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Posts Tagged ‘MEDICARE’

REPUBLICANS’ LATEST TARGET–DOCTORS: PART SIX (OF SEVEN)

In Bureaucracy, History, Law, Medical, Politics, Social commentary on October 2, 2025 at 12:22 am

As a Presidential candidate in 2024, Donald Trump warned Americans that he planned to decimate their healthcare system: His Secretary of Health and Human Services would be Robert F. Kennedy, Jr.    

On October 27, speaking at a rally in Madison Square Garden, Trump said: “I’m going to let him go wild on health. I’m going to let him go wild on the food. I’m going to let him go wild on the medicines.

“The only thing I don’t think I’m going to let him even get near is the liquid gold that we have under our feet,” he added, referring to oil.

Kennedy, the son of the late Senator Robert F. Kennedy, is a self-admitted former 14-year heroin addict, which he has said began at age 15.

On September 16, 1983, he was charged with heroin possession in Rapid City, South Dakota. In February 1984, he pleaded guilty to a single felony charge of possession of heroin, and was sentenced to two years’ probation and community service. After his arrest, he entered a drug treatment center. 

Robert F. Kennedy Jr.

Since 2005, Kennedy has peddled vaccine misinformation and public health conspiracy theories. Among these: HIV/AIDS denialism (that the human immune deficiency virus—HIV—does not cause acquired immune deficiency syndrome (AIDS).

His vaccine misinformation has included:

  • Vaccines cause autism;
  • The COVID-19 vaccine—which has saved countless lives—is “the deadliest vaccine ever made.” 
  • There is no comprehensive system for monitoring vaccine safety.

So how did such a man become the final arbiter of the American healthcare system?  During 2024, he ran an independent Presidential campaign before dropping out in August and endorsing Trump.

Predictively, since taking office on February 13, Kennedy has proven a disaster for the scientific approach to medicine. 

On February 14, around 1,300 employees of the Centers for Disease Control and Prevention (CDC) were laid off by the administration, which included all first-year officers of the Epidemic Intelligence Service.

In August, over 600 CDC employees were laid off and a number of programs completely dismantled, including maternal and child health services, oral health programs, and the CDC’s long-running Violence Against Children and Youth Surveys.

At the May 6 meeting of the National Comprehensive Cancer Network, Rep. Kim Schrier, M.D. (D-Washington) decried the Trump administration for attacking American healthcare.

The first pediatrician elected to the House, Schrier warned: “We’ve got to recognize that our nation’s health care system is under attack right now.

Kim Schrier

“What we’re seeing now from the current administration has been infuriating and reckless, and this includes slashing medical research and essential staff and funding from agencies like the CDC, the NIH and the FDA, and this kneecaps U.S. research and innovation, and it jeopardizes public health.

“It also cedes the ground for U.S. leadership in the world, and basically hands that leadership to China. That’s plain wrong, and I feel like it just undermines U.S. leadership in the world.”

Referring to the $1 trillion in Medicaid funding cuts mandated in Donald Trump’s “Big Beautiful Bill” then certain to be passed by the Republican-controlled Congress, Schrier noted: 

“These cuts would be disastrous and detrimental for the most vulnerable members of our communities, many of whom are at higher risk for cancer, for deaths from cancer, for late detection of cancer, and I want you to know that I’m doing everything in my power to call out the destruction these cuts would cause, to restore funding for medical research, especially cancer research, and to stand up for patients.” 

Trump signed the “Big Beautiful Bill” into law on July 4.

On June 9, 92 National Institute of Health researchers, program directors, branch chiefs and scientific review officers signed their names in a protest letter to Jay Bhattacharya, their Trump-appointed director. Another 250 of their colleagues across the agency endorsed the declaration without using their names.

Accusing the Trump administration of spreading “a culture of fear and suppression,” the declaration said: “We are compelled to speak up when our leadership prioritizes political momentum over human safety and faithful stewardship of public resources.”

Its accusations included:

  • NIH’s terminating 2,100 research grants valued at more than $12 billion;
  • The resulting human costs—such as cutting off medication regimens to participants in clinical trials or leaving them with unmonitored device implants;
  • NIH’s ending a $5 million research study when it was 80% complete.

On August 9, a 30-year-old Georgia man, Patrick Joseph White, fired over 180 rounds on the CCD headquarters in Atlanta, breaking about 150 windows and piercing some of the blast-resistant windows.

Influenced by anti-vaccine conspiracy theories, he believed the COVID-19 vaccine had made him depressed and suicidal.

White died from a self-inflicted gunshot wound.

Fired But Fighting, a group of laid-off CDC employees, blamed the attack on the anti-vaccine rhetoric on the Trump administration. Kennedy, they charged, “is directly responsible for the villainization of CDC’s workforce through his continuous lies about science and vaccine safety.” 

Under Kennedy, CDC has laid off nearly 2,000 employees. And Trump proposes cutting the agency’s budget in half in 2026. 

Fired But Fighting also demanded the resignation of Russell Vought, director of the Office of Management and Budget. In a a video he had said:

“We want the bureaucrats to be traumatically affected. When they wake up in the morning, we want them to not want to go to work, because they are increasingly viewed as the villains.”

REPUBLICANS’ LATEST TARGET–DOCTORS: PART FIVE (OF SEVEN)

In Bureaucracy, History, Law, Medical, Politics, Social commentary on October 1, 2025 at 12:10 am

In an October 27, 2020 press release from the White House Office of Science and Technology Policy, “Advisor to the President” and First Daughter Ivanka Trump noted her father’s signature achievement:   

“ENDING THE COVID-19 PANDEMIC. From the outset of the COVID019 pandemic, the Administration has taken decisive action to engage scientists and health professionals in academia, industry, and government to understand, treat and defeat the disease.” 

Ivanka Trump has absolutely no scientific or technology background.  

Ivanka Trump

In January, 2020, Donald Trump confronted an enemy—to his re-election—that he couldn’t bribe or intimidate.

Unable to apply his trademark solutions, he was forced to improvise one attempted remedy after another. Chief among these:

  • Denial
  • Lies
  • Extortion
  • Propaganda as news
  • Attacking science
  • Reopening the country 
  • Resignation.

Ultimately, the virus—far more than Democratic nominee Joseph Biden—proved his fatal enemy.

