Trumpcare: The Sociopath’s Guide to Healthcare

By Jeff Kirkpatrick


UPDATE July 14, 2017: Trumpcare 3.0 has arrived. See, “Trumpcare 3.0: From Bad to Worse”; also see: “Trumpcare 4.1: The Lies of Sociopaths


Trumpcare is proof that these Republicans are sociopaths. At its core, this legislation exemplifies the immoral, evil and sadistic personality defects of those who created it and those who support it.

When my mother fell and broke her hip, she could no longer live in her apartment. She ended up in a nursing home, and Medicare and Medicaid helped to pay for most of those expenses.

During the last few years of her life, she needed a full-time caretaker to live with her. Several years earlier, I had to be her caretaker for a few months after she fell and hyper-extended her neck and was partially paralyzed for a while. She eventually gained full use of her arms and hands and I no longer had to feed her and help in other ways. Then years later, I became her caretaker again until she passed away.

She had had a very bad arthritic ankle, and she had surgery to fuse some bones there to alleviate some pain. But the trade-off was that she would sometimes loose her footing and fall. When I was her full time caretaker for her last few years, I could see that she was gradually becoming less stable on her feet. About six months before she fell and broke her hip, she fell about a half dozen other times. Each time she fell, she was unable to get up by herself. If I had not been there, she would have remained on the floor … and never gotten up.

After she broke her hip, she could no longer live in her apartment – in part because of the small number of steps she could no longer climb. After a while she had to be discharged from the hospital and there was nowhere for her to go except a nearby very old, run down nursing home. It was the only available place at that time, and she hated it. Although we were able to move her to a much nicer nursing home a few months later, she passed away soon after that. Senior citizens have an increased risk of dying after breaking a hip; women are much more likely to die than men [1].

If the Republicans had their way then, people like my mother might not have had a nursing home to go to. I don’t know what those sociopathic scumbags expect senior citizens who can’t walk to do: live in the streets? Maybe live under a bridge? Die? It is largely due to Medicare and Medicaid that senior citizens don’t end up homeless. Trumpcare would remove hundreds of billions of dollars from both programs which would put so many vulnerable seniors and others at extremely high risk of dying.

That’s not pro-life: that’s just fucking evil.

Make no mistake. Trumpcare isn’t a healthcare plan. It is fundamentally nothing more than a tax cut scheme for the wealthiest Americans that is presented as a healthcare plan. It’s a devious, sinister, evil piece of shit legislation from a group of old white men who have shit for brains and a black empty space where a soul is supposed to be. You can find the third revision (July 13, 2017) of the Senate Republican legislation HERE; the earlier second revised version (June 26, 2017) can be found HERE. The original version (released on June 22, 2017) with videos can be found HERE.

Among the more sadistic characteristics of Trumpcare are massive cuts to Medicare and Medicaid. People will die. But it’s all for a good cause: the richest 400 families in America will get billions (or millions) of dollars in tax cuts, every year.

You can hear Republicans whine about single-payer tax plans and how dreadful that would be. I mean – can you imagine if everyone had insurance? Lordy! Why that would be “socialized medicine.” And as we all know, “socialism” is just a horrible thing!

Ask any Republican voter. In fact, just say “socialism” and it is guaranteed that they will have a visceral response of outright outrage! Socialism! They’ve been so deeply conditioned over the years, like Pavlov’s dogs, ready to foam at the mouth every time they hear certain words … they hear “socialism” and their socially engineered brains begin to foment into a frothy mix of bullshit and stupidity, of idiocy and ideology, completely unaware that they have been manipulated, conditioned, brainwashed into mindless drones who no longer have the capacity for free will, for critical thinking, and they just react (like Pavlov’s dogs), exactly the way they’ve been programmed to when that key word “socialism” is mentioned. They really don’t understand the word, but that’s not important at all, they don’t need to. All they need to do is react according to their conditioning, or social engineering, or brainwashing [2].

Are interstate highways anything other than a type of socialism? Firefighters risk their lives in the Santa Ana winds in Southern California to save multi-million dollar homes, isn’t that just a socialist-type of service? Just don’t tell them that – because socialism is bad. And “socialized medicine” – oh my goodness, we surely must not have that! It would be a terrible thing to do because it has the word “socialism” associated with – forget that lives would be saved. Don’t tell them what Social Security is either. Maybe that’s why they want to destroy that too.

Trumpcare must not pass, must not become law. It is an evil, sadistic bill that is designed to harm and kill people.

