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docrhw Weil's avatar

Though to be completely fair Trump did get elected long before the pandemic began, being able to play well on fear. But I think another factor is that many Americans know little about science or history. (The Donald himself seems to be illiterate in both fields.) Magical thinking, the idea that “we’re different” and that pandemics are not a routine part of human history all came into play. (Probably growing up on fantasy movies and television shows where everything was neatly wrapped up in an hour were conditioning factors as well.) Thus the anger against Fauci and other scientists who changed their recommendations as they learned more about the virus showed a widespread lack of understanding about how science works. Like other claims of hoaxes (the moon landings, climate change, etc.) it was an easy turn for someone who didn’t want to admit they didn’t know more to following somebody who said they did. And believing that The Leader has all the answers and if you do what you are told then everything will be okay is definitely a cult. Even if one learned how to critically think for themselves practicing this is toxic to being in the group. So the worst are not the credulous but those who know better but join in for profit and power. We see that here, we see that in every dictatorship.

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Gloria J. Maloney's avatar

Of course, we've been traumatized by COVID-19, but Trump was already President. I agree with Thom that the trauma of COVID-19 likely made it worse, especially for those looking for a Strongman leader. But I learned something else in the past week that makes me even more certain that our form of government, a Capitalist Republic, must be drastically overhauled. The system itself is killing us.

I was denied a continuous glucose monitor because I can't prove that my blood glucose ever went lower than 54 mg/dL, and I am not on insulin, although I have type 2 diabetes and had a very high A1C last winter. Medicare rules say it is not medically necessary to have a CGM without that proof. The problem is, you can't prove it without a CGM, a catch-22. CMS claims they must conserve CMS sensors for those who can benefit the most. But getting around to the astounding medical research I found this past week to defend my position that it is medically necessary for me, I found that type 2 diabetes is in large part caused by stressors, both physical and predominantly psychosocial. The stressors include bereavement, unemployment, stressful employment, fear of debt or homelessness, etc.

I haven't taught pathophysiology since the mid-1980s and haven't taken an update course since the late 1990s. I knew stress affected the body but did not know how badly it affected it. Furthermore, research shows that many people testing their blood glucose with finger sticks are missing low blood glucose and hypoglycemia, especially while sleeping. Hypoglycemia damages the heart and nervous system.

CMS hires private contractors to make the rules and enforce them for Medicare and Medicare Advantage. I think they know better, but either don't care if we die prematurely or hope we do to save the Medicare Trust Fund for plundering and to prevent the wealthy from having their taxes raised to cover Social Security and Medicaid. If that sounds paranoid and is evidence that I no longer trust the system, so be it. I have been traumatized. Even more reason I cast my vote for Harris.

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