Based on the data here (which your source is based on) four out of the five rural hospital closures in NY are in counties that voted for Trump in 2016:
Irving, NY - Chautauqua County - Trump
Fulton, NY - Oswego County - Trump
Ticonderoga, NY - Essex County - Clinton
Amsterdam, NY - Montgomery County - Trump
Sidney, NY - Delaware County - Trump
- https://www.shepscenter.unc.edu/programs-projects/rural-heal...
- https://www.nytimes.com/elections/2016/results/president
Voting against Medicare or Obamacare aren't the only ways to vote against healthcare reform, as OP states:
> Politics matters. Voters in rural areas (generally, of course) have consistently voted against policies that would help support health care in these rural locations