Sunday, May 4, 2025

RFKJR and True Believers

 Cleaning out the drains in the sinks and shower of my bathroom this morning put me in mind of autopsies and biology and ultimately, of Robert F. Kennedy, Jr. 



I know the connection may not be obvious, but bear with me.

Pulling up the black mold and fungi and hair surprised me, as none of it was evident until I unscrewed the drain screen, and got down into the pipes with an old tooth brush. Then the source of that faint moldy aroma became obvious. 

Tradesmen are never surprised to find stuff behind the dry wall--yards of wires completely denuded of their insulation by mice, which the home owner had no idea had lived in the attic. Mechanics finding undetected, unseen stress fractures, rust and other injuries to the mechanisms.



When I was a sophomore in college, one of my classmates, looking over the shoulder of our professor, a man with a PhD in biology, as he dissected a frog, trying to show us the spiral valve in its heart, asked him, seemingly out of thin air, "So, you know when someone is ninety and is found dead in bed, or some guy just drops dead walking down the sidewalk, what killed them? Was it just nothing?"

And the professor, without looking up from his work, said, "No. Everyone must die of something." But he had, presumably, never taken a course in pathology. He was an amphibian expert. 

Which seemed eminently logical to me, and the ten students all nodded: That makes sense. Everyone dies of something.

But to Robert F. Kennedy, Jr. that something is not a COVID virus, or measles or tuberculosis or HIV. People with healthy immune systems are not going to die from infectious agents; they will live forever...or something. 

As long as they don't eat processed foods.



It made me think of two other people.  Both were patients of mine when I was still training. One was a twenty-two year old woman at Memorial Sloan Kettering Hospital with Hodgkins Disease. The oncologists had had a devil of a time trying to get her lymphoma to respond to their poisons, but she seemed to have finally gone into remission. This was in the days before CT scans, but her chest X rays were clear and she felt better, and she was eating again and her skin was rosy and she was sitting up in bed with her lunch tray just delivered, and I happened to be in the room and her aunt was sitting by her bedside, and she raised her hand to her head and said she did not feel well, and I took her blood pressure which had plummeted, and I rolled the head of her bed down and pushed the bedside button for help, and then she looked over to her aunt and she said, "Remember when Carol died? And we got out all those little white cards to mail to all the cousins and relatives, and we filled them out, dozens of them, one by one?"

And her aunt looked alarmed and looked from her to me.

"I think you're going to have to get out those cards now."

And, sure enough, she arrested right in front of us and despite all our efforts, she died. 


She knew there was something going on we could not see. At autopsy, they found every organ riddled with Candida, an organism which can cause vaginal infections in healthy women, but ordinarily doesn't cause much problem,  but she had it everywhere, and I looked through the microscope in the pathology lab and lung, eye, liver, virtually every tissue just overwhelmed with these cylindrical shaped, ghostly Candida organisms.  It is true, her immune system had failed her--if you have a marginally functional immune system it can fight off Candida, but after all that chemotherapy, and the lymphoma itself rendered her immune system kaput.



Another patient, a twenty one year old woman was brought to the ER by her fiancĂ©, short of breath. She was a little dusky, but in the fluorescent lights of the ER it was always tough to judge skin color. The ER resident had done blood gases which showed her blood oxygen levels were low and her carbon dioxide levels high, and I was sure he had hit vein, not artery as these levels would have been characteristic of venous blood. This was before those pulse ox devices they put on your finger now which measure blood oxygenation, or some equivalent, and the only way you could know about arterial oxygen saturation was to puncture an artery, usually done at the wrist, and sit there and watch as the plunger in the syringe pulsed up, heart beat by heart beat, until you had about five cc's and then plunge it into ice and run it up to the lab. So, I did that, and the oxygen was still low so I accepted her to the intensive care unit. In those days, even a big hospital like The New York Hospital only had one ICU on the medical service and one on the surgical service. There were only twelve beds in our medical ICU and so someone had to judge who was sick enough to warrant a bed and that night it was my job as a senior medical resident.  She was a little drowsy, but she was answering questions and she didn't look all that sick, but those gases were atrocious and I had drawn them myself so I trusted them, and I took her up to the ICU. 

She died within about an hour. 



We were all pretty shocked. We had not thought, for some reason, to intubate her, that is to put her on a respirator. I don't know why. It just happened so fast. One minute she's talking to you, respiratory rate a little fast, but blood pressure and pulse not bad and then, poof!

