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Everyone Agrees Americans Aren’t Healthy

The Atlantic

www.theatlantic.com › health › archive › 2024 › 11 › trump-fda-cdc › 680784

Robert F. Kennedy Jr. is wrong about a lot of things in public health. Vaccines don’t cause autism. Raw milk is more dangerous than pasteurized milk. And cellphones haven’t been shown to cause brain cancer. But the basic idea behind his effort to “Make America Healthy Again” is correct: America is not healthy, and our current system has not fixed the problem.

Joe Biden entered office promising to “beat” the coronavirus pandemic, cure cancer, and get more people health care. Arguably no one on Earth can talk more passionately about funding cancer research than Biden, whose son Beau died of brain cancer in 2015 and who, in 2022, announced an initiative to halve U.S. cancer deaths in the next 25 years. Robert Califf, Biden’s FDA commissioner, has been particularly stalwart in arguing that the agency must play a role in reversing a “catastrophic decline” in Americans’ life expectancy, and has repeatedly warned of “an ever-growing epidemic of diet-related chronic diseases,” such as cardiovascular disease and type 2 diabetes. A 2019 study found that just 12 percent of Americans are considered metabolically healthy, based on their waist circumference, blood sugar, blood pressure, and cholesterol.

Of course Biden’s White House was never going to end cancer or obesity in four years. But many of its policies barely scratched the surface of America’s wide-ranging health problems. Despite Califf’s dramatic language about the country’s diet problems, for example, the FDA’s efforts to improve the situation have mostly revolved around giving Americans more information about healthy foods.

The public-health bureaucracy that the Trump administration will inherit is more focused on and skilled at treating America’s health problems than preventing them. That shortcoming—despite the billions of dollars spent every year at these agencies—has damaged the credibility of the public-health establishment enough that Kennedy is now Donald Trump’s nominee for secretary of Health and Human Services. Marty Makary, Trump’s pick to lead the FDA, has similarly risen in prominence by second-guessing "medical dogma" in the U.S. and beyond. And Trump’s pick to lead the CDC, former Representative Dave Weldon, has criticized the agency’s vaccine policies and once attempted to block its vaccine-safety research because of what he claimed were conflicts of interest. A set of men who have made careers of distrusting our existing health-care agencies may soon be empowered to try to blow them up.

The Biden administration, to be fair, had less time to deal with America’s deeper health issues, because it was forced to deal with at least a few calamities. Much of Biden’s term was spent navigating the country out of the pandemic. On the whole, his administration achieved most of its COVID goals. The Biden White House provided Americans with free COVID tests and mounted a vaccination campaign that resulted in more than three-quarters of the country getting a shot. Still, the pandemic left the CDC beleaguered by claims that it was simultaneously too slow and too aggressive in its efforts to fight the virus. During Biden’s presidency, the agency promised to “share science and data faster” and “translate science into practical policy,” but it has struggled to respond to the continued spread of bird flu. Public-health experts have slammed the CDC for not sharing enough information about the virus’s spread, including a human case in Missouri earlier this year, and farmers have been reluctant to implement the agency’s recommendations for preventing transmission of the virus from sick cattle to humans.

Some of those calamities were self-inflicted. The FDA is entrusted with ensuring that our food and medicines are safe, and it generally does spot issues quickly after they occur. But for months, the FDA failed to act on a whistleblower complaint alerting regulators to deplorable conditions at an infant-formula factory that eventually caused nationwide formula shortages and two infant deaths. The FDA is also supposed to decide what tobacco products can be sold, but it has failed to police the illegal market for vapes and nicotine pouches, such as Zyn. And for all the administration’s talk of being guided by “science and truth,” the White House seemingly bowed to political pressure and abandoned a plan to ban menthol cigarettes at the very end of a long rule-making process. The past four years have revealed that crucial parts of the agency’s remit—most notably its oversight of tobacco and the food system—have been neglected by agency leadership; in 2022, independent reviews of the FDA’s food and tobacco centers found that both lacked clarity on mission and goals.

At the same time, the administration has failed to deliver on its loftier ambitions. Biden quietly dropped some of his bolder ideas, such as his campaign promise to create a public-option insurance plan. The Advanced Research Projects Agency for Health, a new government agency that funds high-risk, high-reward research and is essential to Biden’s cancer goals, is in its infancy, and Republicans in Congress are already eager to cut its budget. And some promises, such as Biden’s grand goal to help change America’s diet, have been approached more like trivial pursuits.

The administration branded its 2022 hunger and nutrition conference, for instance, as the largest and most important gathering on nutrition policy since the Nixon administration. That 1960s conference led to millions of children gaining access to school lunch and to the creation of the Special Supplemental Nutrition Program for Women, Infants, and Children (or WIC), which provides food to about 6 million Americans each month. The Biden administration’s summit ended with a pledge to end hunger and improve America’s diet by 2030, but the steps taken toward tackling those goals—such as developing a plan to add warning labels to unhealthy foods—have been modest. And all the agency has done so far on that project is conduct research on the labels’ potential design. The FDA has also pledged to lower the sodium in foods, but the targets it’s set for the food industry are entirely voluntary.

These efforts are understandably careful and bureaucratic. The agency’s caution over warning-label design comes amid threats from the food industry to sue over any label deemed unjustified. Indeed, in the U.S. legal system, regulators have trouble mandating that companies do much of anything without it being branded as unconstitutional. But the Biden administration’s efforts look comically inadequate given the scope of America’s health problems.

RFK Jr. is promising a break from the status quo. This is not to say that he, should he be confirmed as health secretary, has a better plan. Most of his ideas amount to little more than pronouncements that he will take sweeping actions immediately once Trump is sworn in as president. The reality is that many of those efforts would take months, if not years, to implement—and some might not be feasible at all. He has signaled, for example, that he will clear house at the FDA’s food center, despite rules that prevent government bureaucrats from being fired willy-nilly. He also has pledged to ban certain chemicals from food, which he’s argued are contributing to American’s lower life expectancy. But for every chemical the FDA bans, it will have to go through a lengthy regulatory process, which would likely be challenged by food companies in court. Kennedy’s notion of significantly altering the system of fees that drug makers pay the FDA to review their products would likely send the agency into a budgetary crisis.

If Kennedy gets confirmed to lead HHS, he will quickly be confronted with the reality that governing is a slow and tedious process that doesn’t take kindly to big, bold ideas, even with an impatient leader like Trump calling the shots. At the outset of his first term, Trump declared war on drug companies, which he claimed were “getting away with murder” due to their high prices. Trump’s then–health secretary, Alex Azar, in turn spent the next four years trying radical fixes that included requiring drug makers to post their prices in TV ads, importing drugs from Canada, tying American drug prices to other countries’, and eliminating the rebates that middlemen negotiate for insurance companies. But each idea got bogged down in bureaucracy and lawsuits. Trump’s early attempts to contain COVID by blocking international air travel similarly did little to keep the virus out of America, despite his claims at the time that the policy “saved us” from widespread outbreaks.

