With the trade war on and Medicaid cuts active, Michigan's budget is going to be totally fucked beyond belief. What do *you* propose cutting to help bail out communities that chose to slit their own throats?
With the trade war on and Medicaid cuts active, Michigan's budget is going to be totally fucked beyond belief. What do *you* propose cutting to help bail out communities that chose to slit their own throats?
So, you propose collective punishment, Rottenführer?
Stop paving any roads north of Midland.
Responses are all just validations of the mommy/daddy party theory. They can't be bothered to give the first fuck that Trump and MAGA voters used their agency to decimate Medicaid but are spitting anger that someone would suggest Dems not clean up the mess after they punch themselves in the face.
What I propose is that white people will stand up to their relatives who have gone off the deep end and believe George Soros and JINA are trying to "trans your kids" or whatever. When people are living in fantasyland, you don't bow to their fantasies. You don't bow to their delusions.
Change involves the white moderate not fucking it up for once and putting their foot down on their shitty co-worker or nasty uncle that jerks off to ovening people. There needs to be some sort of *social* denazification before the government can be fixed right now.
Yes, but I am a Democrat who lives in why should I be punished for living in a town of 1,200 with an 80% tendency towards voting Republican and no tax base to speak of?
I feel bad for those individuals but at some point they need to see their neighbors for who they really are as evidenced by their own choices
Shutting down the urban hospitals instead of the rural ones will “punish” significantly more people because those hospitals serve more people more efficiently. It’s not great that you’ll have to drive two hours and wait longer for care, but the alternative you would foist on others is worse.
I strongly recommend you talk to your neighbors about the consequences of their actions. In their effort to destroy our communities, they are destroying their own. We have to look out for our neighbors because of what your neighbors did.
If it makes you uncomfortable to hear them criticized like this, I recommend you talk to them about the social contract. Obviously none of you are interested in being in community with us. Maybe you can build a supportive community of yourselves for yourselves.
But you do yourself and us a disservice by blaming us instead of taking responsibility.
Very likely you don’t have a choice. Otherwise why the hell would you still be there?
You shouldn't be, but whose budget are you cutting to bail out your hospital?
Notably, not a single person has given me an answer to this question.
Because it’s not a good faith question.
Like it or not, it’s the only actual question here.
No shit, Sherlock!
Ooh, having big feelings today are we? Might want to do a little bit of critical thinking before posting.
No, you are doing a strawman. The existence of the question wasn’t the point. That it is asked ~in bad faith~ is the point.
I’d love to hear you explain what you think “bad faith” means.
See, this is the thing about bad faith questions. I don’t answer them.
Your fucking military is bloated, over funded and prone to murdering brown kids for even a few ounces of material wealth, you could stand to lose a zero or 2 on the "foreigner murder" fund.
Famously, Michigan has its own state military.
Your rightwing country does though and if it spent less on murdering foreigners for it's imperialist interests there could be a bigger budget for your states.
Yes that would be true now can you please identify what party is in charge of the national government at this time?
One of the 2 main rightwing ones.
You're so close I'm sure you can name it.
Your "republicans", He was asking a hypothetical about what budget would I cut if I had a choice and I replied.
I don't think the state of Michigan has much of a military budget.
Triage sucks and people try to avoid thinking about it 🙁
It does indeed suck. But we've been thrust into a world of Schmittian friend-enemy politics, and too many people have decided that for some reason we must triage our friends rather than our enemies.
It’s a question of where scarce resources go. It’s not revenge and withholding something otherwise available
People want the third act of a TV show, with a clever fix just this side of deus ex machina.
It's very upsetting that Republican voters have forced these choices on us. Take that up with them. Maybe losing their hospital will get them to understand that their decisions have consequences, although I doubt it.
I'm very, very tired of being told I need to save these people from themselves.
I know California at least has some big fat (meaning rural) blue assembly districts.
Yeah just let them die. Lmao you are fucking stupid. You think that’s gonna make those districts not red? You are fucking stupid.
a red seat with 1000 people and one with 100,000 people aren’t the same, you know.
Yes, some decent and/or innocent people would suffer. There's no options to avoid that anymore. We lost that path last November. We're just picking how to distribute the agony now.
