In the 2000 presidential election, George W. Bush won 42 percent of the vote in Greater Appalachia, and in the 2004 presidential election, he won 51 percent. Trende notes that neither Al Gore nor John Kerry won West Virginia, Kentucky, Tennessee, Missouri, or Arkansas. Of counties that leaned Democrat in every election from 1952 through 1988 and 99 percent of which Bill Clinton had carried, Gore carried only 61 percent and Kerry carried only 56 percent. Trende concludes "Put simply: If either Kerry or Gore had been able to maintain Clinton's strength in Greater Appalachia, they would have won the presidency." Nonetheless, as Trende notes, Democrats fared well in Appalachia in the 2006 midterms by regaining support from the 1990s Clinton voter coalition, and the Democrats success there played a role in their gaining a majority in the Senate, with victories in Missouri, Ohio, Pennsylvania, and Virginia with Claire McCaskill, Sherrod Brown, Bob Casey Jr. and Jim Webb respectively. The Indiana House delegation flipped from majority Republican to majority Democratic by Democrats gaining two seats in Southern Indiana, and Democrats gained seats in western North Carolina, southern Ohio, and in the Bluegrass region of central Kentucky.