Biden benefited from Operation Warp Speed's rapid push to create vaccines, but it was his team of technocrats that finally got them distributed. And they eventually lowered drug prices too, in a much simpler way than Trump was proposing. But technocracy has also failed to address our most pressing—and most visible—health problems. Trump’s picks have little experience navigating the Rube Goldberg puzzle that is American bureaucracy. They certainly aren’t afraid of trying something new, but we’re about to find out how far that will get them.

What Did the Democrats Do Wrong?

The Atlantic

www.theatlantic.com › podcasts › archive › 2024 › 11 › democrats-presidential-election-kamala-harris › 680633

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In the aftermath of Donald Trump’s victorious reelection bid, Democrats are searching for an explanation of Kamala Harris’s loss in order to begin rebuilding for the future. So it goes every election cycle—a loss, a scramble for causality, and competing narratives begin to set.

Just one week out from Election Day, there are multiple dissenting and overlapping arguments being made to try to make sense of the results. In 2016, many Democrats believed that Trump’s attack on trade policies was core to his victory. As a result, the Biden-Harris administration pursued Trump-like policies on trade, none of which seem to have made a significant difference in increasing the union vote share, reducing Trump’s likelihood of victory, or stemming the flow of working-class voters out of the Democratic Party.

Now, again, various parts of the Democratic coalition are seeking to define the party’s loss. But what do we actually know about why the Democrats were defeated? There are still theories forming, but on today’s episode of Good on Paper, I talk with the former Republican strategist and current host of The Bulwark Podcast, Tim Miller about the postelection narratives jockeying for power.

“But for those of us who do have a belief that there’s something kind of special about the American system and that have revered America, that understand that America is flawed and has made mistakes, that still is a unique experiment in the world. That “America is an idea” type of thing. The idea is pretty dim at this point,” Miller argued.

The following is a transcript of the episode:

[Music]

Jerusalem Demsas: In the aftermath of a bruising electoral loss, the losing party begins participating in a well-worn democratic tradition: slinging takes about what happened.

This is democracy! When the voters send a dissatisfied response, the messy work of recalibration requires parsing the signal from the noise.

Were voters mad because of a global inflationary environment that no Democrat could dig their way out of? Did they want to see specific breaks between Harris and Biden on policy? Were they frustrated by a candidate they saw as too left on cultural issues?

There are data points in favor of many different theses. Here’s where I’d put my stake in the ground, with the caveat that we still don’t have a complete analysis on subgroup dynamics, or even a final vote count on all the races:

First, incumbents worldwide were facing tough election odds. Electorates were frustrated by the COVID inflationary years and were clearly seeking change. In Australia, Sweden, the Netherlands, France, and beyond, ruling coalitions lost power across the political spectrum.

Second, I don’t think Kamala Harris was ever going to be a great candidate. After Biden’s disastrous debate effort in late June and it seemed he might be pressured to drop out, I wrote an article calling on Democrats not to coronate their vice president, and pointing to key vulnerabilities she displayed and the value of an open democratic process.

Figuring out how much of this is in the campaign’s control—would it really have mattered that much if she’d gone on Joe Rogan’s podcast?—or figuring out what this means for America’s two political parties will take months, if not years. As you’ve heard on this podcast, I’m still arguing about what 2016 really meant on trade and immigration.

My name’s Jerusalem Demsas, I’m a staff writer at The Atlantic, and this is Good on Paper, a policy show that questions what we really know about popular narratives. As a disclaimer, I worked for the Harris primary campaign in 2019 before becoming a journalist, and my guest today, Tim Miller, is a political strategist who was Jeb Bush’s 2016 communications director on his presidential campaign. He’s been an anti-Trump conservative since then and is the host of The Bulwark Podcast.

Today we’re going to talk through some of these inchoate narratives and debate which ones we think are likely to hold water.

[Music]

Demsas: Tim, welcome to the show.

Tim Miller: Hey Jerusalem. What’s happening?

Demsas: Well, we’re recording this six days after Election Day. And—as you have seen on Twitter, and I’m sure in your various interviews—the takes are already coming in very, very hot. And this is a show where we often look at narratives that have already baked, and kind of look at the research and data behind how these narratives formed and what truth is there and what sorts of things have gotten ahead of themselves.

But we’re in an interesting moment right now where we’re seeing very important narrative formation happen in real time. In the aftermath of an election, everyone’s scrambling to define what happened in order to maybe wrest control of the future of the party from an ideological perspective or just a pure power perspective. And so we’re seeing a bunch of people arguing about why Trump won and why Harris lost in a time where there’s a bunch of unknowns. So we’re going to go through a few of these different narratives that are coming up.

But Tim, right off the bat, I wanted to ask you: What’s your perception of why Trump won and Harris lost?

Miller: I’m going to preempt my answer by saying that I think that uncertainty is important in this moment, and that false certainty can lead to some very mistaken and disastrous results. I say this from experience, having worked on the Republican autopsy in 2013, when the conventional wisdom congealed very quickly that Republicans, in order to win again, needed to moderate on immigration and cultural issues to appeal more to Hispanics and women. And not only was that wrong, but the person that became the nominee and then the president used that autopsy for toilet paper and went exactly the opposite direction.

It also always didn’t also work out in Trump’s favor. In 2022, the conventional wisdom was that Trumpism was badly hurt and that Ron DeSantis was ascendant. Right? So anyway, in the week after the election, bad takes abound.

Demsas: [Laughs.]

Miller: That said, my answer is, I’m open to a variety of different things that the Democrats might have to do, among them being maybe nothing and watch Trump self-implode. Might be as simple as that. That said, the one thing that I think is certain that the Democrats need to reflect on when it comes to this question of why Trump won and why Harris lost—it’s that the Democratic message is not landing outside of a particular demographic of middle- to upper-income, college-educated, not particularly religious, urban- and suburban-dwelling white Americans, in addition to Black women, right? Those are the demos that the Democrats are doing well with, that Kamala Harris grew her share with from last time, at least in the case of college-educated women. And I think that the Democrats are doing a very poor job of communicating to people in all of those other demographics.

On what they need to do, I’m very open to various possibilities about whether it’s about affect or vibe or policy or whatever. But I’m certain that there is—fair or unfair, there’s a perception that the Democrats don’t care about these other demographics, particularly working-class demographics, particularly working-class men. And that they did not offer them something that was more appealing than the nostalgia and promises of gold bullion that they got from Donald Trump. And so we can hash through all the different theories about why that was. But I think the fact that what happened—you can’t argue with.

