This has gotten a lot of attention from the right, including giving Rush Limbaugh a lot of laughs (and showing he doesn't understand rural life very well).
Our neighborhood store was run by two middle-aged women, who lived behind the store (until it burned). What was the nature of their relationship? Who knew, certainly not I. Nor did we care. I remember being astonished when a co-worker at my summer job (who'd had surgery for ulcers which didn't improve his disposition any) commented on them with a sneer.