BOONEVILLE — The 66 percent of Owsley County that gets health coverage through Medicaid now must reconcile itself with the 70 percent that voted for Republican Governor-elect Matt Bevin in 2014, who pledged to cut the state's Medicaid program and close the state-run Kynect health insurance exchange. In 2016, Owsley County went for Trump 84-15.

In Clay County, 60 percent of residents are covered by Medicaid. They voted for Republican Matt Bevin 71-27, and for Donald Trump 86-11. Neither Bevin, nor Trump, made their opposition to Obamacare secret.

Lisa Botner, 36, belongs to both camps. A Kynector — a state agent representing Kynect in the field — recently helped Botner sign up for a Wellcare Medicaid card for herself and her 7-year-old son. Without that, Botner said, she couldn't afford the regular doctor's visits and blood tests needed to keep her hyperthyroidism in check.

"If anything changed with our insurance to make it more expensive for us, that would be a big problem," Botner, a community college student, said Friday at the Owsley County Public Library, where she works. "Just with the blood tests, you're talking maybe $1,000 a year without insurance."

Yet two years ago, despite his much-discussed plans to repeal Kynect and toughen eligibility requirements for Medicaid, she voted for Bevin.

"I'm just a die-hard Republican," she said.