Demsas: Yeah. I think that that’s very descriptively true. But I guess what I would want to know from you is do you feel like there are specific things that Democrats have done that tipped the scales against them? I think that what you’re outlining here is very sound. There’s a difference between why Harris may have lost and what the Democrats need to do going forward to be a more electorally relevant party at the presidential level. And so from your perspective, though, is there something about the Democratic argument around the economy or other issues that you think was particularly relevant this time around?

Miller: I think that, for starters, people were unhappy with the economy. And I don’t think that the Democrats presented a message to them about how they plan to change that for the better. But, again, I’m also not even really ready to concede that, with the exception of inflation being annoying and that broadly hurting people, the Democrats were hurt based on their economic argument. It might simply be cultural. It might be the way that they spoke, and having people feel like they weren’t being heard.

I think the Democrats in particular—I always want to immediately go to, What is the policy prescription that would have appealed? And I’m like, It’s possible that there wasn’t one.

Demsas: Yeah. An important backdrop that I think you’re alluding to here, as well, is that the inflationary environment was really, really bad for incumbents across the world, right? You’re kind of going into an election where the fundamentals are sort of rigged against incumbents because the inflationary episode was just really, really hard for people. I think one narrative that I’m seeing come up a lot is about campaign strategy. And this seems like something that’s going to be hashed out significantly. But I guess the question I have here is whether you think Harris could have won with a campaign run differently, even given the shortened timeline.

Miller: I’m giving another “I don’t know” answer to that question: I don’t know. I think that she, by all accounts, ran a strong campaign that was based on her strengths. And I think she had an undeniably dominating debate performance. They ran a nice convention. Her speeches were good. The messaging pivot, the launch was good. There wasn’t a lot of drama inside the campaign, right? There are other things that she isn’t particularly strong at. I don’t think that she is that great in unscripted moments. Sometimes she’s better than others.

And so then that’s the other thing that people come to, which is like, Oh, she should have done Rogan and all this. And I agree. I think she should have done more of those interviews, but they also weren’t really her strong suit. And I think that this was something that might’ve borne out had there been a longer primary, and maybe somebody else would have emerged. But that said, I don’t think so. I think Kamala Harris was going to emerge from a primary, no matter when Joe Biden dropped out.

And so I’m not saying, Oh, this was inevitable. Just give up. Life is pain. [Laughs.] That’s not really what I’m saying. Any specific thing that people are like, Oh, if this tactic had been different, that would have helped—I don’t really buy that. I mean, I think that broadly speaking, her having the ability to separate herself from the administration would have been helpful, and I think that was very challenging to do given the situation Joe Biden left her in and the time period that was left. And I think that it’s very likely that she might have separated herself from the administration more and still lost, and we would have been here on this podcast with people saying, Why did she distance? [Laughs.] You know what I mean? Why did she break up the Democratic coalition?

Demsas: Yeah. I mean, it’s funny. I think that, on the tactics, I’m sort of with you here. I was looking at some of the data analyses that are coming out now, and it looks like, at this point, given the data we have, while the national average from 2020 to 2024 shifts roughly six points, in battlegrounds, that number is going to end up closer to three points. And that speaks to campaign effects. That speaks to the fact that in battleground states where, again, the majority of the money is going, people are putting ads in battleground states, the campaign is putting rallies there, she’s visiting, they’re really working the press in those places to get her story and message out in a way that you’re not really going to do in a safe, Dem county in Illinois or something.

And so as a result, what they see is that the campaign effects were good on a tactical level. Their ads were persuasive. There’s evidence from Dan Rosenhack at The Economist that it looks like the campaign effects were more effective than Trump’s on things like—indicating things like ads and rallies were better for Harris.

I think on this kind of broader meta question that you kind of raised, right, about Harris as the nominee, I don’t think this is inevitable. I mean, I wrote an article on July 9th arguing that she was unlikely to be a good nominee and the party shouldn’t coronate her, and Nancy Pelosi to The New York Times—I don’t know if you saw this quote, after Harris’s loss—she says that she had expected that if the president were to step aside that there would be an open primary. And that maybe Kamala would have been stronger going forward if she’d gone through a primary and that the president endorsed Kamala Harris immediately, which made it impossible to have a primary at the time. But it sounds like you’re saying that you think that, regardless, this would not have really changed the game that much.

Miller: Yeah, I mean, I think that had Joe Biden followed the—you can argue whether it was a promise or whether it was an indication that he was going to be a one-term [president] and pass the torch. And had there been a two-year process, maybe Kamala Harris does not emerge. But, look, there are three things that I think of when I hear this counterfactual about what would have happened had it been a more open process. The first thing is, the Democrat—one of the things that the Democrats have a lot of baggage around is identity politics. I think it would have been very challenging for a Black woman to be passed over.

Demsas: But the Democratic primary voters did this in 2019, right? There was this argument being made, but they said, no, we care most about electability and they chose Joe Biden.

Miller: Right, that’s true. But Joe Biden had been the vice president in that case. Kamala Harris was the vice president. You already saw this on social media. I saw this on social media, and I was basically for Kamala but also, at the same time, was like, maybe I think it’d be healthy to have an open process. And I guess if you could wave a magic wand, I probably would want Shapiro, Whitmer. Because hopefully that would win two of the three states you need to win the presidency. And that just seems like a safer bet to me. That was my position: It was like pro-Kamala and/but. And I had hundreds of people calling me a racist over that.

So, I think that it would have caused a lot of turmoil within the party.

Now, again, in a longer, two-year process, is that a lot of heat that then just dies out after a while, and you settle on something that’s a little bit more electable and everybody gets behind it except for a few people who have hurt feelings? Maybe.

No. 2, an open process opens up Gaza [as a] wound and rips that apart even wider, and I think creates potentially even greater turmoil than she already was dealing with on that issue. And that’s cost her, frankly. And then No. 3 is then if the theory of the case is a more electable person with someone that could get more distance from the Biden-Harris administration, that assumes that the Democratic voters were looking for somebody to do that.

And that is really where the tension is here, Jerusalem, because if you look at the data, a majority of the Biden-Harris Democrats were basically happy with the administration, right? There were surely big parts of the Democratic coalition, particularly younger voters, particularly working-class Black and Hispanic voters, the types of people that they lost ground with, that were unhappy with the Biden administration. But I think that there was a plurality within the party that was not going to be for somebody—look at the response to Dean Phillips, not exactly the most talented candidate, but total rejection and mockery for somebody who ran trying to get distance from the Biden-Harris administration.

So I think it would have been very challenging to run as a candidate and get distance. So to me, it’s like if we lived in an imaginary world where identity politics wasn’t an issue, Gaza wasn’t an issue, and there was no backlash to distancing yourself from Biden, then certainly the Democrats could have come up with a stronger option.

We don’t live in an imaginary world. And I think that within the world that we live in, within all those constraints, I think it’s very challenging to see a situation where you end up with somebody stronger than Harris.

