What Can Be Repaired? What Can’t?

Just a quick note before today’s post: my husband and I attended the No Kings protest in Indianapolis, and were blown away by the size, composition and positivity of the crowd. (I think my 93-year-old hubby may have been the oldest attendee, but there were lots of older folks–as well as younger and middle-aged ones.) The thousands of attendees were upbeat, entirely peaceful, and the numerous signs they carried weren’t just clever–they were patriotic in the best sense of the word.

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When I try to find cause for optimism, I tell myself that–while the incredible destruction being wreaked by Trump and his merry band of morons, misfits and clowns is horrific–a lot of government systems had become calcified and overly bureaucratic, and that once this despicable crew has left, we can (to use Joe Biden’s term) “build back better.”

Unfortunately, reality then kicks in.

A while back, Thomas Edsall addressed that reality in a New York Times op-ed. The title was “What Can’t Trump Wreck?” and the column distinguished between the kind of damage that can be redressed relatively quickly and the damage that can’t.

Edsall began by reminding readers that Trump’s inhumane cuts to USAID are predicted to result in more than 14.05 million all-age deaths by 2030– a number that includes the death of 4.54 million children younger than age 5 years. Rather obviously,  lives lost remain lost.

We can count the dead. We can assess–at least approximately– the damage done by ICE’s thuggish behaviors– the human costs of its indiscriminate kidnapping, the social costs of its undermining of the rule of law, and the economic losses to farmers deprived of workers to pick their crops.

What we can’t quantify are the immense consequences that flow from a lack of institutional memory and expertise. Edsall quoted Sam Issacharoff, a law professor at N.Y.U., who wrote:

Government stretches the time frame for decision making. Long-term investments, collective needs like roads and defense, these are all matters that require long-term investment and expertise. Experience creates what the Swedish political scientist Bo Rothstein calls “knowledge realism,” the know-how created by experience and repeat efforts.

The dismissal of career experts, the dismantling of long-horizon science projects are examples of what cannot be recreated. What happens if tensions resurface between North and South Korea or between India and Pakistan? Who guides policy if the State and Defense Departments lose their experts? This is something where the next administration cannot simply reopen the spigot and recreate. Expertise is long to create and fast to destroy.

Ordinary citizens are likely to bear the brunt of the administration’s assaults on medical science and research, its destructive incursions into agencies like the National Institutes of Health and the Centers for Disease Control and Prevention, and the withholding of  billions of federal dollars that had been awarded to medical researchers.

 “Federal funding for biomedical research is central to health care innovation,” David Cutler and Edward Glaeser, economists at Harvard, wrote in “Cutting the N.I.H. — The $8 Trillion Health Care Catastrophe,” published in May in The Journal of the American Medical Association. “More than 99 percent of all new drugs approved from 2010 through 2019 had some antecedent research funded by the N.I.H.”

Another study documented the administration’s withholding of financing and undermining of government oversight in multiple areas, including long-term care, scientific research and vaccination policy. The administration’s budget proposals and “Big Beautiful Bill” include severe reductions in health care access, including the outright termination of services for immigrants and gender minorities. Its mass layoffs of scientific and regulatory specialists will be difficult to reverse.

William Galston, a prominent social scientist, weighed in, writing that there has been “irreparable damage” on both the home front and in foreign relations. He cited the “destruction of America’s reputation as the best place in the world for the most promising scientists and innovators of various kinds to conduct research. The evisceration of funding for basic research will be hard to reverse without restoring some bipartisan agreement about the importance of knowledge and expertise. I’m not holding my breath.”

Galston argued that irreparable harm has been done to America’s relations with the rest of the world. Trump hasn’t simply upended the longstanding system of multilateral trade relations that this country created, but he has destroyed the “trust the United States built up over decades as the guarantor of European security, of support for democracy and human rights and provider of global public goods such as freedom of the seas.”

Edsall’s op-ed enumerates a number of areas where rebuilding will be difficult, if it can be done at all, very much including Trump’s assaults on the civil service–from the firing of thousands of workers (many of whom had irreplaceable expertise)  and turning thousands more into “at will” employees, to efforts to politicise the federal workforce in continued defiance of the Hatch Act.