Tell your Senators to vote No on Trumpcare:



Call your Senator: Phone numbers for every office of every U.S. Senator,” by David Nir, Daily Kos; February 2, 2017

Trumpcare 4.1: The Lies of Sociopaths

Trumpcare 3.0: From Bad to Worse

Coming soon – ‘Trumpcare 3.0: Return of the Sociopaths’

Trumpcare 2.0: People will die

Senate Trumpcare v2.0

Trump’s Budget and Healthcare Plan are Economic Terrorism

Gutting Health Care Will Kill Americans | The Resistance with Keith Olbermann | GQ” (8:47) [published on March 14, 2017 – after the House version of Trumpcare was introduced]

“For Trump, it seems to me, the whole point is to have a ‘win.’ He doesn’t give a shit about what the bill actually contains. He’ll just lie about it afterward and assume his cult followers will believe him. For Ryan, it’s just a way to make a future tax cut for the superrich more budget-friendly, while pushing the political costs of shredding Medicaid onto some future sucker.”

The Perverse Presidency of Donald Trump,” by Andrew Sullivan, New York Magazine; June 23, 2017


Sen. Warren on Trumpcare: Cuts to Medicare and Medicaid is Blood Money for the Rich” (7:33)

Blood Money: people will die. “Now we know the truth. Senate Republicans were sitting around a conference table dreaming up even meaner ways to kick dirt in the face of American people and take away their health insurance … Republicans worked really, really hard on this bill and it’s pretty clear now exactly who they were working for; this bill has one flashing neon sign after another telling us who the Republican party cares about and it is not American families … The Senate bill is crammed full with just as many tax cuts as the House bill: tax cuts for millionaires and billionaires, tax cuts for wealthy investors, tax cuts for giant companies – but all those tax cuts don’t come cheap. They start to add up after a while. So Senate Republicans had to make a choice how to pay for all those juicy tax cuts for their rich buddies. I’ll tell you how: Blood Money … These cuts are Blood Money. People will die. Let’s be very clear. Senate Republicans are paying for tax cuts for the wealthy with American lives.” – Senator Warren, June 22, 2017


The GOP’s Health-Care Bill Is Absurdly Cruel to Sexual Assault Victims,” by Carey Purcell, Dame Magazine; June 22, 2017

Excerpt: “Evil,” or a similar adjective, could be used to describe many actions of Trump and the Republican Party regarding women. While Trump’s agenda is alarming, it is hardly the first time the GOP has attempted to stifle women’s reproductive rights, which have been under attack for years.

The GOP is upholding a way of life that is built on suppressing women, suppressing anyone who is not a straight, Christian, cisgender white man,” Amanda said. “I have to believe that a lot of them don’t think they think this. I have to, for my well-being. Their attitude is indicative of a complete dismissal of other people’s humanity. To look at things like abortion and boil it down to some notion of a soul or whatever, and pretend this isn’t control of someone else’s body…, You’re welcome to whatever feelings you have about this, but why do you think you can tell me what I can do at the doctor? Why is this different than I need to have my septum straightened out?  It’s a very strange thing that it completely erases the humanity of the woman… whether or not they want to be pregnant. It’s straight out of The Handmaid’s Tale.”

If the AHCA is passed, and if sexual assault is considered a preexisting condition, Jessica is determined to fight it in any way possible.


“People will die if this bill becomes law, but that doesn’t seem to trouble the Republicans’ conscience. The only thing they seem to fear is losing their jobs. That’s why this bill was written in unprecedented secrecy. That’s why it, like the House version, obfuscates and misdirects to conceal its true goals.”

GOP ‘Health’ Bill: Death, Disaster, and Gilded Age Greed,” by Richard Eskow, Common Dreams; June 23, 2017


The Senate’s Unaffordable Care Act,” by the Editorial Staff, New York Times; June 23, 2017

Excerpt: It would be a big mistake to call the legislation Senate Republicans released on Thursday a health care bill. It is, plain and simple, a plan to cut taxes for the wealthy by destroying critical federal programs that help provide health care to tens of millions of people.

The Senate majority leader, Mitch McConnell, and other Republicans have pitched the bill as a fix for the Affordable Care Act, or Obamacare. But their true ambition is not to reform Obamacare, which, whatever its shortcomings, has given 20 million Americans access to health insurance. If passed in its current form, the Senate bill would greatly weaken Medicaid, the federal-state program that provides insurance to nearly 69 million people, more than any other government or private program. It would do this by gradually but inexorably shifting more of the financial burden of Medicaid to states, in effect, forcing them to cover fewer people and to provide fewer services. Over all, the Senate would reduce federal spending by about $1 trillion over 10 years and use almost that much to cut taxes for rich families and health care companies.