“Yes, some decent and/or innocent people would suffer.” Fucking gross. Shame on you.
It's a crappy situation. The children, ex-cons, Black folks, etc. who live there are basically human shields. (Although turning public schools into de facto children's clinics, as someone else suggested, ameliorates *some* of this.)
I've got bad news for you about funding for public schools in rural areas
*pulls at collar uncomfortably*
Due to how density works, minimizing suffering means focusing on urban hospitals anyway!
Not only with respect to density, but urban hospitals are usually leagues better in all areas of care than rural ones.
Path never existed at all for many of us.
Also this. Unless for some reason you think white rural dwellers should count for more than urbanites, basic cost-benefit analysis would advocate prioritizing preventing the collapse of urban safety-net providers over rural ones. bsky.app/profile/aiya...
it's not going to be just rural hospitals that close or cut services, though. at the hospital in my urban neighborhood, a proposed birthing center at the local hospital was just scrapped. it would have meant available birthing services for women for the first time in 50 years in this part of town.
additionally a new hospital just opened in the part of the city that has the poorest residents, many will lose their existing coverage. and I know larger cities like Chicago have hospitals like Weiss on the far north side that are going to face severe budget shortfalls.
Exactly. Why the fuck shouldn't we prioritize bailing out Weiss over bailing out hospitals in towns that overwhelmingly elected representatives who voted to shut down the hospitals by savaging Medicaid?
good luck making congress bail out Weiss, then.
Precisely. We should be prioritizing saving that birthing center over the Fucksburg hospital mostly serving people who voted to close the Fucksburg hospital.
it's too late for that, it's already scrapped is what i am telling you.
Perhaps we should have shifted subsidies from the rural hospitals sooner.
what I am telling you is that urban hospitals are subsidized too, which should be obvious but maybe isn't.
I am fucking aware of that. The total available amount of subsidy and revenue for said hospitals has collapsed because Republicans cut it. Now we have to choose who gets the remaining subsidies. That's the whole fucking point.
Allocating our now-particularly scarce funding, who gets it? I think it should be the people who didn't vote to make the funding scarce, rather than punishing people who didn't want this shit twice.
Again, you’re so fucking stupid. How does shutting down rural hospitals help urban hospitals? By making them extremely over crowded? You are fucking stupid and your brain comes up with dumb ideas.
There is less federal money to pay for services. Rural areas do not have the population base to support the people and infrastructure providing those services. Do you A) Take money and resources from urban hospitals to prop up rural ones? Or B) Allocate limited resources efficiently?
I just don’t think those resources are really going to be used efficiently if it means you have to drive hours to go to the hospital where you’ll probably have to wait for even longer than it took to get there.
It is if those resources are used to support a hospital that can serve 10,000 people as opposed to one that can barely serve a few dozen.
But how does that help people in rural areas? It doesn’t.
That's the situation they put us in and now we all have to deal with it.
So your solution is let them die
I genuinely think this is part of the subtext of these conversations.
The difference is you deserve it.
This was exactly what they meant when they derided Americans who live in blue states "not real Americans." It's always what they meant, and if they want to live in "real America" so much, why is it so terrible we let them?
Very few people seem to be willing to grapple with the fact that white rural and exurban areas overwhelmingly voted to close their own hospitals. Like, what the fuck are we supposed to do with that?
Republican voters want two kinds of things and Republicans politicians deliver all of it. They keep every promise. 1. Corporate welfare and tax cuts for the rich. 2. Racism, bigotry, misogyny and culture wars for everyone else. Every Republican wins. Dems can’t compete with that.
i would say maybe they didn’t realize it. but how long can you go on excusing their ignorance? especially as it is not born of innocence or naivety.
The more traditional American answer would be "make urban ethnic minorities pay for it" but your approach is cool too
That's what like 90% of the people yelling at me are advocating, whether they recognize it or not.
First and foremost, rural hospitals don't only serve white conservative voters! Noncitizens, children, people of color, renters, farmworkers, people with transient jobs - they all rely on rural hospitals. People who can't vote or have barriers to voting still matter.
