worried.<\/p>\n

In the tiny community of Lipan, Texas, west of Dallas, Kim Solis and her husband have a handyman-and-home-remodel business and get their insurance on the marketplace. Since Trump was elected again, their premium payment jumped from zero to $166 a month. Their copays went up, and their deductibles each increased by $2,000.<\/p>\n

Solis, 62, said she worries what will happen if they get a big medical bill.<\/p>\n

\u201cCertainly, we\u2019d be in a world of hurt trying to take money out of savings or getting it out of our 401(k) just to be able to do something about it,\u201d she said.<\/p>\n

Most MAHA Voters Are Also MAGA \u2014 But Not All<\/strong><\/p>\n

Like the general population, rural voters said they trust their own doctors and healthcare providers for health information over government agencies or officials, according to the poll.<\/p>\n

Trust in Kennedy and Trump fell largely along partisan lines. About 10% of rural Democratic voters reported having a \u201cgreat deal\u201d or \u201cfair amount\u201d of trust in Kennedy, compared with 74% of rural Republican voters. About 5% of rural Democrats and 69% of rural Republicans said they trust Trump a \u201cgreat deal\u201d or \u201cfair amount\u201d for reliable health information.<\/p>\n

While Make America Great Again and MAHA identities are \u201clinked in a lot of ways,\u201d the rising costs of healthcare and groceries pose a challenge for those committed to the MAHA principles that Kennedy promotes, said Peterson, the Iowa State professor.<\/p>\n

Buying healthy food \u201cbecomes, \u2018I can\u2019t afford to do that because of Trump\u2019s policies,\u2019\u201d he said.<\/p>\n

In Stamping Ground, Kentucky, Alma Johnson, 65, works as night security at a horse farm. Johnson said gas had gone up but her overall cost of living had decreased since Trump took office.<\/p>\n

Johnson voted for Trump in 2016, 2020, and 2024 and said she \u201cpretty much\u201d likes how Trump is running the country. But she said she is not a MAGA devotee, preferring to \u201cthink for myself.\u201d<\/p>\n

MAHA, however, is an easy sell for Johnson because, she said, she doesn\u2019t think people should be able to buy junk food through the Supplemental Nutrition Assistance Program, or SNAP.<\/p>\n

Still, she said she hasn\u2019t seen much impact from the Trump administration\u2019s healthcare policies, including the new food pyramid<\/a>.<\/p>\n

\u201cIt takes a long time to change people, their habits, their thoughts, or the things they do,\u201d Johnson said.<\/p>\n

\n

About the Poll<\/strong><\/p>\n

\n

The KFF-AP Rural Voters Survey was conducted online and by telephone Aug. 12-24, 2026, among 2,241 registered voters living in rural areas, defined as census tracts that fall within codes 5-10 of the U.S. Department of Agriculture\u2019s 2020 Rural-Urban Commuting Area codes. Voters were reached through a combination of the probability-based SSRS Opinion Panel and a registration-based sample from the L2 voter file. Overall results have a margin of sampling error of plus or minus 3 percentage points, including design effects due to weighting. Error margins are larger for subgroups. In collaboration with the AP, KFF researchers worked to design the survey sample and questionnaire and analyze and report findings.<\/p>\n<\/div>\n

This report is from a collaboration between KFF Health News and The Associated Press.<\/em><\/p>\n<\/div>\n

KFF Health News<\/a> is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF\u2014an independent source of health policy research, polling, and journalism. Learn more about KFF<\/a>.<\/em><\/p>\n

This article<\/a> first appeared on KFF Health News<\/a> and is republished here under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"

About half of rural voters identify with Make America Healthy Again, a sprawling political movement championed by the Trump administration, but most said President Donald Trump\u2019s healthcare policies have not benefited their communities, according to a new poll from The Associated Press in partnership with KFF. About 8 in 10 rural voters \u2014 an important…<\/p>\n","protected":false},"author":0,"featured_media":15810,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-15809","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles"],"_links":{"self":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/15809"}],"collection":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=15809"}],"version-history":[{"count":0,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/15809\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/media\/15810"}],"wp:attachment":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15809"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15809"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15809"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}