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It has less to do with being "rural" and more to do with the general low education and mobility of "rural" areas.
It is an empirical fact that there is a strong correlation between progressive thought and education/exposure to the world. Since a lot of it boils down to just knowing there are other ways to live.
Whereas "rural" areas tend to see people who never move more than a hundred miles away from where they were born and are generally undereducated. And that makes them very vulnerable to "The problem isn't you. The problem is all those brown people and women in the big city who are stealing your jobs".
And the rest boils down to money and just... population density. Given infinite money, the Democrats would love to campaign everywhere. But the reality is that money is limited and a rally in even a small town will generally impact a much higher percentage than organizing a county fair to get the ten people in a hundred mile radius to show up (exaggerating but... not that much).
And... I can speak from experience (from helping out with state Democrats) that it is still not that easy. Because you can do a multi-year effort to bring in some good candidates to even a small town. Unless your candidate was born and raised in those rural areas, they will almost immediately be rejected. And if they left for college and came back for some reason? They are likely to be rejected as well. Which is why, a lot of times, there won't even BE a blue candidate because there is no point.
That might generally be true but where I live near Raleigh,NC, which is one of the most educated places in America likely due to so many colleges and universities right here, we move away from the more urban areas to the generally more rural areas because it’s way cheaper and the commute isn’t terrible. It wouldn’t hurt to at least try in some of the rural areas around Raleigh like Garner, Clayton, Holly Springs, hell even Fuquay Varina (yes that’s a really town unfortunately… you can probably guess some nicknames for it. This state could be very purple pretty quickly.
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Yeah. Not familiar with the NC mess. But getting good candidates to go to places like Florida just aren't going to happen. Because fixing the hellscape is important but... nobody wants to live in the hellscape unless they have no choice.
Its an open secret so I don't mind sharing it but when a county does something like "We need to attract more OBGYNs to the local hospital" and the like? Part of that is very much fulfilling a need of the community. The other part is getting strong candidates (either the doctor or their partner) with the intent of running them in a year or two for a local office. And because of the general high degree of education required, it is a good way for Democrats to bus in some people as it were.