I live NEPA that went for Trump and this area is going to be turbo fucked by BBB. Pennsylvania can’t afford to replace all the food stamp cuts let alone Medicaid. I tried to stop them but it is what it is at this point
i think when you have a massive class of people who aspire to be serfs and retainers to uncaring and cruel lords, and you let them vote, they’ll tend to vote themselves into serfdom
I mean it’s just a lot of fucking idiots who didn’t think Trump was going to impale their society because it didn’t happen the first time. I’d prefer they didn’t learn the hard way but no stopping it now
I’m with you. the result is the same though
BBB is Build Back Better to me and will always be that. Let’s call it the LLL like Raja Krishnamoorthi does - the Large Lousy Law.
Precisely. These people brought it on themselves. Why should already struggling urban areas sacrifice their own wellbeing for these people?
The Benedict Option for cities. (Too soon? Poor taste?)
I think white rural and exurban voters presume Daddy Trump is going to just raid the treasury to give them special help.
"I didn't think the face eating leopards would eat MY face!"
The book Dying of Whiteness is one a lot of coastal liberals need to read. (Said as someone who grew up in rural Nebraska, which is already losing a hospital.)
If I may: the thought process is "they are only doing that because they're hurting and lashing out at shitty liberals. The best thing we could do would be to destroy shitty liberals/the Democratic Party, and then these honest rural working folks will realise they're better off under socialism"
I don't know if that's even the logic anymore, a lot of the interactions I've had lately tend to stall out at "the dems are XYZ" and not proceed fuether.
A distillation of whatever the previous argument was to an endlessly repeated "fuck the dems" and honestly I don't even *like* the dems as a broad category at this point but using that as a slogan is obviously stupid.
It's 40 years of the Right-wing media turning "liberal" into a curse word and a lazy section of the Left thinks you can surf that wave. Like, a Maoist goes to West Virginia and thinks that because they hate libs and love guns more than anyone, why *couldn't* they wage people's war there
That thought process is stupid and people who believe it are stupid.
Fucking Narodniki.
'I AGREE!" -- 100 Lenins www.marxists.org/archive/leni...
Yeah like I tried that in 2016 and again in 2020, it didn't work, time to move on
I haven’t seen any data on this but I strongly suspect that none of these voters knew that they were voting to close their own hospitals… that’s the whole problem in a nutshell. They have been conditioned to believe information sources that directly lie to them, and to ignore other sources
I think they will be told that the hospital closings are the fault of Biden or Obama, despite the fundamentally illogic of that idea, and they will believe it
As little as I want to, I'll play devil's advocate for just a second. For too many, they didn't. Many voters listened to GOP reps lies and have never heard that these decisions will impact them.
They were just following orders!
"Let Them"
these same people suck up more tax $ than urban voters while paying less in taxes......but have been brainwashed into thinking all things government are 'socialism.' They voted for a racist. They didn't think they would lose anything.
You can tell that the assholes who gave this any thought largely assumed their hospitals and services would be bailed out or saved, even by democratic legislatures. way too many of them are going to be proven right
Sure but between 2016 and 2024, Trump only made modest gains in rural areas, but he made enormous gains in most major cities, especially New York City and Miami. A lot of people seem to be living in 2017 with this discourse.
Dying of Whiteness explores this in great detail. These people are very clear that they would literally rather die than make different choices.
"We should sacrifice the well being of everyone else to keep them from suffering consequences of their vote"
That’s literally what a lot of purported leftists on this site keep saying and I do not understand it!
To give them max charity, I think some are saying it’s ok not to prioritize them over others, but terrible to FEEL gleeful at Trumpists getting hurt, even if the action is justified. Which means they’re preening finger-waggers without justice or emotional sense, & should be ignored.
I haven’t even witnessed glee, just see a community full of exhausted people tired of cleaning up after a bunch of spoiled children all the time 🤷🏻♀️
I’ve seen, and felt, some glee. I think that’s fine. We cannot actively punish all Trump voters for their stunning malice & should feel free to enjoy their punishment as a side effect when it happens.
States like michigan already underfund urban areas, which are statistically where the poorest, most vulnerable ppl live. If you redirect the budget to cover up the holes created by the federal government, then where are you redirecting from?
www.vox.com/science-and-...
