About a year ago, Jason Cherkis published an anecdote so popular, even President Obama repeated it.
It featured a middle-aged man in a golf shirt who shuffled up to a small folding table at the Kentucky State Fair to hear about Kynect, the state's health benefit exchange established by the Affordable Care Act. The man liked what he heard. "This beats Obamacare I hope," he said, apparently unaware that Kynect and Obamacare are the same thing.
Today, however, Abby Goodnough has another health care anecdote out of Kentucky that's nearly as striking.
The Affordable Care Act allowed Robin Evans, an eBay warehouse packer earning $9 an hour, to sign up for Medicaid this year. She is being treated for high blood pressure and Graves' disease, an autoimmune disorder, after years of going uninsured and rarely seeing doctors.
"I'm tickled to death with it," Ms. Evans, 49, said of her new coverage as she walked around the Kentucky State Fair recently with her daughter, who also qualified for Medicaid under the law. "It's helped me out a bunch."
But Ms. Evans scowled at the mention of President Obama -- "Nobody don't care for nobody no more, and I think he's got a lot to do with that," she explained -- and said she would vote this fall for Senator Mitch McConnell, the Kentucky Republican and minority leader, who is fond of saying the health care law should be "pulled out root and branch."
Just so we're clear, this voter loves her new health care benefits. She also wants to vote for a politician who's desperate to take her new health care benefits away.
It's a reminder that voting isn't always rational, but it's also an example of just how messy the politics of health care can get.
Goodnough's broader point is important: the Affordable Care Act is doing a lot of good for families in red states like Kentucky, but this won't pay any political dividends to Democrats.