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Making America’s Children Healthy Requires Addressing Deep-Rooted Health Disparities
Dec 23, 2025
In early September, the Make America Healthy Again (MAHA) Commission released a 19-page strategy to improve children’s health and reverse the epidemic of chronic diseases. The document, a follow-up to MAHA’s first report in May, paints a dire picture of American children’s health: poor diets, toxic chemical exposures, chronic stress, and overmedicalization are some of the key drivers now affecting millions of young people.
Few would dispute that children should spend less time online, exercise more, and eat fewer ultra-processed foods. But child experts say that the strategy reduces a systemic crisis to personal action and fails to confront the structural inequities that shape which children can realistically adopt healthier behaviors. After all, in 2024, the National Academies of Science, Engineering, and Medicine updated Unequal Treatment, a report that clearly highlights the major drivers of health disparities.
Debbie Gross, a child psychiatric nurse and professor at Johns Hopkins School of Nursing, welcomes the administration’s stated focus on children’s health but notes the gap between ideas and implementation. “The ideas in it are good, but it’s all about how this is going to be executed,” she said in an interview with The Fulcrum. “The devil is in the details. The change this MAHA strategy seeks is at the community level. Who are the people you are bringing to the table?”
So far, the people sitting at the table endorse the ideological views of the U.S. Health and Human Service Secretary Robert F. Kennedy Jr—notably vaccine skepticism and regulatory rollbacks——rather than a cross-section of representatives from communities with the highest disease burdens.
The MAHA commission, created by President Trump in February 2025, is dominated by officials who toe the party line, from National Institutes for Health Director Jay Bhattacharya to Agriculture Secretary Brooke Rollins, founder of the America First Policy Institute. This conservative think tank promotes a vision of America based on pronatalist, anti-immigration, and free speech policies. Gross hopes representation will broaden during implementation.
But experts warn that the administration’s rhetoric about improving children’s health often runs counter to its policy choices. In a press release that accompanied the report, Secretary Kennedy framed MAHA as a sweeping, cabinet-wide mobilization. “This strategy represents the most sweeping reform agenda in modern history,” he said. “We are ending the corporate capture of public health… and putting gold-standard science—not special interests—at the center of every decision.”
Yet the strategy largely sidesteps the social determinants of health, the conditions in which people live, work, and learn that drive health outcomes far more powerfully than personal choice. Speaking with The Fulcrum, Aviva Musicus, Science Director at the Center for Science in the Public Interest, notes that the report focuses heavily on individual responsibility while ignoring the systemic barriers that shape those daily decisions.
“Notably absent from the MAHA strategy report are strategies to address inequities and health disparities,” says Musicus. “The idea is that if we educate people, they will have the resources to take action and become healthier. The reality is that structures and systems affect our health far more than the individual decisions we make daily. Those individual decisions are a direct result of structures and systems. If you don't change the structure, you're not going to change overall health.”
Even where the MAHA strategy acknowledges environmental and behavioral harms—chemical pollutants, the role of technology—it proposes no corporate regulatory oversight. Deregulation only applies to what is perceived as government “interference.” Meanwhile, experts point out that many actions taken by the administration actively undermine the strategy’s stated goals, undermining some of the objectives laid out in the strategy. Cutting food assistance that low-income families rely on, loosening rules on pesticides linked to health risks and advancing policies that restrict access to nutritious foods.
“This administration's actions are making America hungrier and sicker,” says Musicus. “The negative impacts will be disproportionately felt by those with the lowest incomes. Stripping millions of Americans from their health insurance coverage and cutting SNAP will increase health inequities.”
The Administration’s recent decision to eliminate more than 3,800 research grants—totaling roughly $3 billion—for studies on cancer, health disparities, neuroscience, and other areas essential to children’s health further complicates MAHA’s ambitions.