Not punish the minority of folks who didn’t vote that way, and possibility the majority of folks who didn’t know that’s what their vote carried with it, for one.
voting is a knew or should have known standard, PARTICULARLY in 2024. if they didn’t know, it was because they didn’t want to know.
Yeah, no. Does not describe empirical reality in the slightest.
Either they're so stupid that they need handholding about republican cause and effect (by letting them burn their hand on the stove), or they want this policy outcome and are therefore evil, meaning we should not care about their interests or votes. It's either or, nothing else.
Oh so you’re for picking on the stupid and ignoring those who didn’t vote with the stupid-great political program, where do I sign up
But what you’re arguing is, “city dwellers who voted overwhelmingly against this are the ones who should be punished for rural voters’ deliberate choices.”
It is not. At all. You are putting words in my mouth and it’s stultifying.
I note that no one is addressing the point of not inflecting collective punishment on people who didn’t vote that way. Maybe because this is a stupid revenge fantasy.
It feels like you’re trying to not understand at this point. I hope you do a whole lot better by your clients than you’re doing here.
Right back at you.
It's not punishment, though. We have less to go around, so in order to maintain service we're going to need to cut. This will mean rural hospitals closing, they just don't service enough people and the only way to keep them open is even deeper cuts in urban areas. Nope, rural peeps can drive.
It’s not punishment says someone wanting to inflict bad consequences on people who (statistically) voted for something I don’t like.
Nope, rural areas rely on urban funding to maintain infrastructure. The federal government just gutted federal money to the states to help pay for all that. The money has to come from somewhere, and more people get more service by keeping cities funded. No one likes it, but welcome to reality.
The proposition being advanced above was that as a policy matter we collectively should not bail out rural hospitals-that means making a *further* political choice not to restore such funding. It’s an impotent wish since no one is in power to do that, but it’s still revenge fantasy.
"i didnt know pulling the trigger of the loaded gun pointed directly at my nutsack wpuld prevent me from having children", says worst father possible
Strained analogy, also, does he do this prior to procreating, in which case he’s not a father?
Now you can truly be an independent, salt of the earth rural out the sticks, or you can move to civilization. Sorry.
Enjoy them dying, duh
Close their hospitals?
Liberal technocrats often know better than people what's good for them. What about the past six months tells you that folk wisdom makes for good policy?
Which is to say, Democrats should promise to rebuild. But they should never bail out Republicans again. That’s what led us here.
Maybe I wasn’t clear - I am referring to the responses to you, not to your argument
bsky.app/profile/colo...
I'm gonna keep it real with you - quite often they don't because they're looking at the problem through the wrong end of the telescope. But the problem with the split between "democracy" and "science" isn't to pretend that you can defeat science in a vote
Fuck, I hate you people. What about the last 30 years tells you that liberal technocrats makes for good policy.. you’re so fucking stupid lmao
Better than F250 suburban store mangers and their preacher
"Ugh liberal technocrats telling me that we need Medicaid to keep this hospital afloat. Fuck that, we don't need that!" oops!
HR1 allowed funding for all safety net hospitals in the country to drop by $8 billion a year*, then turned around & gave rural hospitals $10 billion. *House delayed scheduled cuts 5 years, Senate put them back in for SALT & other giveaways
(funding = Medicaid DSH, safety net specific funding, other Medicaid cuts will do far worse)
'Ugh damn snooty scientists telling me to vaccinate my kids!"
Why should we condemn urban hospitals to shortages and closure to rescue rural hospitals used by people who voted to close the rural hospitals?
Who voted to close rural hospitals, point them out to me
If Harris was President and this exact thing was happening you would be calling every one of her voters a blood-drenched murderer.
And it would be fair! Social murder is the foundation of this administration
Not a huge # of rural counties pulling the lever for the non-Project 2025 party. 🤷♂️
I live in a rural county on that map. It voted 62% for Harris.
Everyone who voted for republicans in the 2024 election, project 2025 was clear about having huge cuts
Everyone who voted for Trump and the GOP. Also every republican in office.
Everyone who elected Trump and Republican members of Congress, who destroyed Medicaid. Keep up.