Coverage Losses under the Senate Health Care Bill Could Result in 18,100 to 27,700 Additional Deaths in 2026,” by Ann Crawford-Roberts, Nichole Roxas, Ichiro Kawachi, Sam Berger, and Emily Gee, Center for American Progress; June 22, 2017

Excerpt: Given the overwhelming weight of evidence, there should be no debate: Health care coverage has an impact on whether Americans live or die. Our data estimates show that under any of the scenarios we analyzed, a significant number of American lives are at stake in this debate. Legislators considering whether to support this bill should keep in mind and soberly consider the catastrophic effect the AHCA would have on so many Americans and their families.

“How bad is this Republican wealthcare bill? It is nothing short of vicious … if you are one of the 130 million Americans with a pre-existing condition, if you’ve ever been pregnant or plan to have a family, if you or a loved one survives on Medicaid, or if you are age 46 or older, this is an absolute must-read.”

See: “Here’s the simplest takedown of the Republican scheme to take away health care from millions,” by Jen Hayden, Daily Kos; June 22, 2017. This article is based on a Twitter thread by Senator Bob Casey; his full Twitter thread on Trumpcare can be found HERE.


“With slowly dawning horror realized I was reading one of the most ruthless, soulless, vicious documents ever put to print.”

Ruthless, Soulless, Vicious: Three Reasons the Senate GOP’s ACA Replacement is a Disgrace,” by William Rivers Pitt, Truthout; June 23, 2017

Excerpt: …with slowly dawning horror realized I was reading one of the most ruthless, soulless, vicious documents ever put to print. While not as bloodthirsty as the House version it seeks to correct, the Better Care Reconciliation Act is a genuinely cruel piece of work that will deliver millions of people to the gutter or the grave…

Let’s start with a baseline: Some 20 percent of Americans are enrolled in Medicaid; 39 percent of children in the US are enrolled in Medicaid; 49 percent of births are covered by Medicaid; and a full 64 percent, or nearly two-thirds of nursing home patients, are covered by Medicaid…

The fate of millions now stands upon the fulcrum of the coming week. This reconciliation was drafted in total secrecy, and in the light of day stands as little more than a smash-and-grab robbery favoring the wealthy and powerful at the brutal expense of the poorest and weakest among us. With the removal of the employer mandate, middle-class and working-class families likewise face a future of uncertainty and pain. That this bill exists at all is an embarrassment to the nation. The “Better Care Reconciliation Act of 2017” must be cast out with the refuse like the bag of dung it is.


The Senate health bill: poor people pay more for worse insurance” (5:05)

The Better Care Reconciliation Act: the Senate bill to repeal and replace Obamacare, explained,” by Sarah Kliff, Vox; June 22, 2017


Will losing health insurance mean more US deaths? Experts say yes,” by Mona Chalabi, The Guardian; June 24, 2017

9 Things to Know About the Senate Health Care Bill,” by Gisele Grayson, Alyson Hurt and Alison Kodjak NPR; June 22, 2017

Senate Obamacare repeal plan would slash federal healthcare funding for Medicaid,” by Noam N. Levey and Lisa Mascaro, LA Times; June 22, 2017

Senate Health Care Bill Includes Deep Cuts to Medicaid,” by Robert Pear and Thomas Kaplan, New York Times; June 22, 2017


[1]. “Women who break a hip at increased risk of dying within a year, study finds,” by ScienceDaily, September 26, 2011

Hip fracture is associated with increased short-term death rates for some older women, study finds,” by ScienceDaily, September 27, 2011

Hip fracture is associated with increased short-term death rates for some older women, study finds,” by ScienceDaily, September 27, 2011

[2]. “Fox News ‘brainwashed’ so many dads: ‘People are being bamboozled on a massive scale’,” by Gary M. Kramer, Salon; March 20, 2016

I was a teenage Fox News robot: Sean Hannity destroyed my childhood,” by Matt Saccaro, Salon; July 7, 2014

A Psychological Divide: Irrationality, Psychopathy and Trump’s Cult,” by Ken Levy, CounterPunch; February 2, 2017

The dark allure of conspiracy theories, explained by a psychologist,” by Brian Resnick, Vox; May 25, 2017

Donald Trump, Cult Leader,” by bobburnett, Daily Kos; December 8, 2016

The Cult of Trump,” by Rebecca Nelson, GQ; August 31, 2016


The Brainwashing of My Dad Trailer” (4:59)






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