An Even Bigger “Big Sort”

I’ve referred previously to the important 2004 book The Big Sort, which documented the way in which Americans have been “sorting” ourselves by choosing to live in areas we find philosophically and politically compatible. The book, by Bill Bishop, cast light on one of the underappreciated reasons Americans are so culturally and politically divided.

Much more recently, a lengthy article fromThe New Republic documented a sharp increase in that sorting. Red states have been bleeding college graduates for a while now–in Indiana, the “brain drain” is a persistent source of concern at the statehouse– but there is considerable evidence that “hard-right social policies in red states are making this dynamic worse.”

Let me just quote a few paragraphs from the article, which–as I indicated–is lengthy.

The number of applications for OB-GYN residencies is down more than 10 percent in states that have banned abortion since Dobbs. Forty-eight teachers in Hernando County, Florida, fed up with “Don’t Say Gay” and other new laws restricting what they can teach, resigned or retired at the end of the last school year. A North Carolina law confining transgender people to bathrooms in accordance with what it said on their birth certificate was projected, before it was repealed, to cost that state $3.76 billion in business investment, including the loss of a planned global operations center for PayPal in Charlotte. A survey of college faculty in four red states (Texas, Florida, Georgia, and North Carolina) about political interference in higher education found a falloff in the number of job candidates for faculty positions, and 67 percent of the respondents said they would not recommend their state to colleagues as a place to work. Indeed, nearly one-third said they were actively considering employment elsewhere.

Until very recently, college graduates had split their votes between the parties. But with the arrival of Donald Trump,

college graduates left the Republican fold for the foreseeable future. Trump dropped the Republican share to 44 percent in 2016 and 43 percent in 2020. If Trump wins the nomination in 2024, the GOP’s share of college voters could drop below 40, and I don’t see any of Trump’s challengers for the Republican nomination doing much better. It isn’t clear they even want to, because today’s GOP sees college graduates as the enemy.

Then there’s the accelerating exodus of OB-GYNs from states governed by Republicans who–in Barney Frank’s memorable phase–believe life begins at conception and ends at birth.

It was hard enough for red states to hold onto their OB-GYNs even before Dobbs. A little more than one-third of all counties nationwide are “maternity care deserts,” typically in rural areas, with no hospitals or birthing centers that offer obstetric care and no individual obstetric providers (not even midwives), according to the March of Dimes.

It isn’t just OB-GYNs and the relative handful of doctors who assist transgender children. It’s also educators.

Since January 2021, 18 states have imposed restrictions on how teachers may address the subjects of race and gender, according to Education Week’s Sarah Schwartz. These include most of the Dobbs Fourteen and a few add-ons, including Florida and New Hampshire. According to a 2022 study by the RAND Corporation, legislative action not only accelerated after 2021 but also became more repressive, extending beyond the classroom to restrict professional development plans for teachers. Let’s call these teacher-harassing states the Morrison Eighteen, in honor of the late Nobel laureate Toni Morrison, whose The Bluest Eye is number three with a bullet on the American Library Association’s 2022 list of books most frequently targeted for removal. (The 1970 novel ranked eighth in 2021 and ninth in 2020.)

Taking a tour of the Morrison Eighteen, we find Texas teachers quitting at a rate that’s 25 percent above the national average. In Tennessee, the vacancy rate for all public schools is 5.5 percent, compared to a national average of 4 percent. South Carolina has teacher shortages in 17 subject areas this school year, more than any other state.

But Governor Ron DeSantis’s Florida is the undisputed champ. A 2022 study led by Tuan D. Nguyen of Kansas State University found that Florida had the most teacher vacancies in the country, followed by Georgia, Mississippi, and Alabama (all Morrison Eighteen states). Florida also logged the highest number of under-qualified teachers.

Remember John Edwards theme of “Two Americas”? He wasn’t talking about the culture wars then, but the phrase certainly seems appropriate.

In 2010, the GOP’s incredibly successful Redmap project--its “gerrymander on steroids”–installed rightwing legislators in a number of formerly competitive states. Those lawmakers proceeded to pass the culture war policies that are motivating the exodus of educated citizens and professionals–aka “smarty pants”–  resented by the angry know-nothings who are now the GOP’s base voters.

And so here we are. Click through, read the entire article, and weep….

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How Is State-Level Theocracy Working Out?

A while back, I read an article detailing the various social deficits of Red states–documenting the greater incidence of a wide variety of social ills in states governed by the GOP. Those problems included everything from more spousal abuse to more obesity; more teen pregnancy and sexually-transmitted disease; more bankruptcies and greater poverty; worse maternal and infant mortality numbers; more rapes, robberies, and aggravated assaults; more student dropouts, more people on welfare, more homelessness; more gun deaths…

It was a long– grim–list.