So you know everyone in rural areas voted for trump, or are you just saying the people in those areas who voted for biden are acceptable collateral damage?
Joe Biden spent his entire senate career trying to destroy medicaid, should anyone who voted for him also get this treatment?
If rural communities wanted hospitals, they simply should not have voted for the Close Rural Hospitals Party! They made that choice, everyone else is just left with triage.
That's easy; anyone who voted Republican. They might have been too dumb to realize that the Republican obsession with cutting taxes and spending was going to close their hospitals, but the fact someone was too dumb to realize what they were voting for doesn't change the fact they voted for it!
I was literally told by a bisexual dumbass that Project 2025 was written by a liberal organization and that Trump cares about gay people
Everyone is yelling at you over this and i just want to say: keep going, these fucking rural chuds have been using their 60x overrepresentation in our shitty system to fuck over me personally and us generally for as long as I have been alive. They’re not good enough for popular sovereignty.
Lmao every post I read from you is dumber than the last one. You think closing rural hospitals is going to remedy that? Holy fuck dude, you’re are a fucking moron lmao
Shit man, if they really want the medical care, maybe they can vote to tax their local oligarchs! Wouldn't that be cool?
No, no, it's the responsibility of the city people to pay for their shit. Because they're the Real Americans, not like those Jews and queers and dark people.
In my urban blue dot in a sea of racist bright red, they come in and tell us exactly what they think of us while they dine out at our restaurants and ride Lime scooters into traffic. Then they go back and complain about crime and homelessness and vote to defund our schools and roads.
I’ve been asking the Party of Personal Responsibility ™️ to take some, well responsibility for their actions since at least 2014 and they get so fussy about it. Not sure why.
Ur an asshat
I've read that guy's comments about Ukraine; he doesn't give a shit about condemning people to death.
If these people think not having a local hospital is good for them let them have it
This presumes that most Americans have an even rudimentary understanding of how public policy works, or how basic services are resourced. I remain unconvinced on that point.
Yeah just post through it you fucking ghoul. Do another post about what a lousy asshole you are. Come on man.
Is it your solution to always bail voters out of bad decisions so we continually get screwed long term by people learning the wrong lessons? People must learn that voting has consequences. It is not my fault that other people in those communities will suffer because of neighbors' bad decisions
You think Trump voters are capable of learning?
Yes but if someone thinks that, they already voted R last November.
The conservative attitude towards cities for the past 60 years and 20 days has been "To keep you is no benefit, to kill you is no loss."
As a rural resident, that’s not how anyone looks at it & it’s not up to us. The ppl with money will just vacate to live / crowd a hospital somewhere more urban, & the poor will continue to die supplying ungrateful cities crops, gas, coal & AI. This isn’t a worthwhile position
Rural residents have, by law, more power over our political structure than anyone else. They own more responsibility than anyone else for what our government does. My entire life I've been told we can't do good things because rural voters hate city voters and politicians have to cater to them.
I don't want to punish rural voters for their votes. But I don't want to continue to subsidize them when they adamantly, joyously vote to cut their own subsidies and act confused when their politicians do what they said they were going to do to get those joyous, enthusiastic votes.
The cities don't have enough capacity as it is! Because we keep dumping hundreds of billions of dollars a gear into subsidizing wasteful, inefficient rural economies and indulging the fantasy that they make America go when they mostly provide low-margin inputs to more productive, urban industries.
Everyone goes to Europe and asks why their cities are so much nicer than ours. A huge reason for that is the US starves our cities. Europe does not. We saw this again in PA. Southeast PA pays 40% of the state tax revenue, but the legislature won't let them keep any to build transit.
And it doesn't have to be zero-sum! There's more than enough to go around, based on the macroeconomics. But rural conservatives keep voting in favor if everyone getting exploited. Because urban populations suffer a bit more than they do. And for too many of them, they consider that a win.
“Ungrateful cities”? Whatever, buddy. What does that even mean? You’re not some family farmer and 99.999% of rural residents aren’t and aren’t furnishing anything to cities. Meanwhile it’s “we rural an are the REAL Americans, you city types are fake.”
