I was waiting for an angiogram in a room divided into cubicles by curtains. I could hear the guy next to me chattering, not to me, but to the nurse, who was taking his history. When the guy learned that the nurse was a Filipino, he became more voluble because his sister-in-law was a nurse born in the Philippines. I and anyone else in the room learned how his sister-in-law had worked in New York City at Bellevue Hospital but that she now worked at Stony Brook Hospital on Long Island. She had married into an Italian-American family, and she loved cooking Italian food. He exclaimed proudly, “You wouldn’t believe the spread she puts out on New Year’s Eve. We all go to her house. The food is so beautiful, and she makes so many dishes.” When he went off for his procedure, I was left in relative silence for an hour or more before I was wheeled off, but my neighbor-patient’s comments continued to ring in my ear. They made me feel better about America.

          New York City, along with several other jurisdictions, was named an “anarchistic jurisdiction” by the Trump administration in an effort to withhold federal funds. But I also hear from conservatives that NYC has confiscatory taxes to support its oppressively big government.  Anarchy, big government . . . if words have meanings, both terms can’t apply. Pick one epithet, not both.

          The controversy over the elevation of Amy Coney Barrett to the Supreme Court brought about hopes and concerns about the future of Roe v. Wade as well as the future of same-sex marriage and other LGBTQ rights. The future of the Affordable Care Act also hangs in the balance. This has given me pause. I know that the Supreme Court will be considering a case about the ACA, but even though I have some understanding of constitutional law, I do not know the reasons that suggest that Obamacare is unconstitutional? Do you? I don’t believe many people do, but I know that many desire its end. Why? Nearly all the complaints lodged against the healthcare law are not true. (You can check them out! Go online.) I assume that nearly all of the Republican and conservative elites know that the attacks on the ACA are canards, but they still act as if the foundations of society are crumbling because of the law. Why the adamant opposition? A recent analysis by the Congressional Budget Office may reveal why the Republican establishment wants the end of the Affordable Care Act. Tax increases designed to fund Obamacare are concentrated on the top one percent, but its benefits are spread widely among the bottom 40% of income earners. Thus, the ACA produced an income increase of 3.6% in the bottom income quintile and a 3.2% income increase in next higher income quintile. The middle quintile saw a 0.5% income increase with minor income increases up the income scale until we get to the top 1% where there was an income drop of 1.2%. Perhaps, such income redistribution above all else, explains why Paul Ryan, Trump, Mitch McConnell, and others wish to rid our country of that pernicious Affordable Care Act.

Real Americans I know have taken their six-year-old trick-or-treating. Real Americans I know have at least tried to carve a Jack-O-Lantern with their kids. And Donald J. Trump?

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