In July, Gross wrote to Secretary Kennedy, urging the establishment of a dedicated agency for children within the NIH, analogous to the National Institute on Aging. She never received a response, despite the alignment with the administration’s stated priorities.
“We spend so much more money on adults than we do on children, but prevention in children costs a lot less,” says Gross. Many unhealthy behaviors, she noted, stem from corporate incentives that discourage improving food quality. “We've got a Secretary of Health who says we must prioritize healthy foods and children in schools. Meanwhile, we've got a Congress that wants to cut those programs financially. So, the question to Secretary Kennedy is how are you going to lead this in this environment?”
Gross also emphasized the essential role of nurses, often the frontline professionals, helping families build healthier lives. Yet the administration has moved to classify nursing as a non-professional degree, limiting financial support for students despite a national nursing shortage.
To meet the MAHA moment, Musicus says her organization is focusing on three priorities: holding leaders accountable for actions that undermine public health, mitigating the damage through litigation and by opposing key appointments, and articulating a proactive vision for an equitable food system. “It’s not enough to play defense,” she said. “We need to provide policymakers with an evidence-based roadmap for what true food system transformation would look like.”
The question is whether those in charge are willing to listen.
Beatrice Spadacini is a freelance journalist for the Fulcrum. Spadacini writes about social justice and public health.
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Recommended
Reforming the filibuster, hands-on civics, and timely links
Dec 23, 2025
This article explores practical, citizen‑driven strategies for reforming the Senate filibuster, breaking down how everyday people—not just lawmakers—can influence one of Congress’s most powerful procedural tools. It explains why the filibuster has become a barrier to passing widely supported legislation, outlines the mechanics behind reform efforts, and offers hands‑on actions that advocates, organizers, and community members can take to push for a more responsive and functional democracy. The piece frames filibuster reform not as an abstract procedural debate but as a concrete pathway to strengthen majority rule and expand democratic participation.
#1. Deep Dive - Reforming the filibuster
Sen. Jeff Merkley has waged a crusade to reform the Senate filibuster. Source: Los Angeles Times
Ever since co-founding FairVote, I’ve heard talk of reforming the U.S. Senate filibuster, from Action, Not Gridlock in a 1994 campaign spearheaded by Democrats to Donald Trump’s Treasury Secretary Scott Bessent writing in the Washington Post last month. In 2005, the Cato Institute’s David Boaz lifted up the pattern of flip-flopping on the issue, with the partisan minority typically embracing their power to block the majority, and the last 20 years have provided much more fodder for those reversals based on which party runs the Senate.
But here’s the thing: 51 votes should decide our most important statutory policy issues, just as they do in the U.S. House, nearly every state legislative chamber, nearly every international legislature, and nearly every use of initiative and referendum. The frustrated majority is correct that the American people lose faith in democracy when uncompromising partisan minorities deny action on mandates from an election.
That said, there's an equally strong case for embracing what the Senate can do well - create space for substantive debate, individual improvements to legislation, and true cross-partisan negotiation, learning, and compromise. Senate committees have a history of truly bipartisan development of legislation, allowing more votes on constructive amendments can improve bills, and slowing votes to hear from more voices can avoid mistakes in the spirit of Henry Fonda’s critical role on the jury in the classic movie 12 Angry Men.
I’m from a Quaker tradition, where decisions are made by consensus - a process of seeing unanimous support that depends on dialogue, listening, and recognition of when to step aside to allow an action you oppose. In formal Quaker deliberations and countless organizational and family meetings, I’ve seen how that process yields better outcomes than ramrodding through what the majority initially wants to do.