At autopsy, she had lungs which had the consistency of liver. Just thick and soppy. Lungs are usually like big sponges, with lots of air and , well, spongey, but her lungs were simply not compatible with life--no way they could exchange air. I felt dreadful about not intubating her, but all the old attendings (who were younger than I am now, I'm sure, but they seemed like old wizened men to me then, the kind who had seen it all) all of them, to a man said, "That's what influenza does." Wouldn't have mattered if you had put her on a respirator. She could not move air through those lungs.  Her influenza titers were high. There was an epidemic going round and our wards were filled--we had patients on gurneys in the hallways.

Influenza just does that. 



Many of our influenza patients seemed to get better and then they relapsed severely; their blood gases went south and they died from "superinfection" with staph aureus. The lungs had been so blasted by the influenza, they were defenseless against the staph.

Bobby Kennedy, Jr, having read an article by Tony Fauci which reported staph superinfection in some patients dying of influenza, concluded that even Tony Fauci "admitted" that influenza does not kill patients, staph does. Which is, of course, like saying if you bleed to death in the emergency room after an auto accident, you died from bleeding, not from the auto accident.

But back to microbiological cause of deaths: None of the microbiology is, of course, visible to the naked eye, nor even knowable by the bedside interns, residents and attendings. You just know what these patients look like on the autopsy table, when the invisible, the microbiology, become evident.

It's what pathologists do. Internists know everything but can do nothing. Surgeons know nothing but can do everything and pathologists know everything and can do everything, but too late.

That was the old joke among the wags at the hospital.

So, all I'm saying is, when you're talking about disease, what makes people sick, there's a lot to learn and a lot which is unseen by people without training, technology and experience.

So when Bobbie Jr. denies measles kills kids, or when he says COVID does not kill anybody, except for people who have damaged their own immune system by eating processed foods, or when South African President Mbeki says HIV does not cause AIDS, but it was poverty and homosexuality that causes AIDS, somehow-- they are people who have never taken a course in pathology and they have certainly never done a year's internship at The New York Hospital, or the Mass General or anywhere else.

Before the germ theory of infectious disease, there were all sorts of explanations--God's wrath, bad air, the universe being out of balance in an individual. 

Alexandre Yersin


The Black Plague was punishment for bad deeds until Alexandre Yersin found Pasturella pestis (later named Yersinia pestis) in the buboes in 1894. Centuries of mystery were solved by a man with a microscope working out of a straw hut during a plague outbreak in Hong Kong, alone, because the British masters of Hong Kong dismissed him as some French speaking nerd, and made the hospital available only to a more respectable scientist, who never bothered to cut into the buboes and missed the offending bacillus.

The story of Alexandre Yersin should be taught in every middle school in America. The guy was a Swiss student who spoke French and German and wound up working with Louis Pasteur in that famous Paris lab. But Yersin, who may have been on the autism spectrum, maybe not, yearned for adventure, and although Pasteur wanted him to continue his work on tuberculosis in Paris, Yersin inveigled a letter of reference from Pasteur and then hopped a boat to French Indochina, where, from his clinic in Na Trang, he had been delighting in listening to the tigers roar at night. When plague broke out in Hong Kong he hopped a boat to go there. 

He not only figured out which bacteria caused the disease, he raised anti serum to it, so when it broke out in Indochina (now Vietnam) he was able to save the villagers. Chance favors the prepared mind.  He also figured out the connection to rat fleas. Quite a guy. Ask  any American middle school child you know if he's ever heard of Yersin.

For that matter, ask any middle school student you know who Banting and Best were, and what they did. You can give them a hint: University of Toronto, 1922. Another hint: Diabetes.

Banting & Best


Theories about what caused plague, type 1 diabetes, AIDS are a textbook of mistaken ideas, but methods which are rigorous enough to lead to the truth ultimately prevailed.

One thing all these stories share is difficulty, how hard it is to learn anything in biology and science, and how what you think you know one day may change the next until the implacable method we call "the scientific method" gets applied, and it's not enough to be correct, you have to show how you came to your conclusion, how you excluded other possibilities and why your explanation and your evidence, which other investigators can reproduce, makes the most sense.

For Bobby, none of this applies. He just says it.  As Christopher Hitchens noted: statements without evidence can be dismissed without evidence.  Big claims require big evidence.

