This is the same thing people did with Trump where they try to take some absurd, outlandish comment and water it down to something reasonable.
The quote is "ketchup packets are not available in rural areas." It's not "rural areas struggle with poverty and food security." That would be a reasonable claim and totally uninteresting. The claim that rural WV is such a barren desert that it's impossible to find the most basic American condiment is just laughable. Just like virtually everything else she says.
By the way, she's been on a tear. There are a couple other gems in her recent Twitter history, and she also dramatically "left" the Democratic Party a few days ago.
Not to mention joining the "People's" Party, which is of course a complete joke.
