Archives for category: Extremism

Today is a good day to reflect on hypocrisy. The Trump administration is deeply entwined with two groups: evangelical Christians and Elon Musk’s DOGE team. The White House has frequent prayer meetings, issues proclamations written by evangelical leaders, and even has offices in the Weat Wing for Trump’s spiritual advisors.

Meanwhile, Trump empowered DOGE to ransack every federal agency, fire staff by the tens of thousands, and shutter agencies that were established by Congress. Many fear that Medicaid, Medicare, and Social Security will suffer deep cuts.

The result will be not “efficiency,” but inefficiency. Worse, people will die if they cannot afford to pay for health care and do not get their Social Security because their local or regional office has been closed and they do not have a cell phone or computer.

The prime example of DOGE slaughter of an agency that has saved millions of lives is USAID. Foreign aid has had bipartisan support for decades. It brings food, medicine, and medical clinics to desperately poor people around the globe. American farmers supply the grains that are exported and lose billions of dollars.

But most important, millions of people will die because of the cutoff of drugs and food.

This is rank cruelty. This is obscene. This is a crime.

What do the evangelicals who surround Trump say about this? Clearly they influence his words but not his deeds. Jesus spoke about love, compassion, healing the sick, feeding the hungry, welcoming the stranger. What do they say about withdrawing drugs and food from millions of the needy and poor?

Today is a good day to ask, What would Jesus do?

David Remnick, editor of The New Yorker, interviewed Dr. Atul Gawande about his work at USAID. He was especially interested in learning Dr. Gawande’s views about the likely consequences of the evisceration of USAID.

Remnick writes:

It is hard to calculate all the good that Atul Gawande has done in the world. After training as a surgeon at Harvard, he taught medicine inside the hospital and in the classroom. A contributor to The New Yorker since 1998, he has published widely on issues of public health. His 2007 article in the magazine and the book that emerged from it, “The Checklist Manifesto: How to Get Things Right,” have been sources of clarity and truth in the debate over health-care costs. In 2014, he published “Being Mortal: Medicine and What Matters in the End,” a vivid, poetic, compassionate narrative that presents unforgettable descriptions of the ways the body ages and our end-of-life choices.

Gawande’s work on public health was influential in the Clinton and Obama Administrations, and, starting in November, 2020, he served on President Joe Biden’s covid-19 Advisory Board. In July, 2021, Biden nominated him as the assistant administrator for the Bureau of Global Health at the U.S. Agency for International Development, where he worked to limit disease outbreaks overseas. Gawande, who is fifty-nine, resigned the position on the day of Donald Trump’s return to the Presidency.

When we spoke recently for The New Yorker Radio Hour, Gawande, usually a wry, high-spirited presence, was in a grave mood. There were flashes of anger and despair in his voice. He was, after all, watching Trump and Elon Musk dismantle, gleefully, a global health agency that had only lately been for him a source of devotion and inspiration. As a surgeon, Gawande had long been in a position to save one life at a time. More recently, and all too briefly, he was part of a vast collective responsible for untold good around the world. And now, as he made plain, that collective has been deliberately cast into chaos, even ruins. The cost in human lives is sure to be immense. Our conversation has been edited for clarity and length.

President Biden appointed you as the assistant administrator for global health at U.S.A.I.D., a job that you’ve described as the greatest job in medicine. You stepped down on Trump’s Inauguration Day, and he immediately began targeting U.S.A.I.D. with an executive order that halted all foreign aid. Did you know, or did you intuit, that Trump would act the way he has?

I had no idea. In the previous Trump Administration, they had embraced what they themselves called the “normals.” They had a head of U.S.A.I.D. who was devoted to the idea of development and soft power in the world. They had their own wrinkle on it, which I didn’t disagree with. They called it “the journey to self-reliance,” and they wanted to invest in Africa, in Asia, in Latin America, to enable stronger economies, more capacity—and we weren’t doing enough of that. I actually continued much of the work that had occurred during that time.

Tell me a little bit about what you were in charge of and what good was being done in the world.

