MCCONNELLSBURG, Pennsylvania — One hundred eighty-two miles from the Ohio state line and 172 miles from the entrance to the Philadelphia neighborhood of Fishtown sits this tiny Fulton County borough in a 2-mile-wide valley between Tuscarora Mountain and Meadow Grounds Mountain.

Across Pennsylvania, the residents’ biggest concerns are often ones not discussed by the national press or the candidates running for office with the urgency residents desire.