Millions of Americans didn’t care that Trump had criminally fired FBI director James Comey and tried to coerce the president of Ukraine to smear Biden. Nor that he had antagonized America’s closest allies while paying homage to Russian dictator Vladimir Putin.

But when COVID-19 wiped out their jobs, their children had to stay home because schools were closed, and they couldn’t pay their mortgage, Trump’s “President-for-Life” ambitions were doomed.

One of the harshest—and most poignant—attacks on Donald Trump came on August 17, 2020. It was delivered at the Democratic National Convention by Kristin Urquiza—the daughter of one of Trump’s 2016 supporters.

That supporter, Mark Anthony Urquiza, had died—from COVID-19.

Kristin Urquiza, MPA (she/her) on Twitter: "Yes, I'm boiled over. Thanks for sharing my dads obit. 💔 @MarkedByCovid… "

Kristin Urquiza

In early June, he contracted the disease, shortly after Arizona lifted its stay-at-home order. He visited a karaoke bar with friends—and died, alone, after five days on a ventilator.

“My dad, Mark Anthony Urquiza, should be here today, but he isn’t,” Kristin said during a televised segment. “He had faith in Donald Trump.

“He voted for him, listened to him, believed him and his mouthpieces when they said that Coronavirus was under control and going to disappear; that it was OK to end social distancing rules before it was safe; and that if you had no underlying health conditions, you’d probably be fine.

“My dad was a healthy 65-year-old. His only preexisting condition was trusting Donald Trump, and for that he paid with his life.”   

By the time that Joseph R. Biden took office as the 46th President of the United States on January 20, 2021, more than 400,000 Americans had died of COVID-19.

Four years later, 77 million Americans returned to office the man responsible for the deaths of many of their friends and family members.

Head-and-shoulders shot of Trump with a serious facial expression, his right eye partly closed. He is wearing a dark blue suit, a pale blue dress shirt, a red necktie, and an American flag lapel pin. Parts of the image are slightly out of focus. The background is black.

Donald Trump

Donald Trump was the most prominent Republican to:

  • Dismiss—and even lie about—the dangers of COVID-19.
  • Promote quack cures and attack legitimate medical professionals who urged citizens to mask up and socially distance.
  • Incited his cult followers to violently defy governors and mayors who declared stay-at-home orders.

But it’s essential to remember that he was supported in this by virtually the entire Republican party.

Once Biden took office, he put the full weight of his Presidency behind legitimate medical science, urging Americans to get vaccinated, mask up and socially distance.

Since Donald Trump moved into the White House again on January 20, 2025, he has relentlessly attacked the medical profession. And, once again, virtually all House and Senate Republicans have supported him in these assaults. 

On March 14, Representative Kim Schrier, M.D. (D-WA) and the other five Democratic physicians serving in the U.S. House of Representatives announced the launch of the Congressional Doctors Caucus.

Schrier condemned Congressional Republicans for “questioning [the] proven safety and efficacy of vaccinations, and endanger[ing] our public health by knee-capping key agencies and medical research.

“Together, we will stand up for patients, providers, innovation, science, and common sense improvements that enhance health care and bring down costs.”

But voters had not only elected Trump to office; they elected Republican majorities in the House and Senate. As a result, Democrats were powerless to halt Trump’s relentless efforts to dismantle the American healthcare system.

On July 4, Trump signed the One Big Beautiful Bill Act into law, which enacts significant cuts to federal health programs to help pay for tax reductions.

The law primarily impacts Medicaid, Medicare, and the Affordable Care Act (ACA), and is projected to cause millions of Americans to lose health insurance coverage. 

The bill includes the largest cuts in Medicaid’s history, reducing funding by nearly $1 trillion over the next decade. Among its impacts: 

  • Able-bodied adults aged 19–64 must now work, volunteer, or participate in qualifying activities for at least 80 hours per month to maintain their coverage.
  • Medicaid eligibility has been eliminated for certain categories of lawfully present immigrants, including refugees and asylees, effective October 1, 2026.
  • States are required to verify eligibility for Medicaid expansion enrollees every six months, instead of annually. Hundreds of thousands could lose coverage.

Trump’s appointment of Robert F. Kennedy, Jr., as Secretary of Health and Human Services (HHS) has proven the single most destructive attack on the American healthcare system.

Kennedy, the son of the late Senator Robert F. Kennedy, is a self-admitted former 14-year heroin addict, whose addiction began at age 15.

REPUBLICANS’ LATEST TARGET–DOCTORS: PART FOUR (OF SEVEN)

In Bureaucracy, History, Law, Medical, Politics, Social commentary on September 30, 2025 at 12:26 am

Once states across the country began “reopening,” President Donald J. Trump scheduled his first 2020 re-election rally in Tulsa, Oklahoma.   

Then, to celebrate Independence Day, Trump scheduled yet another rally at Mount Rushmore, in Keystone, South Dakota, on July 3. 

Trump rallies supporters in Wis. as Democrats debate in Iowa

A Trump rally

Although health experts expressed fears about large gatherings during the Coronavirus pandemic, South Dakota Governor Kristi Noem said people would “not be social distancing” during the celebration:

“In South Dakota, we’ve told people to focus on personal responsibility….Those who want to come and join us, we’ll be giving out free face masks, if they choose to wear one. But we won’t be social distancing.”  

According to a July 3 story by NBC News: “Eager to move forward and reopen the economy amid a recession and a looming presidential election, the White House is now pushing acceptance. ‘The virus is with us, but we need to live with it,’ is how one official said the administration plans to message on the pandemic.” 

On June 30, Dr. Anthony Fauci, director of the U.S. National Institute of Allergy and Infectious Diseases, testified before the U.S. Senate: “We are now having 40-plus thousand new cases a day. I would not be surprised if we go up to 100,000 a day if this does not turn around.” 

Fauci warned that the infection surge across the South and West “puts the entire country at risk.” Much of that increase was being fueled by young adults testing positive for COVID-19. 

Anthony Fauci

Christopher Michel, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0&gt;, via Wikimedia Commons

But Trump wanted children to return to school—and not through virtual classes at home.

And he wasn’t asking parents to send their children back to school after summer. He was ordering them to.

On July 8, 2020, he tweeted that he might withhold federal funding from schools that did not resume in-person classes that fall:

“In Germany, Denmark, Norway, Sweden and many other countries, SCHOOLS ARE OPEN WITH NO PROBLEMS. The Dems think it would be bad for them politically if U.S. schools open before the November Election, but is important for the children & families. May cut off funding if not open!” 