I had twenty-five thousand people, between D.C. and sixty-five countries around the world, working on advancing health and protecting Americans from diseases and outbreaks abroad. The aim was to work with countries to build their systems so that we protected global health security and improved global outcomes—from reducing H.I.V./aids and other infectious diseases like malaria and T.B., to strengthening primary health-care systems, so that those countries would move on from depending on aid from donors. In three years, we documented saving more than 1.2 million lives after covid alone.

Let’s pause on that. Your part of U.S.A.I.D. was responsible, demonstrably, for saving 1.2 million lives—from what?

So, covid was the first global reduction in life expectancy in seventy years, and it disrupted the ability across the world to deliver basic health services, which includes H.I.V./aids [medications], but also included childhood immunizations, and managing diarrhea and pneumonia. Part of my target was to reduce the percentage of deaths in any given country that occur before the age of fifty. The teams would focus on the top three to five killers. In some places, that would be H.I.V.; in some places that would be T.B. Safe childbirth was a huge part of the work. And immunizations: forty per cent of the gains in survival for children under five in the past fifty years in the world came from vaccines alone. So vaccines were a big part of the work as well.

What was the case against this kind of work? It just seems like an absolute good.

One case is that it could have been more efficient, right? Americans imagine that huge sums of money go to this work. Polls show that they think that a quarter of our spending goes to foreign aid. In fact, on a budget for our global health work that is less than half the budget of the hospital where I did surgery here in Boston, we reached hundreds of millions of people, with programs that saved lives by the millions. That’s why I describe it as the best job in medicine that people have never heard of. It is at a level of scale I could never imagine experiencing. So the case against it—I woke up one day to find Elon Musk tweeting that this was a criminal enterprise, that this was money laundering, that this was corruption.

Where would he get this idea? Where does this mythology come from?

Well, what’s hard to parse is: What is just willful ignorance? Not just ignorance—it’s lying, right? For example, there’s a statistic that they push that only ten per cent of U.S.A.I.D.’s dollars actually got to recipients in the world. Now, this is a willful distortion of a statistic that says that only ten per cent of U.S.A.I.D.’s funding went to local organizations as opposed to multinational organizations and others. There’s a legitimate criticism to be made that that percentage should be higher, that more local organizations should get the funds. I did a lot of work that raised those numbers considerably, got it to thirty per cent, but that was not the debate they were having. They’re claiming that the money’s not actually reaching people and that corruption is taking it away, when, in fact, the reach—the ability to get to enormous numbers of people—has been a best buy in health and in humanitarian assistance for a long time.

Now the over-all agency, as I understand it, had about ten thousand people working for it. How many are working at U.S.A.I.D. now?

Actually, the number was about thirteen thousand. And the over-all number now—it’s hard to estimate because people are being turned on and off like a light switch—

Turned on and off, meaning their computers are shut down?

Yeah, and they’re being terminated and then getting unterminated—like, “Oops, sorry, we let the Ebola team go.” You heard Elon Musk say something to that effect in the Oval Office. “But we’ve brought them back, don’t worry.” It’s a moving target, but this is what I’d say: more than eighty per cent of the contracts have been terminated, representing the work that is done by U.S.A.I.D. and the for-profit and not-for-profit organizations they work with, like Catholic Relief Services and the like. And more than eighty per cent of the staff has been put on administrative leave, terminated, or dismissed in one way or the other.

So it’s been obliterated.

It has been dismantled. It is dying. I mean, at this point, it’s six weeks in. Twenty million people with H.I.V., for example—including five hundred thousand children—who had received medicines that keep them alive have now been cut off for six weeks.

A lot of people are going to die as a result of this. Am I wrong?

The internal estimates are that more than a hundred and sixty thousand people will die from malaria per year, from the abandonment of these programs, if they’re not restored. We’re talking about twenty million people dependent on H.I.V. medicines—and you have to calculate how many you think will get back on, and how many will die in a year. But you’re talking hundreds of thousands in Year One at a minimum. But then on immunization side, you’re talking about more than a million estimated deaths.

I’m sorry, Atul. I have to stop my cool journalistic questioning and say: This is nothing short of outrageous. How is it possible that this is happening? Obviously, these facts are filtering up to Elon Musk, to Donald Trump, and to the Administration at large. And they don’t care?