The Senate must make decisions, of course, and it isn’t going to work by consensus. But I would encourage Senate Democrats who have sought to end the filibuster to join with those in the Republican majority to reform the filibuster in a way that balances making final decisions with 51 votes with rules that encourage deliberation and enable improvements. Let’s start with what Scott Bessent wrote in the Washington Post:
The filibuster is not in the Constitution. The Framers envisioned debate, but they expected majority rule. The modern filibuster traces back to 1806, when the Senate, on the advice of then-former vice president Aaron Burr, deleted the “previous question” motion from its rulebook. That deletion wasn’t a philosophical embrace of unlimited debate; it was a housekeeping measure that inadvertently removed the chamber’s mechanism for cutting off debate by majority vote. Only later did senators discover they could exploit the gap to delay or block action.
In the modern era, merely threatening a filibuster typically forces a 60-vote supermajority to move legislation forward. Defenders of the filibuster argue that it ensures compromise, encourages bipartisanship, and protects minority rights. That may have been true decades ago, but it is no longer the case now. Today, the minority party can abuse the filibuster to the point of rendering the Senate almost useless as a deliberative body…
Though the filibuster no longer applies to judicial nominations, it still prevents the Senate from functioning as intended. Major legislation is now passed only through reconciliation, executive fiat or brinksmanship. The 60-vote threshold has become a convenient excuse for inaction. Both parties claim to defend “tradition.” But traditions are worth keeping only if they serve the country’s interests. The filibuster no longer does.
I agree, but let’s not make the Senate a body like the House, where the leaders of the partisan majority today are overly dominant. Those interested in filibuster reform should read the 2024 book Filibustered! by Oregon Senator Jeff Merkley and his former senior aide Mike Zamore, now with the ACLU. They artfully tell the story of the Senate's breakdown and are particularly thoughtful about reform. Zamore anticipated the book’s arguments in his 2022 Democracy Docket piece on the “talking filibuster. Here’s an excerpt:
We don’t need to touch the 60-vote threshold to cut off debate at all – we need to bring back the talking filibuster as a separate, alternative approach to finishing legislation… The path back for the Senate from today’s partisan gridlock is not to end debate by majority vote. Instead, it’s to restore the option of exhausting debate. By reinvigorating the talking filibuster and another 233-year-old rule limiting senators to two speeches on a given issue, the Senate can restore the balance that has been missing.
In other words, Senators could pass legislation with 51 votes, but only after allowing as many talking filibusters as the minority mustered under the revised rules - meaning the majority would have to prioritize what legislation to advance over a determined minority in transparent ways that would make both parties more accountable for their actions and renew opportunities for collaborative learning, compromise, and governing.
As we barrel toward the next government shutdown, where the Senate filibuster will again play a key role, this could be the time for a supermajority of Senators to come together to adopt new rules to make their body - our democracy - work as our founders intended.
#2. Spotlight - Civics as if we expected our children to be active citizens
Source: PBS
Protecting, expanding, and strengthening democracy requires work across all levels of government. It requires thinking and reinvention across electoral rules, communication tools, governing practices, and community-building initiatives. It requires efforts focused on the short-term, mid-term, and long-term. Any faltering in any of those dimensions will leave us short of where we need to be.
Investing in how we introduce young people and new citizens to our democracy is one of those long-term needs - and one that leaves far too many gaps. Carnegie Corporation recently released a detailed study, How Polarized Are We, which is well worth a read. One relevant finding stands out:
The data points to the potential of youth civics programming in reducing polarization across the country. When asked to evaluate the impact of a range of civics programming, respondents gave positive ratings to all seven. Topping the list: attending a local government meeting (87 percent), youth volunteering during elections (80 percent), and youth representation in local governance (80 percent). Despite the positive perceptions of these programs, the survey finds that less than half of local communities have such opportunities available.
That's not to say that groups aren’t doing important work. Founded by former Supreme Court Justice Sandra Day O’Connor, ICivics does great work. I applaud efforts like the Model Convention 2026 that will bring together over a hundred students from universities to propose, debate, and vote on U.S. democracy reforms. Countless teachers, the largely "unsung heroes” of our democracy, go beyond what’s required to help their students think about their role in our democracy.