The post came with hyperlinks, and I clicked through (and did some supplemental research), to confirm the accuracy of the list–which was even more extensive than the items I’ve shared.

The obvious question is: why? Why is there such a difference between Red and Blue states, all of which are part of the United States and all of which presumably participate to some extent in the same national culture? I could understand differences attributable to climate, to industry, to location, to economy–but why would there be such stark social differences based on a state’s political orientation?

The only answer that makes sense is rooted in the very different policy preferences of today’s Republican and Democratic politicians. A past state history of racism undoubtedly factors in, but the article noted that many of the policies that produce these socially problematic results stem from the GOP’s embrace in 1980 of what it termed “religious grifters.”

Prior to 1980,

George HW Bush and his wife Barbara had been big advocates for Planned Parenthood and a woman’s right to choose an abortion.  Ronald Reagan, as governor of California, had signed the nation’s single most liberal abortion law and was also an outspoken supporter of Roe v Wade and Planned Parenthood.

Similarly, the white evangelical movement prior to 1980 was largely supportive of abortion rights.  They were furious, however, when the Supreme Court banned preacher-led school prayer and in the late 1970s Jimmy Carter pulled the tax exemptions of segregated schools run by white evangelicals.

As I have previously noted, historians of religion have documented the Religious Right’s  tactical decision to focus on abortion to turn out Evangelical voters.

Weyrich and Falwell realized that the tax exemption issue based on racial discrimination had limited value, but opposing abortion was a moral issue cutting across racial and religious lines. That was their thinking on the eve of the 1980 elections.

The election that year saw the first full merger in American history between a major political party and a religious movement largely run by grifters.

The GOP also adopted Falwell’s call for a return to school prayer, hostility to sex education, rejection of women’s rights, assertion of patriarchy, and open hatred of homosexuality.

Championing what today we’d call the “culture wars” and “war on woke,” Republicans fully embraced the anti-science perspective of Falwell and his colleagues, questioning for the first time the theory of evolution and scoffing at concerns about pollution causing cancer, global warming, and a wide variety of diseases.

Hostility to science engendered hostility to education, to “elitists” and “pointy-headed liberals.” And we were off to the races.

When government ignores its basic, legitimate obligations–public safety, provision of  physical and social infrastructure, protection of civil liberties–and focuses instead on imposing religious doctrine, public policies are no longer based upon efforts to improve citizens’ welfare and an attendant evaluation of empirical evidence about what has and hasn’t worked.

Worse, the very definition of public welfare–of the common good– is re-focused. It no longer rests on data about the health and financial security of citizens. Instead, lawmakers are consumed with issues of “morality.” So we end up with states like Indiana in which women are forced to give birth to babies whose welfare those legislators subsequently ignore, and public schools that are underfunded because tax dollars have been siphoned off  to support religion.

Today, the GOP makes policy choices based upon White Christian Nationalist dogma (with a substantial helping of racism). The results are obvious. Blue states overall enjoy substantially better social health and safety outcomes. And because of that, they attract more businesses and more talented workers, and they send more money to Washington–money that subsidizes the Red states.

The Washington Post parsed the numbers:

Nine of the 10 states that sent the most to the federal government, per person, voted for President Biden in 2020. Nine of the 10 states that sent the least voted for former president Donald Trump. The typical resident of deep-blue Connecticut sent almost three times as much to Washington as the typical resident of deep-red Mississippi.

If those subsidies were paying for health care or better policing, that would be one thing. Paying for theocracy and poor social outcomes is considerably less defensible.

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The Widening Gulf

A reader recently sent me a copy of a column from his local paper. (Congratulations on still having one of those…)

The column (behind a paywall) looked at the ever-widening gulf between legislatures controlled by Republicans and those in majority-democratic states. Those differences, the column suggested, can offer a lens on where the country is heading.

Given the rest of the column, I’d guess that we are heading for further polarization, if not a cold civil war…

The author identified three “big themes” playing out across state capitols this year. The first such theme is no surprise– the “continuing rise of hyper-polarized policies. Red and blue states will push further apart on everything from voting laws, abortion, gay rights, education and taxation. States under single-party dominance–the “trifecta states”– will  feel free to pursue their very divergent approaches to America’s culture wars.

This year there are 39 “trifecta” states, in which a single party controls all three branches of government (both chambers of the legislature and the governor’s office). This allows states to “make decisions and make them relatively quickly,” says Peverill Squire of the University of Missouri, an expert on legislatures. “The contrast with Washington will be stark.”

The column gave examples, including Red Wyoming, where a bill that (mercifully) died in committee would have banned the sale of all new electric vehicles starting in 2035, in order to protect the state’s oil and gas industry.

