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This sounds more like a political commentary than actual scientific analysis. If you look at the vaccine adoption rates among the highest risk age group (age 60+), there’s something like 96% vaccination.

I would think the more significant factor is the underlying health of the public and their access to quality healthcare. Many red states are not exactly known for their overwhelming rates of excellent personal health or healthcare quality.

Attributing COVID outcomes to who someone voted for is not particularly useful in my opinion other than trying to add fuel to the partisan dumpster fire. Who they voted for has zero clinical significance. What the data does clearly show is that poorer people with poorer underlying health and poor quality healthcare resources in their area had worse outcomes. If there is to be a political point, perhaps it should be around providing better access to quality healthcare and having sufficient quality healthcare resources to begin with. It’s no mystery red states generally speaking are less motivated to fund the aforementioned. And these issues are much more of a state issue than they are a federal issue when talking about individual comparisons.