Demsas: Yeah, I mean, all those points I think are very well taken. And I think I’m seeing a lot of people make that argument of both Harris’s inevitability as the vice president, and also this sort of sense of It would have been a worse candidate. I do think that kind of my general belief is sort of, when you think you’re behind, you run a high-variance play. If you’re gonna lose anyway, you just kind of throw everything you can at the kitchen sink.

And on this kind of inevitability point, right, I think there is this burgeoning sense that Democrats were just repudiated across the board here. You kind of brought this up, this idea that Democrats do not have a good answer on economic issues or on the issues that Americans care about.

But I don’t know, how do you reconcile that with the clear ticket-splitting you see going on here? [Nebraska’s Dan] Osborne ran seven points ahead of the Harris ticket. [Montana Senator Jon] Tester ran seven points ahead of the ticket. Amy Klobuchar ran six points ahead. That’s just in the Senate. And in the House, we see over-performances from everyone from AOC to Jared Golden in Maine, who’s a much more moderate member of the Democratic coalition. Doesn’t that indicate at some level that candidate quality was important here and that there were other candidates that were much more electable?

Miller: For starters, running the presidential race is so far different from running a Senate or House race that it’s almost not even the same sport.

It’s literally like T-ball versus the major leagues. What people expect from their—I mean, nobody’s like, Oh man, does Amy Klobuchar have to go on Joe Rogan? Nobody watches Amy Klobuchar’s debates. Obviously it’s a little different in Montana, where you’re running a competitive race. But again, just the interest in Senate races is different. I think that the Democrats have a coalition that is perfectly durable and able to win nonpresidential elections. I think that this trade in the voters that has happened where the Democrats are picking up more high-trust, more middle- to high-income, more college-educated voters, and the Republicans are picking up more low-trust, more middle- to low-income, and less educated voters. As a trade, that accrues to Democrats benefits in off-year elections and midterms and special elections, just because it’s the type of person that shows up for those types of things, and it accrues to the Republicans benefit in presidential elections. So that’s not good when the Republicans are nominating Donald Trump, and the Republicans’ presidential nominee is an existential threat to the fabric of our republic. And so that’s a problem.

And so I agree that you can’t look at the data and say, oh, the Democratic brand is irreparably harmed. Like, no, the Democrats won. And a lot of these Senate races are going to end up very narrow minorities, in the House and the Senate, that they will probably be able to win back in the midterms, depending on what happens.

But I think that there are two things, which is, No. 1, the Democrats are not well suited to running presidential elections right now, in this media environment, and then No. 2 is that the Democrats have abandoned huge parts of the country where they are not viable. And that’s particularly problematic, given the Senate and Electoral College and the way that’s set up.

So okay, back to No. 1. Democrats are really good at running campaigns that are set pieces. They have professionals that are running these campaigns: the ads, the conventions, the speeches, the going to the editorial-board meetings, the 2004-type campaigns. And that’s how Senate and House campaigns are basically still run in most of the country, and even governor’s races, right? People just don’t care about those races at that deep of a level. But the presidential race is—the media environment around it is so different. I mean, people are consuming information about the presidential race on their TikTok, listening to sports talk, listening to their random podcasts that aren’t about sports at all that are cultural, on women’s blogs, at a school function, people are talking about it casually, you know what I mean?

I’m a parent, and obviously this is a little bit of selection bias since I’m in politics and people know that, but people don’t come up to me and ask me what I think about the House race in my district. Nobody’s mentioned Troy Carter to me at any events,, at any school functions or any of my kids’ sporting events.

Demsas: He’s got to get his name out there. [Laughs.]

Miller: And so the information environment is just a total category difference. And Trump and even J. D. Vance in certain ways were able to take advantage of that by running campaigns that are a little bit more unwieldy, that are better for viral clips, that are also better for sitting down for two hours and broing out with the Theo Von and talking about how you can’t even do coke in this country anymore because the fentanyl is in it, right?

She wasn’t doing any of that. And doing one of those interviews isn’t really the answer, right? It’s like, can you communicate in a way that feels authentic? It might be fake authenticity, but in a way that feels authentic to people in their Instagram Stories, in their TikTok, in their podcasts, whatever.

And Democrats are not producing a lot of candidates who I feel are good at that.

Demsas: But I think there’s also this broad concern that the media ecosystem itself is not producing convincing, progressive-sounding or left-leaning media personalities. There’s a 2017 AER study that I remember being very, very shocking to people when it first came out, right after Trump’s election in 2016. And there are a couple economists, they look at the effect of Fox News, and they find that watching Fox News for an additional 2.5 minutes per week increases the vote share by 0.3 percentage points. But watching MSNBC has essentially no effect, and they see that Fox News is actually able to shift viewers’ attitudes rightward. And they look at 2004 and 2008 and find that Republican presidential candidates’ share of the two-party vote would have been more than three points lower in 2004, and six points lower in 2008 without Fox News.

And so that’s something where I’m just like—there is something to the fact that the media ecosystem does not have that sort of targeted apparatus. But my usual belief about these sorts of things is that we’re discounting the fact that so much of the media is so liberal that Fox News can have this large effect because it I think stands out among a pack of more liberal institutions, but I am kind of surprised at MSNBC.

Miller: Yeah, I mean, as a person on MSNBC, did that study go on before I was a political contributor? I think it did. So we might need to update the study and have them focus on my hits and see if that changes anything.

I guess I want to noodle on that for a little bit. That does surprise me a little bit as well, but I would say this: I think that I’m less concerned. I think there’s a category of person out there, and maybe this is right, that is focused on Republicans have better propaganda outlets than the Democrats do.

Demsas: Yeah.

Miller: And maybe that’s true. I don’t know. So to me, then the question is, okay, what can be done? What is realistic in this media environment? And it goes back to this question of, can the Democrats speak more through using existing outlets or finding a candidate who has a compelling story in their own right, or compelling communication skills to figure out how to speak to people that don’t watch mainstream news?

And that’s just really what it comes down to. The Democrats are very good at talking to people that are high-information, high-engagement, high-education, middle-to-high-income, and offering persuasive arguments. I think that they’re not good at talking to anybody else. And Obama was good at that, and Clinton was good at that. And we’re in a totally different media environment now than we were back then. But I think that there’s still things that can be learned from that.

[Music]

Demsas: After the break, why the abortion-ballot-measure strategy didn’t pan out for the Harris campaign.

[Break]

Demsas: I want to pull us out of this media conversation here, because I think that there’s also this, let’s say things go a little bit differently—and again, the margins here are not very big—and Harris has won.

I think one of the big things we’d be hearing right now is that she won because of abortion, right? And looking at Election Night, you see a lot of wins for abortion. There are 10 states that have referendums on abortion policies, and seven of them win: New York, Maryland, Arizona, Nevada, Colorado, Montana, Missouri. And in Florida, where it loses, the threshold is 60 percent and it earns 57 percent, so it lost, but there’s clearly a majority in favor.

