The biggest problem with Obamacare in Trump country is not the well publicized lack of insurance providers. Trump country tends to be more rural with far more millionaires because miners, farmers and oil field workers tend to make more money than the average worker so the deductibles, co-pays and so on are less of a problem for Trump voters than Hillary voters. The Invisible Elephant in the room is the lack of MDs, PAs and RNs in rural America because of Student debt. Since at least WWI and probably earlier the military has been providing ex post facto student debt relief to Doctors, Nurses, Dentists and so on. Also medical and related schools are on a scholarship list for enlisted men. But student loans are based on nominal, not real, wages. Nominal medical wages are lower in rural areas creating a severe shortage of medical care and 100 mile plus trips to get something better than a volunteer fireman with limited EMS training in an emergency. Is there any chance of this problem being addressed, which has become much worse under Obamacare regulatory burden?