He wins in urban areas
He wins in suburban areas, as do all conservatives: above a certain density across the country if not the entire world, urban spaces reject conservatism. That map you linked to pretty much tells that story.
Where do you think all the “urban elites want to make you gay, take away your pickup truck and make you drink plant-based beer” comments come from?
If you live in a non-busy area, expect to wait years, if not decades. I live in a smaller city in southern Ontario, and our wait list is getting longer every year. I’ve not had a doctor since 2018.