A Senior Fellow at the Brookings Institution called the Trump administration “the political-societal equivalent of a neutron bomb, and predicted that, even if Democrats take over, it will take far more than the next four years to rebuild it.

He isn’t wrong.

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Homophobes’ New Focus

A  2022 Grinnell College Poll found that 74% of Americans believe same-sex marriage should be a guaranteed right .Only 13% disagreed (the remaining13% were uncertain.) Also last year, Gallup announced that approval of same-sex marriage had hit a new high.

Faced with numbers like that, what are Republican homophobes to do?

Not that they aren’t trying. Daily Kos recently reported that

Conservatives are working hard to ostracize and delegitimize marginalized folks and are attacking the LGBTQ+ community wherever they can, ranging from sports bans to health care barriers to criminalizing drag shows. 

Given current American attitudes toward more “run-of-the-mill” gay folks, trans children have been taking the brunt of the  GOP’s attacks. 

As the ACLU has recently reminded us, even before this year’s start of state legislative sessions, the organization had pinpointed  over 25 pre-filed bills that “would strip away young transgender people’s ability to access necessary and life-saving health care.” Over 100 anti-LGBTQ bills have been introduced so far, and the majority target trans rights.

As the ACLU noted, the same politicians that don’t want women to control their own bodies also oppose allowing trans people to make decisions around their own gender identity and medical care.

I realize that Americans have had less time to become accustomed to–or even familiar with– the issues raised by transitioning. I can even understand the concerns around athletic performance and the possibility that trans women might have an unfair advantage, although medical science tells us those concerns are unwarranted.

It is much harder to understand the animus that leads GOP lawmakers to propose bills punishing supportive parents and doctors who provide medical care to transgender minors. It’s especially hard for me to understand why those legislators think they have a right to interfere in such profoundly personal matters.

South Dakota lawmakers have introduced a bill they call “Help Not Harm;” it would ban physicians from prescribing hormonal therapy and from performing gender-affirming surgeries on minors (something I’m told doesn’t occur). Physicians who provide such care would be subject to review by a medical board, and potential loss of their licenses.

Utah lawmakers have introduced several anti-trans bills. One would prevent trans youth from updating their birth certificates until they turn 18. A far more harmful bill would–in addition to banning that non-occurring surgery for minors — would also bar the puberty blockers and hormonal therapies that are prescribed.

Nebraska Republicans have introduced “Sports and Spaces”– banning youth from participating in sports teams that don’t align with their sex as assigned at birth. The bill would also bar trans youth from using locker rooms that align with their gender identity.

More than a dozen states have introduced anti-trans health care legislation. Dailly Kos lists Virginia, Utah, Texas, Tennessee, North Dakota, Oklahoma, South Carolina, Missouri, Montana, Nebraska, New Hampshire, Kansas, and Kentucky–and a friend of mine who lobbies Indiana’s General Assembly on behalf of several medical associations tells me they expect a similar attempt in Indiana.

Evidently, it isn’t enough to pick on women and trans children. The GOP knows how terribly dangerous librarians are. As the linked article reports,

Over in North Dakota, Republicans are racing to ban even more books. As reported by the Associated Press, Mike Lefor, who serves as House Majority Leader, introduced HB 1205 seeking to ban books with “sexually explicit” content from all public libraries in the state. Not just keep them out of young adult sections. Not just exclude them from certain programming. Not just from school libraries. Ban them from public libraries, period.

And yes, that “sexually explicit” includes depictions of gender identity and sexual orientation. The measure proposes up to 30 days imprisonment for librarians who don’t remove such books from libraries if the bill becomes law. Folks could also face a $1,500 fine and a Class B misdemeanor. 

When the Supreme Court overruled Roe v. Wade in Dobbs, it called into question an important principle of constitutional jurisprudence called substantive due process. That doctrine means that there are certain issues that government doesn’t get to decide. For over fifty years, the Court has recognized that “intimate personal decisions” not specifically enumerated in the Bill of Rights also must be protected against overreaching government– that the Bill of Rights requires respect for individual autonomy– that liberty means there are places in the lives of individuals where government doesn’t belong.

Only the individual involved can know who he or she or they really is. We can only hope that conflicted individuals are able to access the help of supportive parents and caring doctors–and even a librarian or two. 

Certainly not a state legislature.

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