Blue California is considering several new gun control proposals; while Florida and other Red states, are likely to legalize permitless carry.” (Red Indiana already passed this, over the dire and entirely accurate predications of law enforcement personnel.)

A second theme will be Red state governments taking aim at private companies that have the nerve to defy lawmakers’ partisan political agendas. Proposals currently pending in Republican states, including (of course!) Texas, would revoke firms’ tax incentives if they help employees get abortions.

What ever happened to the Republican Party that–according to Barry Goldwater–wanted to keep government out of both your boardroom and your bedroom? Ah–for the good old days…

Blue California is considering a cap on oil firms’ profits, while legislators in Arkansas, Missouri and South Carolina (and Indiana) want to prohibit state governments from doing business with firms that take environmental, social and governance (ESG) principles into account.

And of course,”some governors will use these legislative sessions as résumé-building for higher office.” Ron DeSantis is way out in front on that “theme”–staking out a coveted MAGA position as head of the White Nationalist movement. The column noted “DeSantis’s signature policies”–restricting what students can be taught about sex and sexuality, punishing Disney for inclusiveness, waging war on anything he can label “woke” and of course, gerrymandering and suppressing the votes of Black Floridians…

Constitution? What Constitution?

As the article pointed out, it isn’t just the big states that are political weather vanes.

smaller states that became Democratic trifectas in 2022, Michigan and Minnesota, will generate headlines too. If rumblings that Michigan is going to repeal its anti-union “right-to-work” law prove correct, it would be the first state to do so since 1965, says Chris Warshaw of George Washington University.

The column says that one way to think of these 2023 state legislative sessions is as a long-running television drama, featuring many of the “same characters and issues from last time: abortion, rights for LGBTQ people, and culture-war debates on curricula in public schools. Already, 202 LGBTQ-related bills have been introduced; a record, according to the American Civil Liberties Union. (Missouri, with 31, has the most, followed by Oklahoma’s 27.)”

Proposals include banning trans children from having surgery or anyone born male from taking part in girls’ sports. There is talk of banning and even criminalizing drag shows.

The author noted that more prosaic concerns–the actual work of government–are getting short shrift. But even there, the division between Red and Blue is stark: 
in numerous states that are still enjoying large surpluses, thanks to high tax receipts and federal money, Red state governors want to use the funds to cut taxes, not to improve decaying infrastructure or (heaven forbid!) pay teachers a living wage. 

As the column concluded, 

Most legislatures would be wise to squirrel away some of their surpluses for times of economic duress, says Justin Theal of Pew Charitable Trusts, which monitors states’ fiscal health.

But for politicians, saving has never generated as many headlines as raving.

And headlines are the name of the game when politics becomes performative….

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OK, Let’s Talk About Mental Health

It’s so predictable. And maddening. After each horrific mass shooting, Republicans pandering to the NRA insist that the problem isn’t guns–it’s mental health.

The most obvious response is equally predictable (albeit far more intellectually honest):  these attacks are vanishingly rare in countries where there are similar proportions of  mentally ill citizens but far fewer guns.

Mental health professionals will also point out that the great majority of people diagnosed with a mental health problem are not violent, so pointing to an undifferentiated “mental health” crisis is simply an effort to distract from the role played by virtually unrestricted gun ownership.

I personally agree with a New Republic headline:“The Main Mental Health Issue in This Country Is in the Republican Party.”

That said, I also agree that, overall, America does a very poor job of diagnosing and treating mental illness. So if we were to ignore the immense hypocrisy of the Republicans who only respond to these massacres by advocating an increase in resources devoted to mental health, we might welcome their sudden attention to that scarcity and their apparently heartfelt efforts to address it. (Snark alert: If you believe those efforts are really heartfelt, I have some swampland in Florida to sell you…)

The linked article from the New Republic looked at the existing patchwork of state funding for mental health diagnosis and treatment.

Before you click, just hazard a guess: Of the top 10 states, how many are red? Likewise, how many of the bottom 10 are red? And where do you imagine Texas ranks?

If you don’t feel like floating down that rabbit hole, I’ll save you the trouble. The top 10 states are: Maine, Pennsylvania, Arizona, New York, New Jersey, New Hampshire, Montana, Vermont, California, Maryland. One red state in the bunch (yes, Arizona is borderline, but it went Democratic in 2020). The bottom 10, from forty-first to fiftieth, are: Florida, Wyoming, North Dakota, Delaware, Louisiana, Oklahoma, Kentucky, Idaho, West Virginia, Arkansas. One blue state.

And Texas—where that lying death cultist of a governor vows to attack the scourge of mental illness with a zeal unmatched since Wayne LaPierre took his last trip to Zegna—just misses the bottom 10, in fortieth place. I doubt I even need to point out (although for the record I will) that Greg Abbott and the state’s Republicans have been cutting mental health funding, by more than $200 million over the last two years.