And, going in, I mean, especially after the midterms, there was a real feeling, kind of the big narrative that came out of those midterms was that abortion is the place where Democrats can clearly distinguish and can clearly win over Republican candidates, even in deeply Republican states, and especially in deeply purple states.

And I’m trying to think through this. What explains in your mind the sort of difference between how many voters were saying, Yes, I do have more liberal views on abortion; I’m willing to express those in these ballot measures; but no, I’m not going to then reward Democratic presidential candidate Kamala Harris for it?

Miller: Well, a couple of things. No. 1, this tension has always existed as old as time, and it’s particularly existed as old as time in places like Florida. I did one of these, you know, time is a flat circle—

Demsas: [Laughs.]

Miller: I forget which election it was at this point, but it was like, how did the minimum-wage-increase ballot initiative in Florida pass at the same time that Ron DeSantis won by 18 points or whatever, whichever election that was.

And it’s like, voters are complicated. Voters have complex views. And so you see this as kind of just a common thing in voter habits. In this case, I think that there are a couple of complicating factors in addition. No. 1 was, Donald Trump muddied the waters on his views.

Demsas: Yeah.

Miller: And I think that Donald Trump’s whole brand and vibe—I know we’re getting outside of the data space that you like to be in, Jerusalem, but there’s a certain group of people that are like, Yeah, that guy’s not gonna ban abortion. You know what I mean? And there’s just some percentage of voters out there that that’s just it. He doesn’t come off like Ted Cruz on abortion. He comes off as different, because they assume that he paid for an abortion or whatever, that he doesn’t care about it, and that he’s not gonna—this isn’t gonna be what he’s focused on. There are going to be people that are pro-choice that prioritize their economic views or their nativist views, right?

So that is going to be some of it. I think less so in Florida, but more in Arizona. To me, I think that there is actually a strategic backfiring of having these ballot initiatives on the ballot almost gave some people an out to do both, right? People that did not like Kamala Harris or that were more center-right and said, Oh, okay, great, I can protect abortion in Arizona and also vote for Donald Trump. I can have my cake and eat it, too.

Demsas: Yeah, I mean, I think my read of it is more that when you think about the specific argument being made about abortion, it was largely, he’s to blame for all these horrible things that are happening to women in states that have made abortion inaccessible. And by he, I mean Trump is to blame for that. And also, you know, he appointed these Supreme Court nominees who overturned Roe v. Wade. But as a prescription for the future, I feel like there was not a real clear argument made to voters of how Kamala Harris is going to actually protect abortion.

But again, it all comes back to the overarching question, did voters view this as an abortion election? And it seems clear that they viewed it as an inflation election. That was the core thing that they were focused on. And I think that one thing that I’ve heard a lot is what this means for understanding America, right?

So after 2016, people were just, I think, in shock, and were saying, I can’t believe this is the country I live in. And again here I’m hearing the sort of question of, you know, this is a black mark on the conscience of America, that people would vote for someone who threatened to overturn the results of the 2020 election, who talks with such liberal disdain for women and immigrants.

Something someone said to me in 2016 was really interesting: If your entire perception of America would have shifted if a few hundred thousand people voted differently, maybe don’t completely change everything you believe about everyone. And to me, I think that this framing about Trump’s reelection means something really dark about all the people that voted for him doesn’t really sit well with me because it seems like people are voting based on cost of living. At the same time, too, I think they’re taking their signal from Democrats who, if they’d taken their own warnings about the threat of fascism or the threat to our institutions, I think would have behaved very differently over the past couple of years in trying to win.

Miller: Yeah. It doesn’t change my view of the American people, really, that there are good people and bad people everywhere, that we all have good and bad inside of us. I’ll say that what it does impact for me—and maybe this is wrong and maybe I’m raw and it’s six days out—but for those of us who do have a belief that there’s something kind of special about the American system and that have revered America, that understand that America is flawed and has made mistakes but still is a unique experiment in the world. You know, the “America is an idea” type of thing.

The idea is pretty dim at this point. And, to me, that is the change, having him win again, that I’m having trouble getting over. Mentally, it’s not that it makes me look poorly at my neighbors, but that we just might be at the end of the experiment and the sense that America is something different than Hungary or Switzerland or whatever, any country—you name the country.

It was the old fight with Republicans and Democrats during the Obama years, which is, Obama doesn’t think of America as any different than Belgium. Obama believes in Belgian exceptionalism. And that to me is kind of where I am. I think that we’re about to move into an era where America’s flaws, in addition to all of our existing flaws like gun violence and our history of racism, et cetera—the American system’s flaws look a lot more like what flaws look like in other countries.

There’s going to be oligarchy, kleptocracy, corruption. There’s no special sense that the huddled masses around the world are welcome here any more than they might be welcome anywhere else. They frankly are probably going to be welcome here less than they’re welcome in certain other places.

And so to me, that is what I see differently. I reserve the right to change my mind about that at some point, but that’s where I’m at right now.

Demsas: Yeah. I think in contrast to this large view about the American idea of maybe being different than we believed beforehand is this, I think, really popular take that’s picking up steam, which is about just Democrats need to moderate on cultural issues, whether it’s about immigration, or it’s the issue of trans women and girls in sports. They’re just too left of the median voter, and you don’t actually need to do a bunch else other than accept that people are where they are on those places and not go so far away from it.

The data point that’s kind of in favor of this, particularly on the trans-girls-in-sports one, is Kamala Harris’s leading super PAC, Future Forward, finds that the most effective, or one of the most effective, Trump ads is one of the “Kamala is for they/them, President Trump is for you” ads. They find that it shifted the race 2.7 percentage points in Trump’s favor after people watched it.

How relevant do you think that the Democratic Party’s leftward shift on cultural issues is to Harris’s loss? And I mean, there’s some people who I think are really making the claim that you could just really focus on this and you don’t need to make these kind of larger arguments about strategy or how we’re speaking to America on economic policy.

Miller: I don’t think that this was alone to account for Harris’s loss or even maybe the biggest thing to account for her loss. I think that she didn’t really respond to that ad in particular quite well, and that maybe that was a strategic mistake. I think her campaign—and she didn’t run like an overly “woke,” culturally left campaign. Ao the question is, did the Democratic brand on those issues drag her down? I think possibly.

To me, look, could Kamala Harris have squeaked out a victory this time while holding the same positions on trans issues had inflation been 20 percent better? Maybe. Probably. It was a clear victory for Trump, but it wasn’t, you know, Reagan ’84.

A couple of things changed, and had that one, the cultural stuff stayed static, could she have still won? Clearly. I mean, Biden won in 2020, when all of those issues were more high-salience, I think, than they were this time. Biden, not a Black woman—so maybe there’s something to that as well, that he was able to be a little bit more resilient against attacks on those issues.