But what if we treated this collectively as an investment on par with John F. Kennedy’s 1961 call to put an American on the moon within the decade? At FairVote, I supported colleagues and interns lifting up a series of ideas that would be part of that investment. Here are a few of my favorite proposals:
Bring every student to the capital for hands-on learning mock legislatures: There are great programs focused on bringing students to their state capital or Washington, D.C. for presentations, mock legislatures, and observations of their legislative inaction. Rather than limiting that opportunity to a relative handful of students, some Scandinavian countries bring every student to the capital as part of months-long civic classes preparing students for their role in democracy.
Get every student registered to vote as they learn about democracy: FairVote was a leader in securing voter preregistration, which enables 16-year-olds to get on the voter rolls systematically when in school. Our bigger vision was to have systems in place so that every eligible voter is pre-registered as a government responsibility. Joining the movement for extending voting rights to 16-year-olds - already won in several cities and soon to be the law in the United Kingdom - would further a cohort of citizens voting at higher rates than those in their late teens and early 20s.
Have mock elections on what’s on the ballot - and try out different voting rules: More states and local school systems could ensure students get to vote on what’s on the ballot - and use actual voting machines and rules. As part of that learning, students could systematically explore different voting options and see how different election methods might affect their choices and representation.
Create a student seat on school boards - and let students vote on them: My home county of Montgomery County (MD) enables students in 6th through 12th grade to vote on a high school student to serve on the local school board. It also gives those student school board members the chance to vote on most of what the full board does.
There is no shortage of good ideas, of course. We instead have a shortage of government commitment and resources. Here’s to hoping for more leadership on this opportunity to strengthen democracy.
#3. Timely Links
- Troubling implications of Supreme Court Texas redistricting decision for blocking illegal election law changes: NYU professor Richard Pildes writes in Bloomberg News that, “Texas’ US Supreme Court victory allowing its new congressional maps to be used for next year’s midterm elections has potentially broad implications for election law more generally. The court’s ruling that it’s too close to the 2026 elections for the federal courts to weigh in on Texas’ new maps risks giving state legislatures excessive latitude to change election laws well in advance of elections—without fear of federal court oversight.”
- “How a 1940 electoral system reform in Cambridge made its 2025 housing breakthrough possible”: Commonwealth Boston takes a deep dive into the role of proportional ranked choice voting in housing policy. “Cambridge quietly accomplished what few cities have dared: through an ambitious zoning reform, it legalized four-story buildings across nearly every neighborhood. The reform dramatically increases the city’s capacity for new housing, with projections that it could add 3,590 net new units by 2040. This is more than just a housing ‘win.’ It’s a triumph for Cambridge’s unique brand of representative democracy—one that balances citywide priorities with fair representation for diverse communities.”
- Join “The Conversation” and chances for Weekend Reading: A reader lifts up the regular contributions from scholars at “The Conversation.” Recent topics include learning from simulations of ranked choice voting, the role of White nationalism in violence globally, why people trust influencers more than brands, and the government shutdown. Meanwhile, Ms. Magazine runs Cynthia Terrell’s “Weekend Reading,” which is chock-full of insights and news about democracy through a lens on women's representation and power.
- Fusion voting won’t be won legally in New Jersey: The New Jersey Supreme Court won’t entertain reversing a lower court ruling rejecting a legal challenge to the state’s ban on fusion voting. Proponents centered their case on the “disaggregated” approach to fusion that is incompatible with ranked choice voting. A challenge seeking “aggregated fusion” could offer an alternative approach with judges who were concerned about disaggregated fusion’s impact on the administration of elections.
- Josh Shapiro and Spencer Cox join to denounce rise in political violence: The Washington Post covered how Pennsylvania's Democratic governor Josh Shapiro and Utah’s Republican governor Spencer Cox “spoke together about rising political violence Tuesday at Washington National Cathedral, a rare bipartisan event in a deeply polarized country. Both criticized their parties for not doing enough to cool partisan tensions and condemn political violence when it affects their opponents.” The event was presented in partnership with Disagree Better, the Wheatley Institute at Brigham Young University, and the National Institute for Civil Discourse.