The temptation to skip all that hard work, to skip the arduous steps of sitting through classes, lectures, labs, of listening to "experts," is immense.  You know these experts are going to be wrong about a lot of stuff, so why bother listening to them at all?

Just get out there and say something, like, it's all about your diet. People who eat well and have strong immune systems as a result never die. Certainly not from COVID or influenza or measles.

Just say it. It's so easy.

 It's simply enough to cry out: Do you BELIEVE!?!

 I BELIEVE!

Not in God, necessarily, but in whatever Mr. Trump or Mr. Musk or Mr. Miller or Mr. RFK Jr says. 



Saturday, May 3, 2025

Simple Truths

 The trouble with Trump is he looks like the sort of boy who would put a kitten in a microwave and press the button. And then he would laugh about it, and look around for approval.





The trouble with Stephen Miller is he is clearly the friend who would applaud as the unfortunate kitten struggled to escape.



The problem with J.D. Vance is he needed to be rescued from his malignant Appalachian family by the United States Marine Corps, and then he spent the rest of his life denouncing all those insufferable wastrels who look to the government to help them out of poverty.



And then there is RFK JR, who...well, why belabor what is wrong with the victim of brain worm? 



The trouble with Bobbie is not Bobbie, but all his fans who think his worm has liberated his thinking.

Comes from the Same Place

Can't you see the antecedents?



Thursday, May 1, 2025

The Widening Gyre: Jill Lepore Unleashes Her Inner Joan Didion

 


Jill Lepore has harbored an inner streak of Joan Didion for some years, but in this week's New Yorker (5/5/25) she goes full "Slouching Toward Bethlehem."

Reading the New Yorker in New Hampshire Obadiah Youngblood


She starts off with a litany of complaints about his highness, the Trump, which would make Jefferson blush in envy for its conciseness, its scope and its sheer power.

King George III was doped slapped compared to what Lepore does to Trump.



But then she goes beyond Thomas of Monticello and sails into a truly courageous analysis of why Trump has been able to chop down the structures of government and liberal democracy so easily: the wood had been allowed to rot:

"They refused to denounce the illiberalism of speech codes, the lack of due process in the #MeToo movement and Title IX cases, mandatory D.E.I. affirmations as condition of employment and the remorseless political intolerance of much of the left."


In her famous account of the fragmentation and degeneration of San Francisco in 1967, Didion showed where liberal, liberated thought had brought us. Her essays collected as "Slouching Toward Bethlehem," took the title from W.H. Auden's poem, "The Second Coming," which contained the lines:

"Things fall apart, the centre cannot hold.

Mere anarchy is loosed upon the world,

The blood-dimmed tide is loosed, and everywhere

The ceremony of innocence is drowned;

The best lack all conviction, while the worst

Are full of passionate intensity."

Which pretty well describes how writers at the New Yorker--Lepore, David Rankin, the whole lot feel right now, in a year which many have compared to 1968. 

Lepore's summation of Trump's offense is spot on, of course:

From his first day in office, he set about dismantling much of both the federal government and the Constitution’s system of checks and balances. By declarations of national emergency, by executive order, and by executive action—and frequently in plain violation of the Constitution— Trump gutted entire departments of the federal government. He defied the federal judiciary. He rescinded funds lawfully appropriated by Congress. He lifted regulations across industries. He fired, forced the resignations of, or eliminated the jobs of tens of thousands of federal employees. He hobbled scientific research. He all but criminalized immigration. He denounced the arts. He abandoned the federal government’s commitment to public education. He revoked civil rights and shuttered civil-rights programs, deriding the goals of racial equality, gender equality, and L.G.B.T.Q. equality. He made enemies of American allies, and prostituted the United States to the passions of tyrants. He punished his adversaries and delighted in their suffering. He tried to bring universities to heel. He bent law firms to his will. He instituted tariffs and toppled markets; he lifted tariffs and toppled markets. He debased the very idea of America. He created chaos, emergency after emergency.

But it is her analysis of why he has been so successful which is telling: 

Trump felled so much timber not because of the mightiness of his axe but because of the rot within the trees and the weakness of the wood. Many of the institutions Trump attacked, from the immigration system to higher education, were those whose leaders and votaries knew them to be broken and yet whose problems they had failed to fix, or even, publicly, to acknowledge.

