Pennsylvania, 2012 election:
It does not matter how many rural counties are blue and vote for the GOP outside of the Democrat controlled big cities it is all about the numbers of Obama voters in those big cities overwhelming the suburban and rural votes.
Allegheny County voters getting particular Schadenfreude from the slap-fight between Highmark and UPMC, to determine whether holders of the most widely held health plan will be allowed access to a hospital chain holding a near-monopoly.
I know the majority of the counties voted for Romney. I live in Southwestern PA, well, in Allegheny County, they voted for Obongo of course. Still, I think we are too dominated by the East and Philly.