- The long roots of the Supreme Court's neutering of the Voting Rights Act: FairVote senior fellow and author David Daley writes in the Atlantic on Supreme Court Chief Justice John Roberts’ fight against the Voting Rights Act across his career. Daley begins, “In 1982, when the Voting Rights Act was up for reauthorization, the Reagan Justice Department had a goal: preserve the VRA in name only, while rendering it unenforceable in practice. A young John Roberts was the architect of that campaign. He may soon get to finish what he started.”
- “The laboratories of democracy need new infrastructure”: Daniel Stid’s most recent “Art of Association” substack post dives into support for effective governance in states and cities. “The federal government will not be the vanguard for the next wave of reform. Instead, leadership must come from states and localities – the venerable laboratories of democracy in America. To realize their promise in our distributed system of government, one fit for a republic cast on a continental scale, we will need new forms of civic infrastructure.”
Reforming the filibuster, hands-on civics, and timely links was first published on The Expand Democracy 3 and was republished with permission.
Rob Richie leads Expand Democracy. As head of FairVote, he created the partisan voting index, designed Alaska’s Top Four system, and advanced the Fair Representation Act, the National Popular Vote, automatic voter registration, and ranked-choice voting.
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Rising costs, AI disruption, and inequality revive interest in Louis Kelso’s “universal capitalism” as a market-based answer to the affordability crisis.
Getty Images, J Studios
Affordability Crisis and AI: Kelso’s Universal Capitalism
Dec 22, 2025
“Affordability” over the cost of living has been in the news a lot lately. It’s popping up in political campaigns, from the governor’s races in New Jersey and Virginia to the mayor’s races in New York City and Seattle. President Donald Trump calls the term a “hoax” and a “con job” by Democrats, and it’s true that the inflation rate hasn’t increased much since Trump began his second term in January.
But a number of reports show Americans are struggling with high costs for essentials like food, housing, and utilities, leaving many families feeling financially pinched. Total consumer spending over the Black Friday-Thanksgiving weekend buying binge actually increased this year, but a Salesforce study found that’s because prices were about 7% higher than last year’s blitz. Consumers actually bought 2% fewer items at checkout.
Moreover, according to an analysis by Mark Zandi from Moody's Analytics, consumer spending has been driven largely by high-income households, with the top 10% accounting for nearly half of all spending. "That group has always accounted for a much larger share of spending, but that share has risen significantly over time, and now is the highest it's ever been," Zandi told CBS News.
While partisan sides fight over whether there is an affordability gap, other experts predict it could worsen significantly as we enter the AI age. If intelligent machines are increasingly able to do more and more human jobs, workers' bargaining power to capture their fair share of the accumulating wealth will diminish. Wages will likely continue lagging behind economic growth and price increases. It’s like a hamster on the wheel, chasing its own tail, trying to keep up. So what’s the solution?
The Kelso alternative of universal capitalism
Interestingly, several decades ago, an American original named Louis O. Kelso proposed an innovative way to help every American have a bigger share of the economic pie. Kelso was an economic trailblazer and financial genius who, in the 1970s, proposed a new approach to a more broadly shared prosperity that broke with the usual “Tax the rich and redistribute the income” model that became popular in the US, Europe, Canada, and elsewhere.
Instead, to a national audience that heard Kelso through interviews on shows like 60 Minutes with Mike Wallace and profiles in the New York Times and Time, and through his bestselling book The Capitalist Manifesto, Kelso proposed spreading ownership of capital assets to everyday Americans. In an economy where the top 10% of affluent Americans own 93% of all stocks, he proposed that more Americans should own more stock, so that they, too, could benefit from rising profits in successful companies and from the innovation of new technologies, which often drive the rising profits.