And moments after making that threat, Trump said the guidelines of his own Centers for Disease Prevention and Control (CDC) for safely reopening schools were too expensive and impractical.

CDC headquarters in Atlanta, Georgia

Among those guidelines:

  • Schools should have markings on sidewalks and walls, that mark off six feet, and signs reminding students of protective measures.
  • Masks should be worn by students and faculty, “as feasible,” and especially when keeping a distance isn’t possible.
  • Sharing equipment, games and supplies should be avoided. If that’s not possible, they should be cleaned after each use.
  • Playgrounds, cafeterias and dining halls should be shut. Students eat in their classrooms.
  • Rooms should be well-ventilated.
  • Schools should allow sick staff members to “stay home when they are sick, have been exposed, or caring for someone who is sick,” without being punished for staying home.

Many Americans asked: “How can President Trump demand that children return to school in the midst of a deadly plague? Especially when we don’t have adequate testing facilities—and, most importantly, a reliable vaccine?” 

There was an answer—and it was brutally ugly. 

On July 10, Paula Reid, White House correspondent for CBS News, provided the answer on the PBS program, Washington Week:

“And just speaking with White House advisers, I’m told the president knows that in order to get parents back to work you need to get kids back to class, and for the president a lot of this is about hoping that that would give an economic boost to the U.S. ahead of his reelection in November.” 

For which he could then claim credit. 

Just as the ancient Canaanites sacrificed their children to the god Moloch, so President Donald J. Trump expected his followers—and opponents—to risk their children’s lives for him.  

On August 10, CBS News reported:

“Nearly 100,000 children tested positive for the Coronavirus in the last two weeks of July, a new report from the American Academy of Pediatrics finds. Just over 97,000 children tested positive for the Coronavirus from July 16 to July 30, according to the association.”

By October, no vaccine had been invented. Nor had a national system of testing or contact tracing. 

Hospitals began overflowing with COVID cases. Doctors and nurses were overwhelmed with fatigue. Many of them had become COVID victims.

On October 20, more than 70,450 new coronavirus cases were reported in the United States in a day for the first time.

On October 25, White House chief of staff Mark Meadows told CNN’s Jake Tapper on “State of the Union”: “We are not going to control the pandemic. We are going to control the fact that we get vaccines, therapeutics and other mitigation areas.”

By October 28, more than 8.8 million Americans had been diagnosed with COVID, and at least 227,673 had died from it.

Meanwhile, Trump kept barnstorming the country in a relentless re-election effort. Although infected with COVID-19 in September, he refused to wear a mask in public. His rallies reflected this same contempt for public health, with most attendees refusing to wear masks and/or socially distance.

Critics dubbed these rallies: “Super-spreader events.”

REPUBLICANS’ LATEST TARGET–DOCTORS: PART THREE (OF SEVEN)

In Bureaucracy, History, Law, Medical, Politics, Social commentary on September 29, 2025 at 12:05 am

During the 2016 Presidential race, after winning the Nevada primary, Donald Trump infamously celebrated his victory: “We won the evangelicals. We won with young. We won with old. We won with highly educated. We won with poorly educated. I love the poorly educated.”    

A February 24, 2016 USA Today story covering this event carried the headline: “Donald Trump loves the poorly educated—and they love him.”  

Related image

Donald Trump

As a result, countless numbers of them believed Trump’s lies that they had nothing to fear from COVID-19. And they continued to disobey recommendations from the country’s foremost experts on infection disease: Wear a mask when you go out in public, and stand at least six feet away from others.

Those whose advice they ignored included Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases (NIAID) from 1984 to 2022.

Risking dismissal for speaking the hard medical truth about Coronavirus, Fauci was one of the few high-ranking government officials willing to contradict President Donald Trump’s ignorance- and lie-riddled statements. 

For example: Trump loudly touted hydroxychloroquine, used for treating malaria, as a miracle cure for the Coronavirus.

Yet Fauci dared to point out there had been no scientific trials of the drug for its effectiveness against COVID-19. Moreover, given the medical condition of some patients, it could even prove fatal.

Anthony Fauci

This put him squarely in the crosshairs of Trump’s chorus of Congressional cheerleaders. 

Among these: Congresswoman Marjorie Taylor Greene (R-GA). At a House subcommittee hearing about the country’s response to the COVID-19 pandemic, Greene screeched at Fauci: “You know what this committee should be doing?  We should be recommending you to be prosecuted.

“We should be writing a criminal referral because you should be prosecuted for crimes against humanity. You belong in prison, Dr. Fauci!” 

On April 23, Trump offered his own suggestions for how COVID-19 might be prevented or cured. His proposed remedies: Ultraviolet light and disinfectant. 

Medical experts found Trump’s off-the-cuff remarks no laughing matter. Several doctors warned the public against injecting disinfectant or using UV light.   

“It is incomprehensible to me that a moron like this holds the highest office in the land and that there exist people stupid enough to think this is OK,” said Walter Shaub, the former director of the Office of Government Ethics. “I can’t believe that in 2020 I have to caution anyone listening to the president that injecting disinfectant could kill you.”

Faced with public ridicule, Trump canceled a White House press briefing for the first time since Easter weekend. 

Instead, on April 25, he issued this tweet: “What is the purpose of having White House News Conferences when the Lamestream Media asks nothing but hostile questions, & then refuses to report the truth or facts accurately.”

The Centers for Disease Control and Prevention (CDC) had urged Americans to wear masks and keep at least six feet from their fellows. And most of the nation’s governors had issued stay-at-home orders that banned large gatherings—including visits to parks and beaches.

Yet Trump openly encouraged defiance of those orders.

On April 17, he issued a series of tweets to his supporters, encouraging them to defy the law:

“LIBERATE MINNESOTA!”

“LIBERATE MICHIGAN!” 

“LIBERATE VIRGINIA, and save your great 2nd Amendment. It is under siege!”

All these states had Democratic governors. Their residents were being urged to stay indoors, wear masks when they ventured outside and keep a six-feet distance between themselves and others. 

These states had been targeted for Right-wing protests—featuring large numbers of men and women standing close together, with most of them not wearing masks. They claimed their “freedoms” were being infringed upon. 

Trump saw the stay-at-home orders as a two-fold threat to himself:

  1. He couldn’t return to his hate-filled rallies until these were lifted; and
  2. The stock market wouldn’t start soaring again so long as the country was “locked down.”