The article noted that there has been one –and only one–major expansion of mental health spending and insurance coverage in recent American history–and it was part of the Affordable Care Act., aka Obamacare. According to a Commonwealth Fund report, the ACA’s impact on the country’s mental health has been salutary, particularly in states that accepted Medicaid funding.

And we all know how the GOP has reacted to that particular expansion of access to healthcare, including mental healthcare.

The GOP then spent years trying to repeal and “replace” it. Trump also wanted it repealed. So the sole major expansion of mental health coverage in this century was contained in a bill whose passage every Republican in Washington opposed and on which most Republican governors have refused to participate in the state-level implementation. Come to think of it, probably the sole reason the red state of Montana ranks in the top 10 on mental health spending is that the state took the Medicaid expansion money under former Democratic Governor Steve Bullock.

Republicans are not going to expand mental health funding. Mental health care is for sissies and liberals. The only thing they’re going to expand is access to guns. We know this because recent history tells us so. Last week in Vox, Zack Beauchamp posted a shocking but not surprising report on academic studies of legislative responses at the state level to mass shootings. The finding? The norm in this country has been that mass shootings have been used by state legislatures and governors as an excuse to loosen gun laws, not tighten them. This is our country.

We have a mental health problem, all right– but it’s primarily among Republican legislators.

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Red States, Blue States…And Death Rates

The other day, during a political discussion (these days, pretty much every discussion gets political) my youngest son wondered aloud whether it had been a mistake to win the Civil War. The red states of the South have been an economic drag on the blue states for a long time–they send significantly fewer dollars to Washington than they receive courtesy of blue state largesse.

My son was being flip, but his characterization of Red and Blue states wasn’t far off. As Paul Krugman wrote in a recent column in the New York Times, “the political divide is also, increasingly, an economic divide.”

Democratic-leaning areas used to look similar to Republican-leaning areas in terms of productivity, income and education. But they have been rapidly diverging, with blue areas getting more productive, richer and better educated. In the close presidential election of 2000, counties that supported Al Gore over George W. Bush accounted for only a little over half the nation’s economic output. In the close election of 2016, counties that supported Hillary Clinton accounted for 64 percent of output, almost twice the share of Trump country.

Evidently, however, we don’t just live in different economies–lately, we also die differently.

Back in the Bush years I used to encounter people who insisted that the United States had the world’s longest life expectancy. They hadn’t looked at the data, they just assumed that America was No. 1 on everything. Even then it wasn’t true: U.S. life expectancy has been below that of other advanced countries for a long time.

The death gap has, however, widened considerably in recent years as a result of increased mortality among working-age Americans. This rise in mortality has, in turn, been largely a result of rising “deaths of despair”: drug overdoses, suicides and alcohol. And the rise in these deaths has led to declining overall life expectancy for the past few years.

What I haven’t seen emphasized is the divergence in life expectancy within the United States and its close correlation with political orientation. True, a recent Times article on the phenomenon noted that life expectancy in coastal metropolitan areas is still rising about as fast as life expectancy in other advanced countries. But the regional divide goes deeper than that.

It turns out that the “death divide” Krugman is addressing is closely correlated with political orientation.

I looked at states that voted for Donald Trump versus states that voted for Clinton in 2016, and calculated average life expectancy weighted by their 2016 population. In 1990, today’s red and blue states had almost the same life expectancy. Since then, however, life expectancy in Clinton states has risen more or less in line with other advanced countries, compared with almost no gain in Trump country. At this point, blue-state residents can expect to live more than four years longer than their red-state counterparts.

There are a number of possible explanations: blue states expanded Medicaid while most red states didn’t, for example. The gap in educational levels is probably implicated as well; better-educated people tend to be healthier than the less educated, for a number of reasons.

Krugman also notes differences in behavior and lifestyle that affect mortality. (Although obesity has dramatically increased all across America, obesity rates are significantly higher in red states.)

Krugman references–and debunks–conservative explanations for the death divide:

Conservative figures like William Barr, the attorney general, look at rising mortality in America and attribute it to the collapse of traditional values — a collapse they attribute, in turn, to the evil machinations of “militant secularists.” The secularist assault on traditional values, Barr claims, lies behind “soaring suicide rates,” rising violence and “a deadly drug epidemic.”

But European nations, which are far more secularist than we are, haven’t seen a comparable rise in deaths of despair and an American-style decline in life expectancy. And even within America these evils are concentrated in states that voted for Trump, and have largely bypassed the more secular blue states.

Although he doesn’t mention it, I’d also be interested in seeing a comparison of gun deaths in Red and Blue states.

Actually, conservatives like Barr inadvertently make a point: culture and values matter. Just not the way they think.

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