So maybe that’s worth thinking about. I would say this, though. If the Democrats want to have 60 senators again ever, then yeah, they got to moderate on cultural issues. You know what I mean? There are two ways to look at this: Can Democrats still win elections by maintaining their views on everything? Yes. Are the Democrats giving away huge swaths of the country by not really even engaging with their concerns about the leftward shift of the party on a wide array of issues? Yeah, they are. I get the land-doesn’t-vote thing, I get it, but look at the map.

Demsas: [Laughs.] We’ve all seen the map.

Miller: The map is still the map, you know what I mean?

And Trump gained in all of those little red counties out there where it’s just land, all right? But he gained. There are a handful of people out there, and he got more of them, in every county. And the Democrats’, I think, choice to just say, Well, we’re just giving up on that and we’re just going to focus on the more dynamic parts of the growing parts of the country and, eventually, demographics are destiny and blah, blah, blah, that looks like a pretty bad bet today.

I’m not out here being like, yeah, you got to throw trans people or migrants under the bus for them to win. But certainly the cultural leftward shift has created a ceiling on Democratic support that I think has a negative effect for the party, but also for progress on a lot of those issues.

Demsas: Yeah. I think it’s obviously very up in the air here, how people are gonna take this mantle of how you should moderate, and I think that there’s bad and good ways that people can take this. And I think that there’s a level to which people—you don’t have to be throwing trans people under the bus. Maybe we need to figure out ways, whether it’s how Democrats responded to this with gay rights, where they talked about federalism a lot and made sure the country moved toward the issue before making it a national issue.

But I think the most important and damning thing that Democrats are clearly responsible for in the choices they have made is about the poor governance in blue cities and states. This is one of my hobbyhorses, but you see massive shifts, as you mentioned, in high-cost-of-living places that are heavily democratic, in New York and in California and in a lot of the Northeast. And I think it’s hard to see that as anything other than just a repudiation of Democratic governance and particularly the cost of living and the cost of housing in these places.

And so, to me, when you talked about the Democratic brand, I mean, when you’re in a cost-of-living election, yes, there are marginal effects on these cultural issues we’re talking about here. Yes, there are things that campaigns can do better. Yes, there are candidate effects. But if people are asking themselves, What does it look like, how does it feel to my pocketbook to live in a Democratically run state versus a Republican one? I feel like they’re being told a very clear story.

Miller: I think that that’s true. I’ve been ruminating on this a lot over the past week. I live in Louisiana, so there is the kind of emotional guttural response I have to this, which is, do you think Louisiana is being governed that well? Because I don’t.

Demsas: Yeah. Well, on cost, though, right? It’s cheaper, obviously, to have a house in Louisiana.

Miller: It’s cheaper to have a house in Louisiana because of the economic destruction of the state over the past couple of decades and the fact that everybody that grows up in parts of the state that’s not this corridor between New Orleans and Baton Rouge leave home. And a lot of people in these places leave home, too, looking for better economic opportunities. And that’s sad for the state.

That is my initial response, which is emotional, which is like, okay, sure. But why does Kamala Harris have to carry the baggage for the place I used to live—Oakland—but Donald Trump doesn’t have to carry the baggage for the hollowing out of big parts of Louisiana? That said, it’s true that it hurt the Democrats, right? And it’s also true that the Democrats have been badly managing these big cities. And if you just look at the numbers, suburban Democrats—and this could be a counterargument. Now, I’m going to really give you a galaxy brain, Jerusalem, to your original data point earlier that the three-point effect in the battleground states versus national speaks to a campaign effect? Maybe.

Maybe it also speaks to the fact that a lot of these battleground states are made up of places that have mixed governance and big suburbs where the Democrats are doing better. Democrats are doing better in suburban America because they know they’re not feeling the acute pain of governing issues that have plagued a lot of the big cities. And surely there are a couple of big cities in those seven swing states, but none of the ones you think of when you think of major disruptions, and that maybe that explains it and that the Republican gains were in a lot more of those places like that, Illinois, New Jersey, California. Anyway, just something to noodle on.

But I think that it is objectively true that Democrats are doing better in places that have not been plagued by some of these bad governing decisions on crime and on housing that we’ve seen for in Democratic cities, and the Democratic mayors and Democratic governors in blue states should fix that.

And it’s the No. 1 thing—the last thing I’ll say on this is—the No. 1 thing that comes to mind when I already hear stupid parlor-game stuff about 2028 and it’s like Gavin Newsom and J. B. Pritzker. And to me, the No. 1 thing Gavin Newsom and J. B. Pritzker need to do if they want to run in 2027 is make Illinois and California run better in the meantime. Otherwise, nothing against either of those two guys, but I think that they’re going to carry this baggage that you’re talking about.

Demsas: Well, I could go on about housing in blue states forever. And there’s an article popping, I think today, listeners, as you’re hearing about this, about why I think this was a big issue for the election.

But Tim, always our last and final question.

Miller: Okay.

Miller: What is something that you once thought was a good idea but ended up only being good on paper?

Miller: Oh, okay. Hold on. I wasn’t prepared for this. I misread the question. I thought it was an idea that was only good on paper that then ended up being not good on paper.

Demsas: Idea could be good.

Miller: No, no, no. I’ll come up with one where I’m wrong. I’m happy to bet where I’m wrong. I was just saying the ideas are endless on those.

Demsas: Oh. Yeah, yeah, yeah. Something that you held, yeah, yeah, yeah.

Miller: An idea that I thought that was good on paper that ended up not being good on paper. Well, I guess I have to give the obvious answer to that question, sadly. I don’t get to rant about daylight savings time as I hoped to—an idea that was certainly good on paper in the 1800s or whenever they came up with it that’s no longer good. Falling back, that is. Permanent daylight saving time: good idea.

Changing times: not good.

Demsas: Four hundred electoral votes for whoever does this.

Miller: Yeah. The idea that I thought that was good on paper that is relevant to this podcast—because I literally put it on paper and wrote it—was the aforementioned 2013 GOP autopsy.

Demsas: Oh, yeah.

Miller: Well, how great! Compassionate conservatism. Republicans can diversify their party by getting softer on cultural issues and reaching out to the suburbs and reaching out to Hispanic voters and Black voters, criminal-justice reform, and that through criminal-justice reform and immigration reform and softening on gays, that Republicans can have a new, diverse electorate, and we can all move into a happy, bipartisan future.

That was a great idea on paper that backfired spectacularly, and now the Republicans have their most diverse electorate that they’ve had ever, I think, voting for Donald Trump after rejecting all of those suggestions that I put on paper. So there you go.

Demsas: As one vote of confidence for younger Tim, there are very many ways that history could have gone. I think that people often forget how contingent things are and how unique of a figure Trump is. And right now we’ve talked through a bunch of different ways that people are reading this moment, but there are a lot of ways that people can go, depending on what candidates do and say and how they catch fire and their charisma and what ends up being relevant in two years and in four years. So a little bit of sympathy for younger Tim.