Without his Nuremberg-style rallies and a roaring stock market, Trump faced the danger of being a one-term President. 

Since the Supreme Court legalized abortion in 1973, the Right had demanded that even women who were pregnant due to rape or incest carry the fetus to term. Yet now that Right-wingers were being asked to wear masks in public—to protect themselves and others from a deadly plague—they had suddenly discovered the mantra: “It’s my body!” 

Writer Steven Pressfield summed up the immorality of these protests: “Why are we asked to wear surgical or face masks in public, to practice social distancing and to observe self-quarantining? Because these practices are not for the individual alone but for the protection of the whole [community].”

Washington Governor Jay Inslee tweeted: “The president’s statements this morning encourage illegal and dangerous acts. He is putting millions of people in danger of contracting COVID-19.”

Trump scheduled his first 2020 re-election rally in Tulsa, Oklahoma, on June 20 at the BOK Center.. 

Coronavirus is more likely to be transmitted indoors than outdoors, when masses of people are packed together and loudly talking—or, worse, shouting. Especially when they’re not wearing masks.

Masks were available for those who wanted them, but Trump made it clear that his supporters shouldn’t wear masks, as a sign of support for him. Thus, his egomania literally put the lives of his most devoted followers at risk.

REPUBLICANS’ LATEST TARGET–DOCTORS: PART TWO (OF SEVEN)

In Bureaucracy, History, Law, Medical, Politics, Social commentary on September 26, 2025 at 12:09 am

Republicans’ war on science generally and the medical profession in particular erupted in early 2020—when COVID-19 arrived in the United States.  

President Donald Trump first learned of the virus on January 3, 2020. Then he went golfing on January 4, 5, 18 and 19.

On January 19, the first Coronavirus case appeared in the United States.  

Interferon Plays Pivotal, Inflammatory Role in Severe COVID-19 Cases

Coronavirus

The catastrophe that followed was the inevitable result of a confluence between natural disaster and an evil and incompetent administration. 

Upon taking office in 2017, Trump gutted the permanent epidemic monitoring and command groups set up inside the White House: The National Security Council (NSC) and the Department of Homeland Security (DHS). 

In 2014, following the Ebola outbreak in West Africa, President Barack Obama had created the White House Pandemic Office, run by the White House’s National Security Council (NSC).

Neither the NSC nor the DHS epidemic team was replaced.

The global health section of the CDC was decimated, and had to reduce the number of countries it was monitoring from 49 to 10. 

Pathologically jealous of Obama, Trump—a lifelong racist—tried to destroy every vestige of Obama’s legacy as the first black President of the United States.

Chief among these actions: Making repeated efforts to undermine—and ultimately destroy—the Affordable Care Act, otherwise known as “Obamacare.” Under this expanded, Federally-subsidized insurance program, 28 million Americans who previously could not afford medical care now began receiving it.

Nor was Trump the only Republican to mount such an all-out war on medical science. Virtually every Republican member of the United States Senate and House of Representatives backed his every  lie about the dangers of COVID-19—and his assault on the medical establishment. 

Americans were further endangered by Trump’s having imposed a hiring freeze in 2017 at the Centers for Disease Control and Prevention (CDC). As a result, nearly 700 positions remained vacant there.

CDC headquarters in Atlanta, Georgia

In 2018, two years before COVID struck, Trump pushed Congress to cut $15 billion from national health spending—and cutting the global disease-fighting budgets of the Centers for Disease Control, National Security Council, Department of Homeland Security and the Department of Health and Human Services. 

From January to early March, 2020, Trump and his allies within the Republican party and Fox News Network repeatedly assured Americans they had nothing to fear. 

On February 28, Trump told a cheering crowd of supporters:  “Now the Democrats are politicizing the Coronavirus….We did one of the great jobs….One of my people came up to me and said, ‘Mr. President, they tried to beat you on Russia, Russia, Russia’….They couldn’t do it. They tried the impeachment hoax….It’s all turning, they lost….And this is their new hoax.”

And acting as Trump’s propaganda arm was Fox News Network. FOX News logo vector

As late as March 9, Trish Regan, host of Trish Regan Primetime on the Fox Business Network, attacked not the virus but those who did not share her fervent embrace of Donald Trump.

“We’ve reached a tipping point,” said Regan. “The hate is boiling. Many in the liberal media are using Coronavirus in an attempt to demonize and destroy the President, despite the virus originating halfway around the world.”

To make certain no one in the television audience missed the point, an electronically generated caption read: “Coronavirus Impeachment Scam.”

Then, on March 14, Fox Business Network announced that Regan’s program would be on “hiatus” until further notice. The reason: Her comments had “triggered” an avalanche of criticism—from Coronavirus victims, their families and people angered at being blatantly lied to.

During the vital months of January and February, 2020, Republicans refused to challenge Trump’s refusal to take the virus seriously—before it gained a foothold in the United States.

The reason: They had utterly tied themselves to him since the 2018 mid-term elections, where many moderate Republicans lost their seats.

Accompanying Republicans’ hostility toward medical science was their disdain for higher education. 

An August 20, 2019 story in Forbes noted that a Pew Research survey, conducted in July, had found that “67% of Democrats and Democrat-leaning respondents say higher education is having a positive effect on the country compared to only 33% of Republicans and Republican-leaning participants.” 

Furthermore, “The percentage of Republicans attributing a positive effect to higher education has steadily eroded from 58% (2010), 53% (2012), 54% (2015), 43% (2016), and 36% (2017). Among Republicans, 59% now say higher education has a negative effect on the U.S., compared to just 18% of Democrats.” 

In March, 2020, an NBC News poll found that only 30% of Republicans said that they would actually listen to the advice of doctors to stay away from large, crowded areas to avoid Coronavirus. 

These are the same people who got their version of reality from Right-wing sources like Fox News Network and Rush Limbaugh. 

Rush Limbaugh

On his March 27, 2020 show, Limbaugh dismissed Coronavirus as “the common cold,” then added: “We didn’t elect a president to defer to a bunch of health experts that we don’t know.”

This is the same Rush Limbaugh who said, in 2015: “Firsthand smoke takes 50 years to kill people, if it does. Not everybody that smokes gets cancer. Now, it’s true that everybody who smokes dies, but so does everyone who eats carrots.”