She has seen the problem and she knows a big part of it has been the failure of liberals to police their own house. 



COVID Revisionist History

 


Needing podcasts for my two hour bicycle rides, I am always willing to try something new.  Carole Hooven appeared on a podcast called "Dishcast," and its host, Andrew Sullivan, did a creditable job with her so I tuned in to his interview with a Princeton professor, Frances Lee, who wrote a book, "In Covid's Wake: How Our Politics Failed Us," from which I learned:

Andrew Sullivan


1. Children who were held out of schools--which, of course the authors argue was unnecessary and fruitless--suffered irreparable harm, and rendered into a lost generation of under performing half wits, and all because people like Tony Fauci and the CDC were doctrinaire, unwilling to listen to reason, and dictatorial and too sure of their own superior knowledge.

2. Masking was all theater and should never have been tried, and Tony Fauci was against it before he was for it, and so which was it Tony?

3. Even the vaccines were a failure and social distancing was ridiculous and look at what happened when all those gay guys in Provincetown, MA went out to bars having been full vaccinated and got COVID anyway.

4. And even Francis Collins now says it was a lab leak.

Dr. Frances Lee


Of course, neither of these two Ivy Leaguers listened to a single minute of This Week In Virology, (TWiV), the podcast out of Columbia University College of Physicians and Surgeons during the pandemic, or if they did, apparently the content went right over their heads.

But there is a whole fad of books now about how stupid and arrogant Fauci and friends were during the pandemic, and how much harm his policies did and how Ron DeSantis was right all along.

When I hear these podcasts, or read this revisionist history, I usually find myself wondering: On what planet did these people spend the majority of their time during that pandemic?

Nowhere in these anti-establishment renditions is there mention of those 18 wheel rigs lined up outside Mt. Sinai Hospital, Roosevelt Hospital, Bellvue Hospital, The New York Hospital, Columbia, which were stacked to the roof tops with the bodies because the morgues could not hold them all. Nowhere mentioned is the estimate that with the best data, 3 million Americans were going to die, although, in the end, likely because of public health measures like quarantines, distancing, maybe even masking and certainly the vaccine, only 1 million died, so likely 2 million were spare owing to public health measures. 


Of course, with COVID, most of the data was hard to parse and it's always tough to be sure when people died at a nursing home, how many actually died from COVID.

The TWiV Team


But, had Andrew Sullivan listened to Dr. Fauci on TWiV, he would have heard him say, repeatedly, "You know, we're in a data free zone here. I'm giving you the best advice I can, right now, based on what we know today, but two weeks from now, I may well be saying the opposite, after new studies get done."



He was hardly arrogant. One thing you can say about Fauci, and this has been his hallmark since he was at Cornell, is Fauci has always been surprisingly not arrogant, and has always been aware of having grown up in an apartment over his father's pharmacy in Bensonhurst, Brooklyn, went through high school, college and medical school on scholarships.  He may not be exactly humble; he's confident, but he is not arrogant. 

He did not think masks would help, initially, because to a virus the pores in a mask look like the Holland Tunnel, but when it turned out droplets were a problem, he embraced masks, and what is so onerous, really, about wearing a mask? Low cost, possibly high return.

And as anyone who actually took the time to listen to the 4 hours a week of TWiV, during those years 2020-2022, the Provincetown outbreak would have been no surprise: The vaccine was never expected to provide protection from infection or disease. Like the influenza vaccine, it was hoped it would prevent intubation in an ICU and death, which it did. Vaccinated people caught COVID, but they did not die and most did need to be hospitalized

Yes, Sweden opted to keep kids in school, and it's not clear Sweden suffered more deaths, but comparing Sweden to the US is like comparing New York City to Claremont, New Hampshire. In urban populations, in countries with dense concentrations of population, infectious diseases tend to be spread differently. And, for the most part, deaths in the Red states were more likely because the Red state folks did not follow public health advice.

The professor and Mr. Sullivan made much of the way people in power behaved, like Boris Johnson's "party gate" and Gavin Newsome's visit to the winery, as if they really knew all along isolating people was worthless and so they party-ed on. As if...

