Trump was voted in by coal miners. Coal Miners whose jobs have been slipping away and towns devastated by the "Heroin Epidemic"
https://www.washingtonpost.com/graphics/national/white-death...
https://www.washingtonpost.com/national/health-science/the-h...
Continuing to ignore rural America will only make them more angry and continue to vote in assholes like Trump. Clinton lost precisely in the rural states that mattered: Pennsylvania, West Virginia, etc. etc.
As long as liberal Americans are unable to understand that coal miners are literally losing their jobs and dying in their hometowns, then the discussion will not move forward.
The numbers aren't pretty for rural America. It's a legitimate problem, and those citizens are blaming the EPA.