Louis Kelso called his vision “universal capitalism.” His philosophy was rooted in the same principles that had motivated America’s founders like George Washington, Thomas Jefferson, and Alexander Hamilton, and the Populist movement of the late 19th century, who were strong proponents of widespread property ownership -- in the form of land -- as a catalyst for both economic liberty and political freedom. But in Kelso’s plan, farmland was replaced by stock ownership in valuable companies.
Worker-owners for a “piece of the action”
Pie in the sky, you say? Louis Kelso demonstrated the viability of his vision with his invention of what is known as the employee stock ownership plan (ESOP). Today, ESOPs are used by some 6,300 businesses, including Walmart, Lowe’s, Southwest Airlines, Recology, and Publix Super Markets, to financially empower 15 million worker-owners who are compensated with stock in the companies they work for, in addition to their wages. That’s a greater number of workers than those who are labor union members.
Kelso’s ESOP legislation in the 1970s attracted broad support from the right and the left, from leading Democrats and Republicans, including Presidents Ronald Reagan and Jimmy Carter, Gerald Ford, Richard Nixon, and today is still supported by both Democratic and Republican party platforms – even as Kelso’s ideas were scorned by mainstream economists, like Milton Friedman.
While ESOPs benefit the employees of a particular company, Kelso proposed other financing vehicles as part of a broader call for universal capitalism designed to provide ownership of key capital assets to more people. For example, Kelso adapted one of his financing techniques, a Consumer Stock Ownership Plan (CSOP), to help a co-op of nearly 5,000 struggling farmers in California’s Central Valley secure a bank loan to purchase their own fertilizer plant. The bank loan was repaid from the fertilizer plant's future profits. That got the farmers out from under the exploitative boot heel of the oil companies that monopolized the fertilizer industry. The farmers paid off the bank loan in record time, even as they saved a billion dollars by drastically reducing fertilizer prices.
Kelso also had plans for how to use his financing mechanisms to not only house the poor but to turn them into owners of their own homes. One of Kelso’s original plans became what is known today as the Alaska Permanent Fund, which allows every Alaskan to share equally in the state’s oil wealth, an early and successful example of Universal Basic Income. Without Kelso’s influence, there would likely be no IRAs, 401(k)s, and other savings vehicles that eventually were birthed out of the “shareholders for all” movement that he spawned. He had another plan, called a General Stock Ownership Plan (GSOP), that would have created a kind of sovereign wealth fund in which a portfolio of stock investments on behalf of large populations of Americans would provide a second income stream for those people, beyond their wages, out of the future returns on those investments.
The role of technology in wealth creation
Kelso anchored his initiatives in a deep understanding of the economic impacts of new technologies and scientific innovation. Kelso was one of the first to fully grasp the ramifications of the insight that French economist Thomas Piketty made famous 40 years later—that the rate of return on capital investment naturally exceeds the economic growth rate, and therefore the rate of wage increases. Kelso recognized that capitalism has a natural bias toward the concentration of ownership, particularly of the machines and technologies that drive productivity and profits. Consequently, financial wealth accumulates much faster than wage income, and that’s why the small 10 percent elite of wealthy investors get richer while the 90% of wage-earners tread water or worse. As the US stands on the cusp of an AI revolution dominated by a handful of tech companies, Kelso’s warning about the negative impacts when only a small handful of wealthy investors benefit financially from technological advancement has never been more urgent.
Owners By the Millions
In today’s world of unbalanced inequality, of the 1% vs the 99% riven with populist grievances, universal capitalism is more relevant than ever. Kelso’s economic vision advances the common-sense notion that the vast majority of Americans should be owners of the businesses in which they work, as well as of the economy in general. Interestingly, Kelso, who was a corporate attorney by profession, was not some leftie liberal. His own politics could best be described as libertarian-humanitarian. And he was also anti-communist but critical of American capitalism. In fact, he thought that, during the economic doldrums of the 1970s, he was saving capitalism from the allure of communism/socialism.