And as for the lab leak: As Fauci has said, anything is possible, but lab leak is not the likely culprit, not when a far more likely culprit exists: wet markets.  The TWiV crew has addressed this repeatedly, and they've marshalled the details of what evidence exists--the finding of the exact virus in the drains at the wet market, the timing and pattern of the spread of the virus from the market, the fact that multiple other viral epidemics have emanated from these markets in the past, the culprit vectors, pangolins, bats, all add up to a beyond a reasonable doubt it was a crossover virus making the leap, as so many other viruses (SARS among them) have done in the past. 

You did not need to invent a Jack the Ripper to explain deaths when you had the Black Plague ripping through town.

And so what if it was a lab leak? Ted Cruz would have you believe that Tony Fauci's NIH funded the Wuhan lab to make this virus, and it escaped or was deliberately loosed upon the world by some James Bond type villain in China,  so it's all Tony's fault. In fact, Tony Fauci would be only too happy to help the Wuhan lab work with this virus and other potential threats like it, so we can avoid pandemics in the future.

Professor Lee and Mr. Sullivan are not a unique species. There is a type of academic and a type of news media specimen who thrive on playing the role of the smart guys, who are not afraid to speak truth of power, if not to power, who are clever enough to see past the prevailing wisdom to the truth, which is available to hard headed thinkers, who can "do their own research" and get past the establishment to the truth.

They are, at base, conspiracists. 

But they are wrong and wrong headed.

And they are, whatever else they are, Monday morning quarter backs, who have never had a shot fired in anger at them, and never had to make hard calls under duress. 

They are, to use Spiro Agnew's immortal phrase, "effete elitists." 




Tuesday, April 29, 2025

Nobody's Perfect, But Pritzker's Perfect Enough



J. B. Pritzker, governor of the land of Lincoln has been good for a long time. 



A few years ago, he spoke at the Democratic state convention and he brought the delegates to their feet, chanting, "Pritzker for President," and when they didn't stop, and officials wanted to move on with the program, Pritzker finally raised his hand and said, "Look, I'm 300 pounds and Jewish. Not going to happen."

But after his appearance at Manchester days ago, his liabilities do not seem to matter.

Finally, the Democrats have found a fighter.



Fact is, we might have had one in Tim Walz, but he was muzzled when he observed the MAGA movement, the MAGA crowd and all those who love it, are just plain "weird." 



Oh, that was too much like Hillary's basket of deplorables. All the careerist pundits were aghast. It was like those early West Wing episodes when Jed Bartlet was calling out his opponents by name and the cognistenti were trying to muzzle him and insist he call his opponent, "My opponent" rather than mentioning his name which was giving his opponent "free advertising." And Bartlet said, "That makes me look like I can't remember his name."  Only when his team decided to "Let Bartlet be Bartlet," did he catch fire. Once all the "handlers" stepped aside, the Democrat took off.

Life appears to be imitating art now. Not that Pritzker has ever been anything but Pritzker, but now the handlers in the party may be realizing he may be the man for the job, morbid obesity and Jewish notwithstanding.

He eviscerated Trump and his mob,   

“We have a Secretary of Education who hates teachers and schools,” he said. “We have a Secretary of Transportation who hates public transit. We have an Attorney General who hates the Constitution. We have a Secretary of State, the son of naturalized citizens—a family of refugees—on a crusade to expel our country of both.
“We have a head of the Department of Government Efficiency— an immigrant granted the
privilege of living and working here, a man who has made hundreds of billions of dollars after the government rescued his business for him—who is looking to destroy the American middle class to fund tax cuts for himself. And we have a President who claims to love America but who hates our military so much that he calls them ‘losers’ and ‘suckers’ and who can’t be bothered to delay his golf game to greet the bodies of four fallen US soldiers. And we have a Grand Old Party, founded by one of our nation’s bravest Presidents, Abraham Lincoln—who today would be a Democrat, I might add—... so afraid of the felon and the fraud that they put in the White House that they would sooner watch him destroy our 

country than lift a hand to save it.”

                 watch?v=zMndfvxVeRo 

 

 And all the Democrats exploded with relief, joy and a sense of "Finally!"



Let Pritzker be Pritzker and make him President.



But before that, help him destroy the Maga mob and all they embrace. Let him wield that terrible swift sword and join the battle. 


Sunday, April 20, 2025

Alito: The Monster Behind the Mask

 


Reading Justice Samuel Alito's dissent in the case of Trumpist deportations of Venezuelans to that same gulag in El Salvador where the Maryland man abducted by Trump's masked ICE agents was dumped does not take long.

