Trump's greatest electoral gains came in counties with high Medicaid enrollment

Vote share by presidential election across counties grouped by Medicaid enrollment rates

Note: County Medicaid enrollment rates based on 2023 estimates. Connecticut is excluded from the analysis due to new boundaries for reporting election results. Lowest Medicaid enrollment counties reflect less than 15.5 percent enrollment; highest enrollment reflects greater than 24.5 percent enrollment; other brackets reflect 3 percentage point increments.
Source: Associated Press, Georgetown Center for Children and Families Jessica Piper/POLITICO