In February, 2020, Limbaugh—a longtime and heavy cigar smoker—announced that he had Stage Four lung cancer. He died on February 17, 2021.

REPUBLICANS’ LATEST TARGET–DOCTORS: PART ONE (OF SEVEN)

In Bureaucracy, History, Law, Medical, Politics, Social commentary on September 25, 2025 at 12:11 am

There was a time when most Americans considered doctors heroes, as men (mostly) and women who dedicated their lives to improving—and often saving—the lives of others. 

Television played a major role in shaping this image—not through documentaries but medical dramas.

In 1961, two such drama emerged as popular entertainment: Dr. Kildare (1961 – 1966) and Ben Casey (1961 – 1966).

As played by then-unknown actor Richard Chamberlain, young intern Dr. James Kildare tries to learn his profession and deal with patients’ problems.

Early on, his superior, Dr. Leonard Gillespie (Raymond Massey), warns him: “Our work is to keep people alive. We can’t tell them how to live any more than how to die.” Kildare ignores the advice, and this forms the basis for stories, many with soap-opera themes.

Richard Chamberlain and Raymond Massey in “Dr. Kildare.”

In Cult TV: A Viewers Guide to the Shows America Can’t Live Without, John Javna describes his character:

“Dr. James Kildare, the first bona fide TV hero of the 60s, symbolized the best hopes of this new era. Young, intelligent, committed, the evil he fought was disease. His weapons were a good education and a willingness to care about people….

“Americans were turning to science for salvation, and doctors were often the new gods.”

Ben Casey, on the other hand, brought other weapons to the medical drama: As a no-nonsense neurosurgeon (Vince Edwards), he was intense, aggressive, and never failed to display a hairy chest. He refused to go “by-the-book” when he thought he was right, often risking dismissal to save his patients.

The portrayal of doctors as heroes was promoted heavily by the American Medical Association (AMA). The organization created a committee in 1955 to ensure that these shows presented a positive image of physicians and accurate medical information. 

Logo of the American Medical Association

Ben Casey and Dr. Kildare were soon followed by other popular medical dramas, including:  

  • Marcus Welby, M.D. (1969-1976)
  • M*A*S*H* (1972-1983)
  • St. Elsewhere (1982-1988)
  • ER (1994-2009)
  • Grey’s Anatomy (2005-Present)
  • House (2004-2012).

Medical dramas evolved over time, moving from shows that presented idealized images of doctors to shows that delve into the complex realities of modern medicine. Current trends include:

  • Utilizing medical consultants and doctors to ensure realistic portrayals of procedures and medical terminology;
  • Addressing current social and ethical issues within healthcare, such as pandemics, mental health, and patient advocacy;
  • Exploring the emotional depth and personal struggles of healthcare professionals. 

But for millions of Right-wing Americans, the medical profession generally—and doctors in particular—have become hated and feared targets. 

Republicans’ animosity toward the healthcare system can be traced to 1964, with the passage of Medicare. This has proven the most durable achievement of Lyndon B. Johnson’s one-term Presidency.

And even while it was under debate, Republicans—such as Ronald Reagan at the start of his political career—furiously attacked it as the initial step toward socialism.

But it was President Barack Obama’s signature plan to give every American access to healthcare, the Affordable Care Act (ACA)—universally known as “Obamacare”—that pushed the Republican party into overdrive. 

The reform effort became a lightning rod for Right-wing groups like the Koch-brothers-financed Tea Party. In 2010, a massive Rightist turnout cost the Democrats the House of Representatives, and threatened Democratic control of the Senate.  

Niccolo Machiavelli (1469-1527), the Florentine statesman and father of modern politics, could have warned him of the consequences of this—through the pages of The Prince, his infamous treatise on the realities of politics:

…There is nothing more difficult to carry out, nor more doubtful of success, nor more dangerous to handle than to initiate a new order of things.  

For the reformer has enemies in all those who profit by the old order, and only lukewarm defenders in all those who would profit by the new order, this lukewarmness arising partly from fear of their adversaries, who have the laws in their favor, and partly from the incredulity of mankind, who do not truly believe in anything new until they have had actual experience of it.  

Niccolo Machiavelli

This proved exactly the case with the proposed Affordable Care Act.

Its supporters have always shown far less fervor than its opponents—with House Republicans voting more than 70 times to repeal, delay or revise the law.

Critics like Alaska Governor Sarah Palin lied outright that the Act would implement “death panels.” In an August 7, 2009, social media post, she wrote:

“The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s ‘death panel’ so his bureaucrats can decide, based on a subjective judgment of their ‘level of productivity in society.”

Right-wingers pundits and their followers quickly agreed. On his syndicated national radio program, Rush Limbaugh said of Palin, “She’s dead right.” 

Despite Republicans’ lies and threats, the Affordable Care Act was signed into law on March 23, 2010.

The rift between the Republican party and the medical establishment grew wider between 2020 and the present. This has been fueled by Republicans’ relentless opposition to abortion, birth control  and transgender healthcare.

And, increasingly, Republicans—and their voters—attacked the very foundations of science itself.

LISA MURKOWSKI HAS A WARNING FOR PARAMOUNT: PART TWO (END)

In Bureaucracy, History, Law, Law Enforcement, Medical, Politics, Social commentary on August 13, 2025 at 12:05 am

On July 3, Alaska’s Republican Senator Lisa Murkowski cast the deciding vote on Republicans’ “One Big Beautiful Bill” that:    

  • Extends President Donald Trump’s 2017 tax cuts;  
  • Funds his immigration crackdown;
  • Imposes work requirements on social safety net programs;, and 
  • Cuts $1 trillion from Medicaid and Medicare.

The United States population is estimated to be between 341 and 347 million. But Murkowski wasn’t concerned about them. 

What she cared about were the 740,133 people she represented in Alaska.

Murkowski was upset at Trump’s plan to cut federal funding for wind and solar projects. So, in return for selling out the rest of the country, she demanded that Congress agree to protect Alaskan wind, hydropower and solar projects.

Congress agreed.

After her vote, Trump issued an executive order to limit solar and wind project awards. Insisting that renewables are unreliable, the executive order endorses polluting options such as oil, natural gas and hydropower. 

Now Murkowski feels betrayed: “Do I feel like the administration was not being up-front with us? Yes.”

