States can be very heterogeneous and divided. It largely depends on the topic. There is a lot of resentment towards the populated areas by those in the rural areas when it come to things like gun laws. Right now, they have a republican govenor who they might feel they can trust to veto certain things, but in general the rural areas feel their voice isn't heard on that subject and are instead subjected to the will of the urban area.

I would like to see the source where the MD governor has a 70% approval rating in urban areas. My guess is that many of those areas are ones that voted for him, not against him.

In rural PA, it's been a running a joke that the state should just have NJ annex Philly since it exhibits large political influence on the rest of the state and their wishes tend to align with the policies of NJ.