The logic is to deny the reality, either because they simply don’t want to believe it—that they’re so steeped in the idea that government officials are corrupt and lazy and unable to deliver anything, and that a group of young twentysomething engineers will fix it all—or they are indifferent. And when Musk waves around the chainsaw—we are seeing what surgery on the U.S. government with a chainsaw looks like at U.S.A.I.D. And it’s just the beginning of the playbook. This was the soft target. This is affecting people abroad—it’s tens of thousands of jobs at home, so there’s harm here; there’s disease that will get here, etc. But this was the easy target. Now it’s being brought to the N.I.H., to the C.D.C., to critical parts of not only the health enterprise but other important functions of government.

So the National Institutes of Health, the Centers for Disease Control and Prevention, and other such bureaucracies that do equal medical good will also get slammed?

Are being slammed. So here’s the playbook: you take the Treasury’s payment system—doge and Musk took over the information system for the Treasury and the payments in the government; you take over the H.R. software, so you can turn people’s badges and computer access on and off at will; you take over the buildings—they cancelled the leases, so you don’t have buildings. U.S.A.I.D.—the headquarters was given to the Customs and Border Protection folks. And then you’ve got it all, right? And then he’s got X, which feeds right into Fox News, and you’ve got control of the media as well. It’s a brilliant playbook.

But from the outside, at least, Atul, and maybe from your vantage point as well: this looks like absolute chaos. I’ve been reading this week that staff posted overseas are stranded, fired without a plane ticket home. From the inside, what does it look like?

One example: U.S.A.I.D. staff in the Congo had to flee for their lives and watch on television as their own home was destroyed and their kids’ belongings attacked. And then when they called for help and backup, they could not get it. I spoke to staff involved in one woman’s case, a pregnant woman in her third trimester, in a conflict zone. They have maternity leave just like everybody else there. But because the contracts had been turned off, they couldn’t get a flight out, and were not guaranteed safe passage, and couldn’t get care for her complications, and ended up having to get cared for locally without the setup to address her needs. One person said to me, as she’s enduring these things, “My government is attacking me. We ought to be ashamed. Our entire system of checks and balances has failed us.”

What’s been the reaction in these countries, in the governments, and among the people? The sense of abandonment must be intense on all sides.

There are broadly three areas. The biggest part of U.S.A.I.D. is the fema for disasters abroad. It’s called the Bureau for Humanitarian Assistance, and they bring earthquake response; wildfire response; response in conflicts, in famines. These are the people who suit up, and get assistance, and stabilize places where things are going wrong.

The Global Health Bureau, which I led, is the second-largest part of the agency, and that does work around diseases and health threats, as well as advancing health systems in low- and middle-income countries around the world. There’s coöperation on solving global problems, like stopping pandemics, and addressing measles outbreaks, and so on.

The third is advancing countries’ economies, freedom, and democracy. John F. Kennedy, when he formed U.S.A.I.D. in 1961, said that it was to counter the adversaries of freedom and to provide compassionate support for the development of the world. U.S.A.I.D. has kept Ukraine’s health system going and gave vital support to keep their energy infrastructure going, as Russia attacked it. In Haiti, this is the response team that has sought to stabilize what’s become a gang-controlled part of the country. Our health teams kept almost half of the primary health-care system for the population going. So around the world: stopping fentanyl flow, bringing in independent media. All of that has been wiped out completely. And in many cases, the people behind that work—most of the people we’re working with, local partners to keep these things going—are now being attacked. Those partners are now being attacked, in country after country.

What you’re describing is both human compassion and, a phrase you used earlier in our conversation, “soft power.” Describe what that is. Why is it so important to the United States and to the world? What will squandering it—what will destroying it—mean?

The tools of foreign policy, as I’ve learned, are defense, diplomacy, and development. And the development part is the soft power. We’re not sending troops into Asia and Africa and Latin America. We’re sending hundreds of thousands of civilians without uniforms, who are there to represent the United States, and to pursue common goals together—whether it’s stemming the tide of fentanyl coming across the border, addressing climate disasters, protecting the world from disease. And that soft power is a reflection of our values, what we stand for—our strong belief in freedom, self-determination, and advancement of people’s economies; bringing more stability and peace to the world. That is the fundamental nature of soft power: that we are not—what Trump is currently trying to create—a world of simply “Might makes right, and you do what we tell you,” because that does not create stability. It creates chaos and destruction.

