the population here is hard working but pour. there are people who will make about $32,000 in household income. reporter: mary lou adams, a nurse practitioner says since obamacare kicked in, she s seen the health of her community improve. we are seeing people that didn t come before with chronic diseases that felt like they did no have access. reporter: 63-year-old paula murphy never had insurance until obamacare helped her get medicaid. what sort of ailments do you have right now? high blood pressure, di diabetes, i have a torn rotator cuff and a bad knee. reporter: her message to president trump, followthrough on your promise to make health care better. at the moment i m gravely concerned. if he does what he says he can