The Pro-Death Administration

One of the outcomes of Trump’s “culture war” approach to the pandemic during his first administration was the documented excess death rate of the MAGA partisans who refused to wear masks or get vaccinated. Although I’m unaware of research into the survival rates of the even more hard-core cult members who imbibed bleach and/or Hydroxychloroquine per Trump’s suggestions, I assume those outcomes were similarly unfortunate.

This time around, Trump is doubling down on his “angel of death” approach. 

Thanks to his “Big Beautiful Bill,”  health care costs are poised to go through the roof. As a recent essay in the New York Times put it, health spending in the United States since 1975 “has pushed down wages, fueled inequality and left families drowning in unaffordable medical bills.” The essay’s author, who teaches public health and economics at Yale, says the administration is making it worse, and that  rising health care spending is killing the American dream.

The imminent sharp rise in health insurance premiums has been front page news for several months, but unaffordable costs are just one of the health threats faced by the vast majority of Americans who cannot pay exorbitant costs out of pocket. The installation of Mr. Brain Worm as Secretary of Health and Human Services has turned America’s public health agencies over to cranks who elevate conspiracy theories over vetted medical science.

Lincoln Square recently enumerated the threats. For example, as we’ve just seen, the CDC just voted to end universal Hepatitis B vaccine recommendations for newborns, despite the fact that the mandate has demonstrably saved lives.

Now, under Trump guidance, only infants of mothers who test positive (or whose status is unknown) receive the recommendation. Everyone else? Optional. Delayed. A ‘maybe’ if the parents decide to go that route in two months.

And here’s the thing RFK Jr. and the Trump regime aren’t talking about:

Medicare and Medicaid only cover vaccines that are recommended by federal bodies like the CDC. If you cut the recommendation, you cut the coverage. And when you cut the coverage, vaccinations become a commodity. The wealthy will pay out of pocket to protect their kids. The poor will hope and wait – and hope doesn’t prevent liver cancer.

As the article points out, this most recent assault is part of a pattern that has emerged during Trump’s second term. Health protections have been shifted from a public good to a private luxury, and preventative care is being turned into something you buy, not a human right. The wealthy get immunized; the poor get sick.

The Trump administration has raised healthcare costs, reduced Medicaid access, and increased premiums and deductibles. Working individuals can’t keep up with the costs–and fewer Americans are working. 

Americans have now watched 1.1 million jobs vanish in 2025 – the most since 2020 – with Amazon alone cutting as many as 30,000 corporate positions. Not part-time workers, but white-collar analysts, engineers, and project managers who were told they would be insulated from the automation. And rather than sounding the alarms, the Trump regime has been covering for their billionaire buddies. Jobs reports? Non-existent, because the truth is politically inconvenient when corporations are firing workers in droves during the holidays.

And in a country where healthcare is tied to employment – where those who lose work fall back on Medicaid, and Medicaid only covers vaccines recommended by the CDC – the consequences compound quickly. If parents can’t access affordable healthcare, can’t find work, can’t afford fresh food, and can’t protect their children from preventable disease, then the future looks less like a safety net and more like a prison shiv. A slow attrition of the working class. A world where the wealthy live longer, healthier lives while everyone else is riddled with disease, hungry, and desperate.

For much of my adult life, I have marveled at the idiocy of America’s approach to healthcare. We pay far more–and get far less–than other first world countries, countries that long ago recognized that healthcare is a human right, and incidentally, that national coverage offers efficiencies leading to very substantial cost savings.

Trump and his MAGA GOP are rolling back Medicare, Medicaid and the Affordable Care Act–America’s incremental “baby steps” toward more universal coverage–and substituting magical thinking for medical science. They are also ensuring that only the rich will be able to protect their health and that of their children.

As the linked article asks, “Is this the collateral damage of incompetence, or the blueprint of a ruling class preparing for a future where most of us just aren’t needed?”

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Republican Lemmings

Lemmings are small rodents living in the Northern Hemisphere, primarily in the Arctic. They are known for large migrations– but mostly for a myth of their mass suicides, as large numbers follow their leaders off cliffs.

Today’s GOP is filled with the human variety of lemmings. We saw them emerge during the pandemic, as anti-science hysteria led to the rejection of mask wearing and vaccination.  Even after the pandemic, vaccination rates have continued to fall–and that decline has followed a partisan pattern.

There are two ways people can avoid vaccination. Families can get a religious or medical exemption from state laws requiring childhood vaccinations in order to send their children to public school. Or adults can simply fail to take advantage of vaccine availability. In states that voted for Donald Trump, the number of children receiving exemptions has increased.  Adult noncompliance rose in both blue and red states, but more in red states. 

Although states, not the federal government, set vaccine mandates, the incoming administration could encourage anti-vaccine sentiment and undermine state programs. Trump’s nominee RFK, Jr. would absolutely do so. He dismisses out of hand any studies that refute his beliefs. As the linked article notes,

He claims that the measles-mumps-rubella vaccine causes autism, despite more than a dozen studies performed in seven countries on three continents involving thousands of children showing that it doesn’t.

He has claimed that “there is no vaccine that is safe and effective.” (Childhood vaccines have prevented more than one million deaths and 32 million hospitalizations over the past three decades.) He has encouraged people not to vaccinate their babies: “I see somebody on a hiking trail carrying a little baby, I say to him, ‘Better not get him vaccinated.’”

