The thesis investigates why rural western Washington remains consistently Democratic despite national realignment. Through archives, interviews, and quantitative data, the researcher identifies three drivers: strong local Democratic candidates, enduring liberal community institutions, and collaborative organizing networks. Findings show that demographics are not destiny and that local forces can sustain liberal democracy.

This research examines a peer-led support group for people with early-onset Parkinson’s disease, exploring their unique needs compared with older adults. The study identifies the benefits and barriers of stakeholder-led groups, clarifies the role of clinical professionals, and produces a co-designed resource to guide future peer-led support initiatives.