health insurance in a mine

Here’s the Washington Post on Trump supporters facing the prospect of losing their medical coverage :

“As for the other problems in his life, he has put his hopes in Trump, who came to West Virginia saying he would bring back coal and put miners back to work. When Trump mentioned repealing Obamacare, Clyde wasn’t sure what that might mean for his Medicaid. But if he had a job that provided health insurance, he reasoned, he wouldn’t need Medicaid anyway, so he voted for Trump, along with 74 percent of McDowell County.”

Clyde here is 54 years old, and is currently an unemployed coal mine worker. Personally, I can’t imagine being in that demographic and thinking “a sustainable future scenario is one where I am back in that mine being a profitable asset for a coal company”, but my assumption is that a lot of people in this situation aren’t putting a lot of thought or research into market economics. 

That’s why I wonder if the nostalgia people have for Reagan’s America, or whatever fictional version they have in their head, is for the actual socio-economic climate at the time, or simply an era where they were thirty years younger. That would fix almost all of Clyde’s problems (health, impending financial needs of old age, lack of economic utility in his field of choice), but I don’t think there’s a policy for that.