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YSK that Missouri is going to get worse and worse over time, seeing as how it looks over at states such as Mississippi and says "golly gee willickers, I wanna be more like them!"
Businesses will not move there, some already there will not expand, and some will even outright leave. It will become something of a "healthcare desert". A profound example that I recall reading about during the pandemic was a doctor in I think it was just east of Springfield (but don't recall further details of the location). He started a medical center or something along those lines - the point is that he brought in grant funding, a literal job creator. He had just moved there from somewhere else, however upon receiving literal death threats for offering to give people vaccines and before that telling people to wear masks, he left. For the sake of his daughters, it was not worth it to him to try and stay.
On the one hand, if people of good conscience abandon such areas to whoever remains to vote, that affects the country as a whole, especially via the Senate seats, see e.g. Mitch McConnell and Lindsey Graham, and yes Josh Hawley, who I recall was literally the only one to vote against a particular sex slave trafficking bill - the ONLY ONE!!! But on the other, please take care of yourself too.