His oldest brother Naveed, who lives in Danville, said what really drives his support for Trump are the prospects of health care reform and upward mobility for people who earn it. He sees too many working-class patients navigating insurance restrictions and deductibles to determine the quality of their care. But suddenly he sees a new energy among them that he hasn't seen since Ronald Reagan defeated Jimmy Carter in 1980, the first presidential election the 45-year-old can remember.