The affluent white Trumpsters in those states are doing just fine. They're making sure that nobody else gets any help.

Slave state mentality. (Not meant to insult the many good Democrats in those states, including affluent white Democrats. They're doing what they can. They're just outnumbered.)

His base is the vast sea of poor to middling white people. That group’s declining life expectancy has been a subject of concern for the medical community for quite some time. Predates Trump’s 1st term.

I don't believe that MAGAs are really the power behind Trump's wins. It's the affluent white Republican voters who put Trump in power. They're the ones with power and money in their communities. They're the ones whose churches bus MAGAs to the polls.