The need to focus on local politics and initiatives is found in the underlying statistics around the Massachusetts electorate. From this story in the Boston Globe:
Long before Donald Trump ran for president, significant swaths of Massachusetts were already prime Trump territory. In the 2016 Republican primary, Trump got nearly 50 percent of the vote. In the 2016 general election, Trump won only 30 percent of the statewide vote. But in Bristol County, he got 42 percent.