Murkowski would have done well to study Trump’s past behavior:  

  • On May 17, 2017, Deputy Attorney General Rod Rosenstein appointed former FBI Director Robert S. Mueller to investigate links between Russian Intelligence agents and the 2016 Trump Presidential campaign. 
  • Throughout Mueller’s probe, Trump repeatedly insulted him via Twitter and press conferences. 
  • But aides convinced him that firing Mueller would be rightly seen as obstruction of justice—and thus grounds for impeachment. So he never dared go that far.

Robert Mueller

  • In March, 2023, Trump threatened “death and destruction” if he were criminally charged in New York for making “hush money” payments to porn “actress” Stormy Daniels. Trump shared an image of himself threatening Manhattan District Attorney Alvin Bragg with a baseball bat on his Truth Social platform.
  • The trial proceeded—and Trump was convicted of 34 felonies for falsifying New York business records in order to conceal his illegal scheme to corrupt the 2016 election. 

Trump threatens 'death and destruction' to Alvin Bragg

Lisa Murkowski’s betrayal and humiliation holds an important warning for Paramount Globe Class B: Trump’s “word” is worthless.

Consider: Paramount is worth $9.25 billion. Nevertheless it wanted to merge with Skydance Media, whose worth is valued at $4.75 billion.

Paramount is the parent company of CBS Network, which hosts The Late Show With Stephen Colbert.

Colbert, who has hosted the show since 2015, has been a fierce Trump critic ever since the former real estate developer announced his first run for President. And Trump, notoriously thin-skinned, equates any criticism—especially when it’s wrapped in humor—as literally treason.

Stephen Colbert | WikiLists | Fandom

Stephen Colbert

For example: At Christmastime, 2018, “Saturday Night Live” aired a parody of the classic movie, “It’s a Wonderful Life.” Its title: “It’s a Wonderful Trump.”

In it, Trump (portrayed by actor Alec Baldwin) discovers what the United States would be like if he had never become President: A great deal better-off.

As usual, Trump expressed his resentment through Twitter: The Justice Department should stop investigating his administration (for his collusion with Russia during the 2016 Presidential election) and go after the real enemy: “SNL.”

Paramount had recently paid Trump $16 million to settle a lawsuit he had brought against the CBS news show, 60 Minutes. He claimed that it had misleadingly edited a pre-election interview with then Vice President Kamala Harris to boost her election chances in 2024.

CBS initially called the lawsuit “completely without merit.”  The network’s attorneys and a number of legal experts said that the lawsuit was without merit.

But Paramount was in the midst of an $8 billion sale to the Hollywood studio Skydance Media. For this, it needed the regulatory permission of the Federal Communications Commission of the Trump administration.

So it’s easy to draw a straight line from Paramount to CBS to Late Night With Stephen Colbert to see how easy it was for Paramount/CBS to cancel the highest-rated late-night show on television with 2.4 million nightly viewers. It has also been nominated for 33 Emmys.

Which it did on July 17. 

In a statement, Paramount/CBS called the cancellation a purely financial decision: “It is not related in any way to the show’s performance, content or other matters happening at Paramount.”

On July 14, after returning from a multi-week break, Colbert said: “While I was on vacation, my parent corporation, Paramount, paid Donald Trump a $16 million settlement over his ‘60 Minutes’ lawsuit. 

“As someone who has always been a proud employee of this network, I am offended. And I don’t know if anything will ever repair my trust in this company, but just taking a stab at it, I’d say $16 million would help. 

“I believe this kind of complicated financial settlement with a sitting government official has a technical name in legal circles—it’s big fat bribe.” 

Addressing his in-house and television audience on July 17, Colbert announced: “I want to let you know something that I found out just last night. Next year will be our last season. The network will be ending The Late Show in May.

“It’s not just the end of our show, but it’s the end of ‘The Late Show’ on CBS. I’m not being replaced. This is all just going away.” 

A frequent theme of the classic CBS show, The Twilight Zone, was: Deal with the Devil—and you’ll get burned.

Paramount may well prove as disappointed as Lisa Murkowski.

LISA MURKOWSKI HAS A WARNING FOR PARAMOUNT: PART ONE (OF TWO)

In Bureaucracy, Business, History, Law, Law Enforcement, Medical, Politics, Social commentary on August 12, 2025 at 12:07 am

For all his adult life, Donald Trump—as a businessman, Presidential candidate, President and now re-elected President—has trafficked in bribery and coercion.  First bribery:         

  • Florida Attorney General Pam Bondi (and now United States Attorney General) personally solicited a political contribution from Donald Trump around the same time her office deliberated joining an investigation of alleged fraud at Trump University and its affiliates.
  • After Bondi dropped the Trump University case, he wrote her a $25,000 check for her re-election campaign. The money came from the Donald J. Trump Foundation.
  • Republican Texas Attorney General Ken Paxton moved to muzzle a former state regulator who said he was ordered in 2010 to drop a fraud investigation into Trump University for political reasons.
  • Paxton’s office issued a cease and desist letter to former Deputy Chief of Consumer Protection John Owens after he made public copies of a 14-page internal summary of the state’s case against Donald Trump for scamming millions from students of his now-defunct real estate seminar.
  • After the Texas case was dropped, Trump cut a $35,000 check to the gubernatorial campaign of then-attorney general and now Texas Governor Greg Abbott.
Related image
Now coercion:
  • Throughout his career as a businessman, Trump forced his employees to sign Non-Disclosure Agreements, threatening them with lawsuits if they revealed secrets of his greed and/or criminality.
  • In 2016. USA Today found that Trump was involved in over 3,500 lawsuits during the previous 30 years: “At least 60 lawsuits, along with hundreds of liens, judgments, and other government filings” were from contractors claiming they got stiffed.
  • On March 16, 2016, as a Republican Presidential candidate, Trump warned Republicans that if he didn’t win the GOP nomination in July, his supporters would literally riot: “I think you’d have riots. I think you would see problems like you’ve never seen before. I think bad things would happen, I really do. I wouldn’t lead it, but I think bad things would happen.”
  • An NBC reporter summed it up as: “The message to Republicans was clear: ‘Nice convention you got there. Shame if something happened to it.'”
  • Speaking with Bob Woodward, the legendary Washington Post investigative reporter, Trump confessed: “Real power is—I don’t even want to use the word—fear.”
  • During his Presidential campaign he encouraged Right-wing thugs to attack dissenters at his rallies, even claiming he would pay their legal expenses. 

