[dsfyu404ed]

A senator does you no good if your primary governmental irritant is the state government which for most rural areas is the case. The federal government generally doesn't do anything to egregious to rural areas (maybe because most federal policy mostly doesn't affect people's day to day lives or maybe because of those senators doing their jobs?) but the state governments generally have a problem with major cities enacting state level policy that should really be done on a county level.

[sudosteph]

Federally-funded farm subsidies are a huge deal to rural people in Midwest. Those are largely possible because mostly rural states like Kansas, Nebraska, Oklahoma, and the Dakotas have senators who strongly advocate for those deals.

Appalachians don't have the type of land that benefits from those subsidies, and they don't have enough clout to get an equivalent type of economic benefit package. The TVA was the last major economic project the feds funded, and it was hugely popular because it did actually improve the lives of people there. Better federal representation at the Senate level wouldn't solve every problem, but it could definitely alleviate some of the pain.