The Kelso vision is urgently relevant today because it is a story about economic fairness and the future of the American Dream. During a time of federal retrenchment and cash-strapped states and cities, Kelso’s creative financing vehicles are increasingly being discussed as potential ways to fund housing, college tuition, public ownership of utilities, universal basic income, public transportation, and even reparations to slave descendants, without dipping into the public treasury.
With the US seeking a politically viable way to move past toxic populism into a new era of bipartisanship, the time is ripe to reintroduce Louis O. Kelso and his “positive populist” vision to new generations.
Steven Hill was policy director for the Center for Humane Technology, co-founder of FairVote and political reform director at New America. You can reach him on X @StevenHill1776.
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white concrete dome museum
Photo by Louis Velazquez on Unsplash
Accountability Abandoned: A Betrayal of Promises Made
Dec 22, 2025
Eleven months ago, Donald Trump promised Americans that he would “immediately bring prices down” on his first day in office. Instead, the Big Beautiful Bill delivered tax cuts for the wealthy, cuts to food benefits, limits on Medicare coverage, restrictions on child care, and reduced student aid — all documented in comprehensive analyses of the law. Congress’s vote was not just partisan — it was a betrayal of promises made to the people.
Not only did Congress’s votes betray nurses, but the harm extended to teachers, caregivers, seniors, working parents, and families struggling to make ends meet. In casting those votes, lawmakers showed a lack of courage to hold themselves accountable to the people. This was not leadership; it was betrayal — the ultimate abandonment of the people they swore to serve.
What makes this betrayal even more damning is that it was foreseen. During the 2024 campaign, Joe Biden and Kamala Harris warned that Trump would do exactly this — strip relief from families and reward the wealthy. And soon after he took his oath, he proved them right. Congress cannot claim ignorance; they were warned, and still they chose silence and complicity.
Democrats listened to the people’s cries for relief. While not perfect, they stood united in opposition because they understood the harm the Big Beautiful Bill would bring to families, seniors, caregivers, and nurses. They tried to keep their promise to protect those most vulnerable from a bill designed to enrich the wealthy at the expense of everyone else.
When the Vice President cast the deciding vote, he showed his lack of moral responsibility, compassion, and empathy for the millions harmed by the bill. Vance is sponsored by billionaires. He does not care about people living in poverty, and his vote showed it. Who can Americans look to for protection when the second‑highest office in the land abandons its duty to the people?
Time and again, Congress has demonstrated that its loyalty lies with the President, not with its oath or the people it swore to serve. Speaker Mike Johnson enforced loyalty. Senators Ted Cruz, Lindsey Graham, and Tim Scott, along with Representative Jim Jordan, all advanced Trump’s mission. Republicans did not question the President’s broken promise — they supported him without holding him accountable. That loyalty was hypocrisy, because many of them once lived modestly, worried about rent, groceries, and medical bills before they had money and power. Now, insulated by congressional salaries and billionaire donors, they have forgotten what it means to struggle.
Republicans voted yes even as poverty grips their states. These are the very families most dependent on SNAP, Medicare, and child care support — programs gutted by the bill. Republicans chose loyalty to Trump over compassion for constituents, betraying citizens who are already suffering. And these statistics are reflected across the country, with the national poverty rate at 11.1%, representing nearly 37 million Americans living below the federal poverty line.
Though the decision was partisan, the harm hurt Republicans, Democrats, and Independents in red, blue, and purple states all across America. Families in every corner of the nation — rural and urban, coastal and heartland — felt the consequences. The Big Beautiful Bill did not discriminate in its damage; it stripped relief from millions regardless of party affiliation, proving that loyalty to one man came at the expense of the entire country.