A Reliable Vote for Despotism

Justice Alito found that there was no justification for the Court to prevent further illegal abductions because:

1. The United States lacks jurisdiction: i.e. it's not our problem any more. There's lots of historical precedent for this idea of course: the United States sent a boatload of Jews back to Europe because they did not have paperwork signed by the local Gestapo attesting to their good character, and once those boats left American ports, well, there was no way the American government could help them--not our jurisdiction.

2. Stopping deportations means the government has to be given time to argue why its current program should continue, but in the meantime the government should not be thwarted from the kidnapping program they've rushed into. If Justice Alito had been asked to stop Adolph Eichmann from loading all those Jews into cattle cars in Holland, France, Poland and shipping them off to the camps in Germany, he would presumably have found Mr. Eichmann should be given time to prepare his case, but in the meantime keep those railroad cars rolling.

3. There is not enough evidence the men in question are really being harmed: Just because a man is thrown into a gulag in Central America is no reason to suppose he's not having a good time.

The essence of Alito's objection is: "What's the rush?" 


American Justice 


My favorite sentence in Justice Alito's decision is the last:

"I refused to join the Court's order because we had no good reason to think that, under the circumstances, issuing an order at midnight was necessary or appropriate. Both the Executive and the Judiciary have an obligation to follow the law."

We can count ourselves fortunate Justice Alito is not a trauma surgeon--just because a felon stabs some poor passerby on the street, and the victim is rushed to the emergency room does not mean the surgeon should be roused from sleep at midnight to attend to the bleeding. The insurance card has to be examined, and the insurance company phoned, and if the hour is late, well, we'll just have to wait until tomorrow morning, so we do not violate the prescribed procedures.

And now, Justice Alito can go back to bed.  Heaven forbid the system should be pushed to act with urgency!

When I heard two justices had voted to keep these criminal governmental acts going, sending victims to  El Salvador, imagine the look of surprise on my face to learn which two justices those might be!  

Could it be Justice Alito and, wait for it, Justice Thomas?

American Justice


Which is not to say that Justices Gorsuch, Kavanaugh, Barrett and Roberts were sure things when it came to voting to correct an illegal act--kidnapping, abducting and imprisoning. In roughly descending order of Trumpism, those four are only usually reliable in finding that whatever President Trump wants to do is just fine--he can get money in any way he pleases; he can do whatever he wants as long as he says it's part of his job as President, and he can never be tried in any court for any crime--even murdering someone on Fifth Avenue. The only way to depose the President is for the Senate to convict him after the House of Representatives impeaches him.

Not Going to Save Democracy


So, as long as the American public votes Republican, there is no controlling Mr. Trump, and abductions, imprisonment, extortion and bribery are just fine with the American voter and with the Supreme Court of the United States. 



Wednesday, April 16, 2025

The Disappeared

 Mad Dog is a little blurry on the details, but wasn't there a time when we used to read about certain South American nations where people were just "disappeared," picked up by anonymous hooded police or soldiers and whisked away and never heard of again? The only sure thing about those events was the guys in the hoods with the guns and the vans were working for the government, not for some cartel because the vans, the equipment were all government issued.

Abu Ghraib 


And then there were men who were whisked away from some battlefield in some Middle Eastern nation, bound and hooded and they woke up in Guantanamo (Gitmo) or Abu Ghraib. 

American government operating outside the law, or, put another way, illegally. ("Extra-legally" is an anemic dodge, a way of saying, "well it's not actually against the law; it's just outside the law."

When confronted with the photos from Abu Ghraib, George W. Bush said, "This is not who we are."

Sure, I lynched 'em. 


But, of course, he was dead wrong about that.

Americans have been cheerfully lynching Negroes for centuries, grinning into the camera. And the Gitmo black site, same thing. And the disappearing of of people just living their lives, not committing crimes, off the streets, not just a South American or Russian thing.

After Church Party for the Children


It's now All American smirking crimes committed by knowing, willful American police, ICE or DHS personnel.

Arrest, habeas corpus, arraignment, public defenders, trial--all gone. Inefficient. Why waste time and money on trials, lawyers and courts? 

We have smirking Trump sitting next to the smirking dictator of El Salvador, laughing about a man from Maryland who was disappeared to an El Salvadorian gulag and they say, "So, what are you going to do about it?

Hey, What's Done Is Done

This America, man. This Trump America. 

You voted for it, America.