I don’t doubt that the characteristics of addiction are different in rural vs urban areas. It makes more sense to me that opioid addiction would be worse in rural areas, as it seems like it would go along with lack of access to medical services to deal appropriately with pain management. Same for alcohol: self-medication with what is readily available. Earlier I was referring to rates of addiction, though. I’d still like to read more about the topic in general, though. If you want to share links to the sources you found most notable I would appreciate it.
Rural migration has been up and down since the 70’s, I don’t know if the current trend will continue. Maybe it will. There are parts of the rural U.S. that are socioeconomically spiraling down now, though. And the connection you made to Trumpism may well be true, although I don’t think that it explains the whole of the movement. There are far more people marching in step with him than the 20% of America that rural areas could provide. Rural Americans weren’t the only ones eager to go along blaming “the other” when Trump was decrying how the U.S. is more like a 3rd world country than the great nation it used to be.
The rise of U.S. fascism in the 21st century started before Trump and isn’t restricted to the purview of non-metropolitan America. Rural fascists do have a louder voice and are more cohesive as an identity than was possible prior to the age of social media, unfortunately. I wonder what sort of factors contribute to that increasing intolerance. It’s not solely because of socioeconomic decline and political disaffection. At least, I haven’t felt more fascist when I’m broke and pissed off at the government. Maybe I’m just weird.