Macedonia leans heavily Republican by roughly 50 points: about 25% of voters vote Democratic and 75% Republican.
About 85% of adults in Macedonia typically vote, above the U.S. average of about 62%. Among adults in Macedonia, ~21% vote Democratic, ~64% Republican, and ~15% don't vote. The map below shows estimated turnout by block group.
How Macedonia compares
Among cities within 25 miles, Macedonia leans more Republican than 33 of 38 neighbors.
Macedonia runs about 36 points more Republican than Iowa as a whole.
Why Macedonia leans the way it does
Density, race composition, education, and family structure all sit close to their national averages in Macedonia. The lean here lands roughly where demographic data alone would predict.
Preventive-care access and voter turnout
Places with strong routine preventive-care access tend to turn out at a higher rate; Macedonia, IA sits in the top quarter nationally on this measure. Dental visits do not drive turnout; the rate reflects income, insurance, and healthcare access, which line up with who votes.
Why turnout in Macedonia looks the way it does
Areas with strong routine healthcare access turn out at higher rates. Macedonia is in the top quarter nationally for routine-care measures such as insurance coverage, preventive screenings, and dental visits. The dental-visit rate here is about 69%, about 9 points above the U.S. average of 60%. Learn more about the findings and methodology on the political spectrum map.
Nearby Cities
- Carson, IA R+45
- Henderson, IA R+48
- Wales, IA R+50
- Oakland, IA R+31
- Treynor, IA R+45
- Silver City, IA R+41
- Hastings, IA R+49
- Emerson, IA R+46
- Stennett, IA R+49
- Hancock, IA R+47
Cities with Similar Populations
- Maquam, VT R+32
- Teboville, NY R+23
- Desdemona, TX R+77
- Scotland, MO R+61
- Naknek, AK Even
- Troy, IA R+60
- Randolph, NH R+10
- Memphis, NE R+53
- Onia, AR R+65
- Tanner, KY R+66
Sources and methodology
Precinct-level voting records used to fit the model come from Iowa Secretary of State, Elections, distributed by the Voting and Election Science Team. Demographic inputs come from the U.S. Census Bureau (ACS 5-year estimates and the 2020 Decennial Census). Health and environmental inputs come from the CDC (PLACES and the Environmental Justice Index). Land cover comes from the USGS and EPA. Election-day and lead-up weather come from PRISM 4km daily grids and the NOAA Global Historical Climatology Network. Mail-voting and election-administration patterns come from the MIT Election Lab's Survey of the Performance of American Elections. Block-group crime detail comes from CrimeGrade. Internet data and modeling support provided by ISPreports.org.
Modeling and analysis by the BestNeighborhood data science team. Full methodology and findings: political spectrum map.
Methodology reviewed by the BestNeighborhood data team. Last updated May 2026.