Uh oh he’s pulling the graphs and “buddy”s out
So you have no other response to that? Do you care to explain what we should all be grateful for? The carloads of hay that the noble rural Americans dutifully cart in past the city gates to feed us urban ingrates who are decadent and living off the fat of your labour?
Your weird personal hatred of rural people in general is just not a v relevant or interesting basis for a convo
Okay, now we know you’re a bot or a Russian. You started with “ungrateful cities,” and I was addressing that. I have nothing against rural people; I grew up in the middle of nowhere and my family still do. And I know full well that your whole “ungrateful cities, noble rural” is hogwash.
Not a single thing I’ve said has been negative as to rural anything, except for your nonsense idea what city dwellers are ungrateful or whatever.
"ungrateful" bro our taxes are the reason you have any infrastructure at all
Cities are vastly less dependent on rural areas than vice versa.
After all, cities have ports, railroads, and airports, the moeny to run them, and the administrative capacity to shift consumption patterns to other suppliers. And rheal environments lack the solidarity to withhold their labor whent they're functionally feudal territories for their local bourgeois.
But yes, ideally, we would make sure everyone had a hospital. Take it up with your neighbors who voted to close down your hospital by putting the Close Down Hospitals Party in charge.
Those hypothetical neighbors became that way after being abandoned by every party but Fox fascists spotting an easy pickup. Urban attitudes / policies of open antipathy for rurals by dems led once-unionized rural pops to embrace maga grifters - via predominantly urban-bred programs btw
I love the eternal "Rural people have been ABANDONED!" narrative, as if poor people in the inner city have been so spoiled and coddled.
So we have to choose?
I’m sorry to say that we do now. That is a consequence of this election. Whatever your fantasies of anti-urban grievance say, we were always fine with subsidizing rural areas. I’m still willing to, after this is over. But that social contract is ashes, and my city is not who burned it.
I spent a decade losing credibility in my queer community and with my neighbors of color trying to explain away this arsonist behavior as “economic anxiety.” They did not create this mess, never got this kind of coddling, and are the ones being targeted most. I will not let you punish them for it.
“Fantasies of anti-urban grievance” is projection. All I’m trying to say is there’s no use for these “the hillbillies get what they deserve” takes, other than cringe class analysis & making yrself look self-absorbed to anyone outside a college town
The hillbillies get what they voted for. The blue city I live in will keep it's hospital. The Trump Voting areas are losing theirs. Consequences of their actions. Fuck them.
You just did a fantasy of anti-urban grievance here. Blaming the victims of fascism for the actions of the fascists. The logic of enabling abuse. bsky.app/profile/garb...
It doesn't make sense to save a hospital that serves 20,000 as opposed to 200,000 people. Do you think 200,000 people deserve to lose accessible health care for the convenience of 20,000? I say this as someone who grew up in a village of 300 people, and who raised my kids in a town of 1K
If you're upset that liberals have the gall to save themselves then take it up with your friends or your therapist
White rural and exurban voters decided that we have to choose now, yes.
Have you ever actually lived outside a city
Take your Tough Shit card & your 90 minute drive to your nearest emergency room and talk to your conservative neighbors. They voted for a NYC con artist the stupid rubes.
I grew up in a town of 5000 3.5 hours drive from the nearest “big” city. I got the hell out the 1st chance I had & never looked back. For a long time I tried to be nuanced about how I thought about the place & why it was the way it was…I’d lost touch with everyone I knew from there, family had left…
Democrats tried to give them healthcare and jobs and infrastructure and they responded "nah that shit's woke" and elected a fascist.
U might want to check who passed NAFTA
NAFTA was bipartisan. Literally bush sr negotiated it and Clinton signed it after it passed congress with bipartisan support. It was also not the reason why voters went for Trump 20-30 years later.
Nafta sure as shit isnt the reason why red states refused to implement shit like the ACA medicaid expansion. This is just wrong.
🤷 ok
They were never abandoned. Rural areas are massively subsidized in roads, medical care, schools, electricity, & straight cash payments. There's whole states operating at a loss. West Virginia comes to mind.
That the US and every other urbanized country is mostly populated by people who left rural areas because they felt cities were better is not the fault of liberals.