Miller: I appreciate that. And that is true. Who the hell knows, right?

Demsas: Yeah, exactly.

Miller: Had Donald Trump not run that time and he decided he wanted to do some other scam instead, then maybe Marco Rubio is the nominee and those things do come to pass.

Demsas: [Laughs.] Yeah. If Obama doesn’t make fun of him at the White House Correspondents’ Dinner, we’re not even sitting here on this podcast.

Miller: Great job, Jon Lovett, or whoever wrote that joke.

Demsas: [Laughs.]

Miller: I’m just joking.

Demsas: Yeah. Well, thank you so much, Tim. Thanks for coming on the show.

Miller: Thank you, Jerusalem.

[Music]

Demsas: Good on Paper is produced by Jinae West. It was edited by Claudine Ebeid and engineered by Erica Huang. Our theme music is composed by Rob Smierciak. Claudine Ebeid is the executive producer of Atlantic audio. Andrea Valdez is our managing editor.

And hey, if you like what you’re hearing, please leave us a rating and review on Apple Podcasts.

I’m Jerusalem Demsas, and we’ll see you next week.

The Democrats Need an Honest Conversation on Gender Identity

The Atlantic

www.theatlantic.com › politics › archive › 2024 › 11 › democrats-dishonest-gender-conversation-2024-election › 680604

One of the mysteries of this election is how the Democrats approached polling day with a set of policies on gender identity that they were neither proud to champion—nor prepared to disown.

Although most Americans agree that transgender people should not face discrimination in housing and employment, there is nowhere near the same level of support for allowing transgender women to compete in women’s sports—which is why Donald Trump kept bringing up the issue. His campaign also barraged swing-state voters and sports fans with ads reminding them that Kamala Harris had previously supported taxpayer-funded gender-reassignment surgery for prisoners. The commercials were effective: The New York Times reported that Future Forward, a pro-Harris super PAC, found that one ad “shifted the race 2.7 percentage points in Mr. Trump’s favor after viewers watched it.” The Harris campaign mostly avoided the subject.

Since the election, reports of dissent from this strategy have begun to trickle out. Bill Clinton reportedly raised the alarm about letting the attacks go unanswered, but was ignored. After Harris’s loss, Representative Seth Moulton of Massachusetts went on the record with his concerns. “I have two little girls, I don’t want them getting run over on a playing field by a male or formerly male athlete, but as a Democrat I’m supposed to be afraid to say that,” he told the Times. The recriminations go as far as the White House, where allies of Joe Biden told my colleague Franklin Foer that the current president would have countered Trump’s ads more aggressively, and “clearly rejected the idea of trans women competing in women’s sports.”

One problem: Biden’s administration has long pushed the new orthodoxy on gender, without ever really explaining to the American people why it matters—or, more crucially, what it actually involves. His officials have advocated for removing lower age limits for gender surgeries for minors, and in January 2022, his nominee for the Supreme Court, Ketanji Brown Jackson, refused to define the word woman, telling Senator Marsha Blackburn of Tennessee, “I’m not a biologist.”

[Thomas Chatterton Williams: What the left keeps getting wrong]

On sports—an issue seized on by the Trump campaign—Biden’s White House has consistently prioritized gender identity over sex. Last year, the Department of Education proposed regulations establishing “that policies violate Title IX when they categorically ban transgender students from participating on sports teams consistent with their gender identity just because of who they are.” Schools were, however, allowed to limit participation in specific situations. (In April, with the election looming, this part of the Title IX revision was put on hold.) Harris went into the campaign tied to the Biden administration’s positions, and did not have the courage, or strategic sense, to reject them publicly. Nor did she defend them.  

The fundamental issue is that athletes who have gone through male puberty are typically stronger and faster than biological females. Rather than contend with that fact, many on the left have retreated to a comfort zone of claiming that opposition to trans women in women’s sports is driven principally by transphobia. But it isn’t: When trans men or nonbinary people who were born female have competed in women’s sports against other biological females, no one has objected. The same season that Lia Thomas, a trans woman, caused controversy by swimming in the women’s division, a trans man named Iszac Henig did so without any protests. (He was not taking testosterone and so did not have an unfair advantage.) Yet even talking about this issue in language that regular Americans can understand is difficult: On CNN Friday, when the conservative political strategist Shermichael Singleton said that “there are a lot of families out there who don’t believe that boys should play girls’ sports,” he was immediately shouted down by another panelist, Jay Michaelson, who said that the word boy was a “slur,” and he “was not going to listen to transphobia at this table.” The moderator, Abby Phillips, also rebuked Singleton, telling him to “talk about this in a way that is respectful.”

A few Democrats, such as Colin Allred, a Senate candidate in Texas, attempted to counter Republicans’ ads by forcefully supporting women’s right to compete in single-sex sports—and not only lost their races anyway, but were attacked from the left for doing so. In states such as Texas and Missouri, the political right is surveilling and threatening to prosecute parents whose children seek medical treatments for gender dysphoria, or restricting transgender adults’ access to Medicaid. In this climate, activists believe, the Democrats should not further jeopardize the rights of a vulnerable minority by legitimizing voters’ concerns. “Please do not blame trans issues or trans people for why we lost,” Sam Alleman, the Harris campaign’s LBGTQ-engagement director, wrote on X. “Trans folks have been and are going to be a primary target of Project 2025 and need us to have their backs now more than ever.”

During the race, many journalists wrote about the ubiquity—and the grimness—of the Trump ads on trans issues, notably Semafor’s David Weigel. But at the time, I was surprised how dismissive many commentators were about their potential effect, given the enormous sums of money involved. My theory was that these ads tapped into a larger concern about Democrats: that they were elitists who ruled by fiat, declined to defend their unpopular positions, and treated skeptics as bigots. Gender might not have been high on voters’ list of concerns, but immigration and the border were—and all the same criticisms of Democratic messaging apply to those subjects, too.

Not wishing to engage in a losing issue, Harris eventually noted blandly that the Democrats were following the law on providing medical care to inmates, as Trump had done during his own time in office. On the integrity of women’s sports, she said nothing.