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Donald Trump

But when he has confronted men and women who can’t be bribed or intimidated, Trump has reacted with rage and desperation.

Alaska’s Republican United States Senator Lisa Murkowski should have kept those truths in mind before she sacrificed access to healthcare for millions of Americans.

On July 3, Murkowski cast the deciding vote on Republicans’ “One Big Beautiful Bill” that extends Trump’s 2017 tax cuts, funds his immigration crackdown, imposes work requirements on social safety net programs, and cuts $1 trillion from Medicaid.

The largest cuts come from Medicaid work reporting requirements ($326 billion; limits on state provider tax arrangements ($191 billion); and restrictions on state-directed Medicaid payments ($149 billion).

The United States population is estimated to be between 341 and 347 million. But Murkowski wasn’t concerned about them.

Lisa Murkowski

Lisa Murkowski

What she cared about were the 740,133 people she represented in Alaska.

Murkowski was upset at Trump’s plan to cut federal funding for wind and solar projects. So, in return for selling out the rest of the country, she demanded that Congress agree to protect Alaskan wind, hydropower and solar projects. 

Murkowski believed that Trump administration officials understood how local wind and solar projects could offset the costly diesel fuel that many Alaskan rural communities must import by barge to provide electricity for their homes and businesses.

She also thought she’d negotiated an agreement to protect a 12-month window for solar and wind projects to continue to receive tax credits.

“It’s not everything that I wanted,” she explained then, “but it’s going to keep some of our projects alive, and that’s important.”

After her vote, Trump issued an executive order to limit solar and wind project awards. Continuing to insist that renewables provide only unreliable power, the executive order also gives a nod of approval to polluting options such as oil, natural gas, and hydropower. 

Suddenly, Murkowski feels betrayed.

“To me, it’s just reckless by the administration. Do I feel like the administration was not being up-front with us? Yes.”

Murkowski would have done well to study Trump’s past behavior.  

When Donald Trump—as a businessman and President—has been confronted by men and women who can’t be bribed or intimidated, he has reacted with rage and frustration.

  • Trump boasted that he “never” settled cases out of court. But New York Attorney General Eric Schneiderman pressed fraud claims against the real estate mogul’s counterfeit Trump University—and Trump settled the case out of court rather than take the stand.
  • “Today’s $25 million settlement agreement is a stunning reversal by Donald Trump,” said Schneiderman on November 18, 2016, “and a major victory for the over 6,000 victims of his fraudulent university.”
  • On May 17, 2017, Deputy Attorney General Rod Rosenstein appointed former FBI Director Robert S. Mueller to investigate links between Russian Intelligence agents and the 2016 Trump Presidential campaign. 
  • Upon learning of his appointment, Trump wailed: “Oh my God. This is terrible. This is the end of my Presidency. I’m fucked.” 

THE WHITE POOR: LOVING THOSE WHO DESPISE THEM: PART TWO (END)

In Bureaucracy, Business, History, Politics, Social commentary on May 23, 2025 at 12:13 am

Republicans have long tried to prevent or eliminate programs that aid the poor and middle-class, including:  

  • Social Security (since it began in 1935) 
  • Medicare (started 1965)
  • Medicaid (started 1985)
  • Food stamps (started 1939)
  • WIC (Women, Infants, Children–started 1972).

So why are so many poor Americans flocking to this party’s banner?

Two reasons: Racism and greed. There are historical parallels for both.

First, race:

In 1999, historian Victor Davis Hanson noted the huge gap in wealth between the aristocratic, slave-owning minority of the pre-Civil War South and the vast majority of poor white Southerners.

Victor Davis Hanson (@VDHanson) | Twitter

Victor Davis Hanson

“Before the war in the counties [Union General William Tecumseh] Sherman would later ruin, the top 10% of the landowners controlled 40% of the assessed wealth.”

In contrast, “more than half of those who were lucky enough to own any property at all still possessed less than 15% of the area’s valuation.”

So Hanson asked: “Why did the millions of poor whites of the Confederacy fight at all?”

He supplied the answer in his brilliant work on military history, The Soul of Battle: From Ancient Times to the Present Day, How Three Great Liberators Vanquished Tyranny.

Nonfiction Book Review: The Soul of Battle: From Ancient Times to the Present Day, Three Great Liberators Vanquished Tyranny by Victor Davis Hanson, Author Free Press $30 (496p) ISBN 978-0-684-84502-9

One of those liberators was General William Tecumseh Sherman, who led 62,000 Union troops in a victorious “March to the Sea” through the Confederacy in 1864.

So why did so many poor Southern whites literally lay down their lives for the wealthy planter class, which despised them?

According to Hanson: “Behind the entire social fabric of the South lay slavery.

“If slavery eroded the economic position of the poor free citizens, if slavery encouraged a society of haves and have-nots…then it alone offered one promise to the free white man—poor, ignorant and dispirited—that he was at least not black and not a slave.”

And the planter class and its allies in government easily fobbed off their poor white countrymen with cheap flattery. Said Georgia Governor Joseph Brown:

“Among us the poor white laborer is respected as an equal. His family is treated with kindness, consideration, and respect. He does not belong to the menial class. The negro is in no sense his equal. He belongs to the only true aristocracy, the race of white men.”

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Arlington House and plantation, former home of Robert E. Lee

Similarly, poor whites now flock to the Republican Party—which holds them in equal contempt—in large part to protest the 2008 election of the first black President of the United States.

According to a Pew Research Center study released on July 22, 2011: “Notably, the GOP gains have occurred only among white voters; a 2-point Republican edge among whites in 2008 (46% to 44%) has widened to a 13-point lead today (52% to 39%).”

Since the 1960s, Republicans have pursued a campaign policy of “divide and rule”—divide the nation along racial lines and reap the benefits at election time.

  • Republicans opposed the Civil Rights Act of 1964.
  • Republicans opposed the Voting Rights Act of 1965.
  • Republicans, with Richard Nixon as their Presidential candidate in 1968 and 1972, pursued what they called a “Southern strategy”: Use “code language” to stoke fear and hatred of blacks among whites.
  • Republicans have falsely identified welfare programs exclusively with nonwhites. (Of the six million Americans receiving food stamps, about 42% are white, 32% are black, and 22% are Latino—with the growth fastest among whites during the recession.)

Thus, in voting Republican, many of these poor whites believe they are “striking a blow for the white race.”

