Moran grew up out where my grandparents lived. He's maintained his ties out there. It's not super hard to see why he's against this if you've spent much time there: a part of their experience is one of going to the rural hospital only to find out that there are no doctors in the building because the money isn't there.

Packed town hall in Palco, Kan., urges Moran to stand firm against GOP health bill

“I’m elected as a Republican but I’m a member of a minority. And that minority is Kansas. That minority is rural,” said Moran, who grew up in the nearby town of Plainville and won 87 percent of the vote in Rooks County in November’s election.

“I understand the value of a hospital in your community, a physician in your town, a pharmacy on main street,” Moran said.

...pared with, a bit later in the article...

Jeff Zamrzla, a 59-year-old veteran from Salina, pressed Moran on why Congress does not pursue a “Medicare for All” plan.

“It would work. … The system’s already in place,” said Zamrzla, who noted that his cousin works in Moran’s Wichita office.

Moran said the federal government needs to ensure the stability of Medicaid and Medicare for the programs’ current beneficiaries before expanding the federal health program.

Eleanor McMindes, an 86-year-old retired teacher from Hays, said she’s known the Moran family for decades. She said the bill’s impact on rural hospitals, which are already struggling, is a major concern.

“In western Kansas we have a lot of hospitals that cannot even afford to have a doctor on duty. Our doctors from Hays go out there like a day at a time,” she said.

Or a different article on the same town hall:

Constituents urge Moran to maintain opposition to Senate health care bill at packed town hall

Bob Cox, of Hays, was the pediatrician for Moran’s daughters. He drove from nearby Hays to advocate for more spending on health care. Cox said he and his wife, Sheryl, are Republicans, but that they rarely vote for Republicans anymore. Cox said the two voted for Hillary Clinton in the 2016 presidential election and that he supported a single-payer health care system.

During the town hall, Cox asked Moran why the U.S. spends resources on military readiness to protect citizens from external threats while leaving health care to “a for-profit system failing to meet some needs.”

My favorite quote from the Star article:

Armin Kelly, a 70-year-old retired veterinarian from Plainville, said the GOP bill takes money away from people who need it to pay for a tax cut. Kelly said he knew Moran’s parents well and traced his opposition to the bill partly to his upbringing.

“They’re salt-of-the-earth-type people and that puts Jerry in a difficult position,” he said. “You know, he’s intelligent. He’s informed. He’s a very nice man and so now, he’s a Republican, which puts him in a difficult position.”

Which isn't to say that he doesn't have cognitive dissonance, or that his constituents don't. The same area went handily to Trump. They still want to Repeal and Replace. But they're not willing to shoot their own feet to do it.