While millions of Americans live below the poverty line, members of Congress earn between $174,000 and $223,500 a year. The Speaker of the House earns $223,500, and the Senate Majority Leader earns $193,400. All enjoy health benefits, retirement packages, and travel expenses at taxpayer expense. All this, plus the money they receive from billionaire donors and corporate PACs, guarantees that their immediate families never worry about housing, food, or health care. While ordinary Americans struggle to pay rent, buy groceries, or afford medical care, congressional leaders prosper — and then vote to cut the very programs that keep families afloat.
I once knew a state representative in Virginia who, despite doing well financially, had aunts, uncles, cousins, and friends who were hard‑working people — sometimes struggling to make ends meet. Members of Congress surely have similar stories they could tell if they were human enough to remember them. But instead of honoring those connections, they have insulated themselves with wealth, perks, and billionaire donors. In forgetting their own families’ struggles, they have abandoned the people’s struggles.
The dire consequences of the Big Beautiful Bill are not abstract — they are lived every day. Just this week, while it snowed in Virginia, I spoke on the telephone with my sister. She remarked how cold it was outside, but how blessed she was to be in a warm house with ample food. I told her I was concerned about people without food or shelter. She replied that there are shelters and churches, but I reminded her that shelters fill up, some people are turned away, and food supplies are scarce. People don’t want hand‑outs; they want fair opportunities and equal access — things our President has taken away. This is the essence of diversity, equity, and inclusion: ensuring that every citizen, regardless of background or circumstance, has a fair chance to thrive. Congress abandoned that principle when it passed the Big Beautiful Bill, stripping away equity and denying inclusion to the very people who needed relief most. In doing so, the BBB stamped out a pathway to the American Dream — the promise that hard work and fairness could lead to opportunity.
Accountability was abandoned the moment Congress voted for the Big Beautiful Bill. Americans were asking for relief, but lawmakers ignored the consequences to the people. They have yet to acknowledge that siding with the President was a mistake. They have done nothing to rectify the harm, nor have they justified to the public why they voted for this bill. At times, it seems Congress does not even know the meaning of accountability — because accountability builds trust, guarantees fairness, and sustains integrity. People asked for one thing — relief — and Congress gave them another: complete betrayal.
Congress’s duty is not only to legislate but to safeguard the public good. By prioritizing partisan loyalty over the needs of families, nurses, caregivers, and seniors, lawmakers abandoned that duty — betraying the trust of citizens who depend on them. Stripping nurses’ professional status devalues clinical judgment, weakens patient safety, and chills the pipeline of future providers. Cutting food benefits and child care undermines families. Reducing student aid blocks opportunity. Limiting Medicare leaves seniors vulnerable.
When elected leaders diminish the people who care for us, they diminish the country itself. If Congress can erase nurses’ professional recognition while slashing food benefits, narrowing Medicare coverage, and constraining child care, they can erase trust in public service altogether. Accountability isn’t a slogan; it is the guardrail of a functioning democracy.
Citizens must vote — register, show up, and replace leaders who betray the people; write letters, op‑eds, and petitions that call out hypocrisy and demand repeal of the Big Beautiful Bill; speak up at town hall meetings, in community forums, and directly to representatives; hold leaders accountable by asking them to justify their votes, reminding them of their oath, and insisting they repeal this bill; peacefully protest to show that betrayal will not be tolerated; and demand repeal to reverse the harm and restore fairness, equity, and opportunity.
Congress failed to hold itself accountable for the people — a great betrayal of trust. They lacked the courage to remind the President of his promise and chose silence over standing up for families, nurses, caregivers, and seniors. That silence betrayed democracy itself. What America needs now are leaders with compassion, empathy, and moral understanding. We demand that the Big Beautiful Bill be repealed. Only courage, compassion, and accountability can restore democracy — and reopen the pathway to the American Dream that Congress stamped out in ultimate abandonment.
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Carolyn Goode is a retired educational leader and national advocate for ethical leadership whose writing examines the three branches of government and their impact on democracy, citizens, and public trust.
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