In this rural part of the Panhandle, Christopher Mitchell finds few takers when he delivers his message about the importance of exploring insurance options under the federal health overhaul. People in the conservative-leaning area tend to have a bad impression of President Obama's signature law because of negative messages they hear on talk radio or from friends, said Mitchell, marketing director for a network of nonprofit health clinics. Even for those with insurance, a doctor's visit may require a long drive because there are few providers in the area — and some are selective about the coverage they accept.