[Read: Why Biden’s team thinks Harris lost]

How did we get here? At the end of Barack Obama’s second term, gay marriage was extended to all 50 states, an achievement for which LGBTQ groups had spent decades campaigning. In 2020, the Supreme Court’s decision in Bostock v. Clayton County found that, in the words of conservative Justice Neil Gorsuch, “an employer who fires an individual merely for being gay or transgender defies the law.” Those advances meant that activist organizations, with large staffs and existing donor networks, had to go looking for the next big progressive cause. Since Trump came to power, they have stayed relevant and well funded by taking maximalist positions on gender—partly in reaction to divisive red-state laws, such as complete bans on gender medicine for minors. The ACLU, GLAAD, the Human Rights Campaign, and other similar groups have done so safe in the knowledge that they answer to their (mostly wealthy, well-educated) donors, rather than a more diverse and skeptical electorate. “The fundamental lesson I hope Dem politicians take from this election is that they should not adopt positions unless they can defend them, honestly, in a one-on-one conversation with the median American voter, who is a white, non-college 50-yr-old living in a small-city suburb,” the author (and Atlantic contributing writer) James Surowiecki argued last week on X.

Even now, though, many Democrats are reluctant to discuss the party’s positions on trans issues. The day after Moulton made his comments, his campaign manager resigned in protest, and the Massachusetts state-party chair weighed in to say that they “do not represent the broad view of our party.” But Moulton did not back down, saying in a statement that although he had been accused of failing “the unspoken Democratic Party purity test,” he was committed to defending the rights of all Americans. “We did not lose the 2024 election because of any trans person or issue. We lost, in part, because we shame and belittle too many opinions held by too many voters and that needs to stop.”

Gilberto Hinojosa, the chair of the Texas Democrats, faced a similar backlash. He initially told reporters, “There’s certain things that we just go too far on, that a big bulk of our population does not support,” but he quickly walked back the comments. “I extend my sincerest apologies to those I hurt with my comments today,” Hinojosa said. “In frustration over the GOP’s lies to incite hate for trans communities, I failed to communicate my thoughts with care and clarity.” (On Friday, he resigned, citing the party’s “devastating” election results in the state.)

The tragedy of this subject is that compromise positions are available that would please most voters, and would stop a wider backlash against gender nonconformity that manifests as punitive laws in red states. America is a more open-minded country than its toughest critics believe—the latest research shows that about as many people believe that society has not gone far enough in accepting trans people as think that it has gone too far. Delaware has just elected the first transgender member of Congress, Sarah McBride. But most voters think that biological sex is real, and that it matters in law and policy. Instructing them to believe otherwise, and not to ask any questions, is a doomed strategy. By shedding their most extreme positions, the Democrats will be better placed to defend transgender Americans who want to live their lives in peace.

Trump Won. So Did Abortion Rights.

The Atlantic

www.theatlantic.com › politics › archive › 2024 › 11 › abortion-rights-ballot-measures › 680567

The morning after the election, a second result emerged beside the blindingly obvious one that Donald Trump will once again be president of the United States: In some places, abortion rights remained a winning issue.

Ballot measures to expand abortion access passed in seven states, including Missouri, Arizona, and Montana, three places that Trump won. Previous polling and election outcomes had shown that most Americans support abortion rights. Less clear was how they’d behave with Trump on the ballot. The issue of abortion may have shed its partisan salience—just not in a way that helped Kamala Harris and other Democrats. Abortion access “is becoming less partisan, ironically, in the sense that Republicans and independents are more likely to support abortion rights,” Mary Ziegler, a law professor at UC Davis and an Atlantic contributor, told me, “while not translating that into support for Democratic candidates.”

For Democrats and abortion-rights activists, last night’s referendums were glittering pinpricks of light in an otherwise long, dark night of defeats. The White House—gone; control of the Senate—gone; the House of Representatives—clearly leaning Republican. Missouri, which went for Trump by 18 percent and had one of the strictest abortion bans in America, voted 52 to 48 percent to establish a constitutional guarantee to the “fundamental right to reproductive freedom.” Similar measures passed in Arizona and Montana, by 23 and 15 points so far, respectively. Four other states—Nevada, Maryland, New York, and Colorado—passed their own abortion measures, though these were less politically revealing, given the existing abortion-rights protections there.

Not all the news was rosy for abortion-rights activists. Ballot measures failed in Nebraska by 2.6 points and in South Dakota by 17. Different reasons might account for those losses, Ziegler said. Nebraska had two abortion referendums on the ballot, each proposing contrary changes to state law, which could easily have confused voters. In Florida, a large majority of voters did support an effort to overturn the state’s six-week abortion ban—but it fell a few points short of the 60 percent needed to pass.

Those three state results were the biggest wins the anti-abortion movement has achieved since the Supreme Court’s Dobbs decision overturned Roe v. Wade in 2022. Expect to hear this example touted more widely, Ziegler said. “Activists will take that to Republicans and say, ‘Hey, you don’t need to be afraid of being pro-life. You can take aggressive positions,’” she told me. “This should be a huge encouragement to the pro-life movement,” the conservative political commentator Matt Walsh wrote on X yesterday afternoon. “We have a lot of work to do. But the people are on our side.”

That would be an overstatement, based on last night’s results. Harris had worked to make abortion rights a strong campaign issue—though not enough, evidently, to carry her party to victory. But abortion-rights groups achieved victories in spite of the Democrats’ failed presidential efforts. Several factors are involved: Abortion access is popular. And Trump, through his chaotic and confusing abortion tightrope walk, may have successfully neutralized the issue for now, for his voters: assuring enough pro-choice voters that he would protect their reproductive rights, while hanging on to pro-life base voters who want him to further restrict abortion access. “Trump created this possibility of being all things to all people,” Ziegler told me.

[Listen: Are we living in a different America?]

But when you’re president, you have to pick. A near future in which Trump continues to downplay any talk of restricting abortion and focuses instead on issues that do not divide his voter coalition, such as immigration, is easy to imagine. “And then there’s a scenario where he doesn’t, and the partisan divide springs back as ever,” Ziegler said. If that happens, then what the anti-abortion movement will be demanding from a second Trump administration is immediate executive action to restrict abortion. That could mean appointments of committed anti-abortion officials to important Cabinet positions—former Texas solicitor general Jonathan Mitchell for attorney general, say, or Heritage Foundation adviser Roger Severino as the head of the Department of Health and Human Services. It could also involve a reinterpretation of the Comstock Act, which could see abortion banned across the country de facto, without any congressional legislative action at all.

The anti-abortion movement may not be successful in these maneuvers. Little suggests, right now, that Trump is interested in cementing his legacy as the most pro-life president in history. But the one thing Americans can almost certainly count on is a slew of new anti-abortion judges appointed to the federal courts. Conservative groups are already floating favored names—such as the Fifth Circuit’s James Ho and Kristen Waggoner, the chief executive of the pro-life group Alliance Defending Freedom—for the Supreme Court. With a Republican Senate, these could be easy appointments. “That may be how Trump has his cake and eats it too,” Ziegler said. “Put conservatives on the courts, and their decisions may not happen until years after he’s no longer in office.”

After last night, abortion-rights activists can take a measure of comfort in the confirmation that their position is still popular. But cutting against that is the fact that abortion rights are no cure-all for Democrats—especially when the leader of the Republican Party has apparently managed to detoxify the issue.