And they can do so in a more socially acceptable way than joining a certified hate group such as the American Nazi Party or Ku Klux Klan.  

Since 2015, openly racist groups such as the Klan and the American Nazi Party have flocked to the banner of Presidential candidate and President Donald Trump. By enthusiastically courting their support, the real estate mogul has made it possible for Republican candidates to openly display their own racism.

Now greed:

In the hit play, 1776, on the creation and signing of the Declaration of Independence, there is a telling exchange between John Dickinson and John Hancock. It comes during the song, “Cool, Cool, Considerate Men.”

Dickinson, the delegate from Pennsylvania, urges Hancock, president of the Second Continental Congress, “to join us in our minuet.” By “us” he means his fellow conservatives who fear losing their property and exalted status by supporting American independence from Great Britain.

John Dickinson

Hancock declines, saying: “Fortunately, there are not enough men of property in America to dictate policy.”

To which Dickinson replies: “Perhaps not. But don’t forget that most men with nothing would rather protect the possibility of becoming rich than face the reality of being poor.  And that is why they will follow us.”

Today,  poor whites generally identify with the CEOs of powerful corporations. They believe the Republican gospel that they can attain such wealth—if only the government will “get out of my way.”

They forget—or ignore—the truth that government, for all its imperfections, is sometimes all that stands between them and a wide range of predators.

In return, the CEOs despise them as the privileged have always despised their social and economic “inferiors.”

Unless the Democratic Party can find ways to directly address these bitter, Politically Incorrect truths, it will continue its decline into insignificance.

THE WHITE POOR: LOVING THOSE WHO DESPISE THEM: PART ONE (OF TWO)

In Bureaucracy, Business, History, Politics, Social commentary on May 22, 2025 at 12:20 am

On July 22, 2011, ABC News carried the following story:  

The Pew Foundation, analyzing voter identification, found “the electorate’s partisan affiliations have shifted significantly” since Barack Obama won office in 2008. 

The GOP had gained strength among white voters, most specifically “the young and poor.”

Whitehead Institute - News - 2011 - Whitehead Member Mary Gehring named a Pew Scholar

A seven-point Democratic advantage among whites under age 30 three years earlier had turned into an 11-point GOP advantage. And a 15-point Democratic advantage among whites earning less than $30,000 annually had swung to a slim four-point Republican edge by 2011.

In addition:

  • The GOP gains had occurred only among white voters.
  • Republicans had made sizable gains among white voters since 2008. Fifty-two percent of white voters called themselves Republicans or leaned to the GOP, compared with 39% who affiliated with the Democratic Party or leaned Democratic.
  • Democrats had lost their edge among lower income white voters.
  • In 2008, Democrats had a 15 point lead among white voters with family incomes less than $30,000.  By 2011, Republicans had a four-point edge among this group.
  • The GOP’s lead among middle income white voters had grown since 2008, and Republicans held a substantial advantage with higher income white voters.
  • Republicans made gains among whites with a high school education or less. The GOP’s advantage over Democrats had grown from one point in 2008 to 17 points in 2011 among less educated whites.
  • Republicans had made smaller gains among white voters who had college degrees.

Five years later, in 2016, these masses of disaffected white men would overwhelmingly vote for Donald Trump, a real estate mogul-turned-celebrity-TV-host of “The Apprentice.”

Trump had been born into a life of luxury. He began his real estate career at his father’s real estate and construction company. He rose to wealth and fame after his father, Fred, gave him control of the business in 1971.

Similarly, soon after acquiring the family business, Trump set out to build his own empire—hotels, golf courses, casinos and skyscrapers across North and South America, Europe and Asia. Of the 515 entities he owns, 268 of them—52%—bear his last name. He often refers to his properties as “the swankiest,” “the most beautiful.” 

During the Vietnam war, his father reportedly paid a doctor to claim that Trump suffered from “bone spurs” in his foot—thus enabling him to escape the draft.

Donald Trump

In short, Trump has literally nothing in common with the masses of poor whites who worship him. 

Howard Stern, the notorious radio host, has known Trump many years. Commenting on the appeal Trump has for his followers, Stern says: “The oddity of all this is the people Trump despises most, love him the most.

“The people who are voting for Trump for the most part …he wouldn’t even let them in his fucking hotel. He’d be disgusted by them. Go to Mar-a-Lago. See if there’s any people who look like you. I’m talking to you in the audience.”

Yet, while the poor worship Trump and Republicans generally, there is a disconnect between them: Since 1980, Republicans have pursued a policy of gutting programs aimed at helping the poor—while repeatedly creating tax-breaks for the wealthiest 1% of the population.

For Republicans, the patron saint of this “love-the-rich-screw-the-poor” ideology remains Ronald Reagan—two-time governor of California and twice-elected President of the United States (1981-1989)

Ronald Reagan, who taught Americans to worship the wealthy

Among those charting Reagan’s legacy as President was former CBS Correspondent David Shoenbrum.

In his bestselling autobiography, America Inside Out: At Home and Abroad from Roosevelt to Reagan, he noted:

  • On January 28, 1981, keeping a pledge to his financial backers in the oil industry, Reagan abolished Federal controls on the price of oil.
  • Within a week, Exxon, Texaco and Shell raised gasoline prices and prices of home heating oil.
  • Reagan saw it as his duty to put a floor under prices, not a ceiling above them.
  • Reagan believed that when government helped business it wasn’t interfering. Loaning money to bail out a financially incompetent Chrysler was “supporting the free enterprise system.”
  • But putting a high-profits tax on price-gouging corporations or filing anti-trust suits against them was “Communistic” and therefore intolerable.
  • Tax-breaks for wealthy businesses meant helping America become stronger.
  • But welfare for the poor or the victims of a predatory marketplace economy weakened America by sapping its morale.

“In short, welfare for the rich is good for America. But welfare for the poor is bad for America, even for the poor themselves, for it encourages them to be shiftless and lazy.

“Somehow, loans to the inefficient management of American corporations would not similarly encourage them in their inefficient methods,” wrote Shoenbrun.

Republicans have sought to dismantle Social Security ever since that program began in 1935. And Republicans have furiously opposed other programs aiding the poor and middle-class—such as Medicare, food stamps and WIC (Women, Infants, Children).

In short, this is not a political party with a history of rushing to the defense of those most in need.

So the question remains: Why are so many poor Americans flocking to its banner?

The answer lies in the history of the American South—and slavery.