When asked about the polio vaccine, Mr. Kennedy claimed that it caused an “explosion in soft tissue cancers” that killed “many, many, many, many, many more people than polio ever did.” Setting aside the fact that an “explosion in soft tissue cancers” hasn’t occurred, studies comparing children who received early batches of polio vaccines with unvaccinated children found no differences in cancer incidence. By 1979, paralytic polio was eliminated from the United States. When Mr. Kennedy says he wants vaccines to be better studied, what he really seems to be saying is he wants studies that confirm his fixed, immutable, science-resistant beliefs. 

The author of the article, a doctor who previously served at the FDA, explained that the panel authorizing vaccines is composed of actual “skeptics,” who require significant evidence of efficacy before approving them.

Vaccine skepticism is baked into the systems with which health experts monitor vaccines after they’re authorized for use. We know that clinical trials are not enough; we need to constantly ask questions and examine new data. That’s why we have surveillance systems that can detect problems too rare to be picked up in clinical trials. 

That ongoing surveillance allowed the FDA to discover that the Johnson & Johnson Covid-19 vaccine caused dangerous clotting in about one in 250,000 people.

Detecting such risks allows us to weigh these rare harms against the enormous benefits of these vaccines.

Mr. Kennedy, on the other hand, has claimed that the Covid-19 vaccines, which have saved the lives of at least three million Americans, are “the deadliest vaccine ever made.”

Kennedy routinely misrepresents studies he cites and ignores data that doesn’t support his conclusions. And this is the person that Donald Trump has nominated to be Secretary of Health, presumably as a reward for Kennedy’s political support. 

In one sense, the nomination of JFK, Jr. is no different from Trump’s other choices, none of which have been even slightly based on the suitability of the nominee. Trump rather obviously sees these positions as rewards for loyalty–I rather doubt the notion of qualification has ever occurred to him. (After all, he himself is massively unqualified for the Presidency.–or for that matter, any responsible position.)

All of which brings us back to the issue of those Republican lemmings. At this point, it is more likely than not that this parade of clowns, misfits and ideologues will be confirmed by a Senate controlled by Republican invertebrates who value their own immediate political prospects far–far–above concerns for government competence and/or the common good. (And yes, Indiana’s Todd Young is one of them.)

 It isn’t very nice to point this out, but people who take Kennedy’s anti-vaccine delusions seriously are overwhelmingly MAGA crazies and Christian Nationalists, so–on the bright side– we might see a decline in the number who will survive to vote for GOP troglodytes. 

Meanwhile, sane Americans will watch as the lemmings go over the cliff. Unfortunately, they’ll take rational governance with them.

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I Know It’s Tacky To Laugh…

I’ve seen several references to this…event…in Texas, but I think Juanita Jean–she of the World’s Most Dangerous Beauty Shop, Inc.–has the best description. She titles it “I Love Yew, Texas.”

Well see, the QAnon people are coming to Dallas because there’s gonna be a slamdinger of a show!

Some staunch believers of QAnon think that JFK Jr is in fact alive and well, and plans to make a return to public service and announce a tilt at the White House as vice president on the ticket of Mr Trump, who has not yet announced a 2024 run but is widely considered by many to be the favourite to win the Republican nomination if he does so.

And it’s not just JFK, Jr – it’s the entire Kennedy clan showing up. However, it’s not clear if it’s all of them or just the dead ones. Word is that they are meeting on the grassy knoll, except they spelled it grassy noel, which in Texas translates to Christmas in the wheat fields.

Her best line, though, invokes Indiana’s former embarrassing Governor.

And if you’re wondering who comes back from the dead to be vice president, you need only look as far as Mike Pence. So there ya are.

Actually, I’ve been mulling over the fact that, in January, Mike Pence actually did something admirable–he refused to take part in the coup attempt. He followed the law, and refused to refuse to certify ballots. (Granted, when it comes to Mike Pence, the bar for “admirable” is very low…) As long as I’ve known him (and that is ever since we were both Republican candidates for Congress in the 1980s, so a long time) it is the only admirable thing I’ve ever seen him do–and the irony is that in today’s GOP, doing the right thing and respecting the rule of law has probably been the kiss of death to his presidential ambitions. (Not that I think those ambitions were very realistic in any event, but then, who would have  thought anyone would vote for the pussy-grabber…?)

Democrats are constantly being criticized for “elitism,” for “looking down on” unsophisticated/uneducated /rural “real Americans.” I think this is largely a bum rap: I don’t know any liberals who sneer at people simply because they lack a degree or live in a rural  area or even because they vote Republican. I do know people (and I’ll admit to being one of them) who shake our heads and perhaps even snicker at folks who look for Hillary Clinton’s child trafficking headquarters in the (non-existent) basement of a pizza parlor, or who blame California wildfires on Jewish space lasers, or who ingest horse dewormer rather than listening to their doctors and getting vaccinated…Admittedly, the people who turn up at protests with grossly misspelled signs also get a chuckle .

And forgive me if I fail to take seriously the QAnon lunatics who traveled to the “grassy noel” to await the reincarnation or whatever of JFK, Jr.

Let’s be candid: Today’s GOP is profoundly unserious about governing. Its base is filled with crackpots of various kinds, and the party’s elected officials and political leaders are virtually all spineless panderers to those crackpots. Thanks to gerrymandering, vote suppression and weaponizing of the filibuster, they’ve managed to prevent Congress from engaging in anything resembling actual governing.

If we couldn’t laugh, we’d cry.

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