An immoral universe in which everybody’s on their own.

That’s right. An amoral universe.

Who is standing up, if anyone, in the Administration? What about Secretary of State Marco Rubio, whom you mentioned. What’s his role in all of this? Back in January, he issued a waiver to allow for lifesaving services to continue. That doesn’t seem to have been at all effective.

It hasn’t happened. He has issued a waiver that said that the subset of work that is directly lifesaving—through humanitarian assistance, disaster relief, and so on, and the health work that I used to lead—will continue; we don’t want these lives to be lost. And yet it hasn’t been implemented. It’s clear that he’s not in control of the mechanisms that make these things happen. doge does not approve the payments going out, and has not approved the payments going out, to sustain that work.

The federal courts have ruled that the freeze was likely illegal and unconstitutional, and imposed a temporary restraining order saying that it should not be implemented, that it had to be lifted—the payment freeze. Instead, they doubled down. And Marco Rubio signed on to this, tweeted about it earlier this week—that over eighty per cent of all contracts have now been terminated. And the remaining ones—they have not even made a significant dent in making back payments that are owed for work done even before Trump was inaugurated.

There’s always been skepticism, particularly on the right, about foreign aid. I remember Jesse Helms, of North Carolina, would always rail about the cost of foreign aid and how it was useless, in his view, in many senses. I am sure that in your time in office, you must have dealt with officials who were skeptical of the mission. What kind of complaints were you getting from senators and congressmen and the like, even before the Trump Administration took over in January?

It was a minority. I’ll just start by saying: the support for foreign-aid work has been recognized and supported by Republicans and Democrats for decades. But there’s been a consistent—it was a minority—that had felt that the U.S. shouldn’t be involved abroad. That’s part of an isolationist view, that extending this work is just charity; it’s not in U.S. interests and it’s not necessary for the protection of Americans. The argument is that we should be spending it at home.

They’re partly playing into the populist view that huge portions of the budget are going abroad, when that’s not been the case. But it’s also understandable that when people are suffering at home, when there are significant needs here, it can be hard to make connections to why we need to fight to stop problems abroad before they get here.

And yet we only recently endured the covid epidemic, which by all accounts did not begin at home, and spread all over the world. Why was covid not convincing as a manifestation of how a greater international role could help?

Certainly that didn’t convince anybody that that was able to be controlled abroad—

Because it wasn’t.

Because it wasn’t, right. And covid did drive a significant distrust in the public-health apparatus itself because of the suffering that people endured through that entire emergency. But I would say the larger picture is—every part of government spending has its critics. One of the fascinating things about the foreign-aid budget, which has been the least popular part of the budget, is that U.S.A.I.D. was mostly never heard of. Now it has high name recognition, and has majority support for continuing its programs, whether it’s keeping energy infrastructure alive in Ukraine, stabilizing conflicts—whether it’s Haiti or other parts of the world—to keep refugees from swarming more borders, or the work of purely compassionate humanitarian assistance and health aid that reduces the over-all death rates from diseases that may yet harm us. So it’s been a significant jump in support for this work, out of awareness now of what it is, and how much less it turns out to cost.

So it took this disaster to raise awareness.

That’s human nature, right? Loss aversion. When you lose it is when you realize its value.

Atul, there’s been a measles outbreak in West Texas and New Mexico, and R.F.K., Jr.—who’s now leading the Department of Health and Human Services—has advised some people, at least, to use cod-liver oil. We have this multilayered catastrophe that you’ve been describing. Where could the United States be, in a couple of years, from a health perspective? What worries you the most?

Measles is a good example. There’s actually now been a second death. We hadn’t had a child death from measles in the United States in years. We are now back up, globally, to more than a hundred thousand child deaths. I was on the phone with officials at the World Health Organization—the U.S. had chosen measles as a major area that it wanted to support. It provided eighty per cent of the support in that area, and let other countries take other components of W.H.O.’s work. So now, that money has been pulled from measles programs around the world. And having a Secretary of Health who has done more to undermine confidence in measles vaccines than anybody in the world means that that’s a singular disease that can be breaking out, and we’ll see many more child deaths that result from that.

The over-all picture, the deeper concern I have, is that as a country we’re abandoning the idea that we can come together collectively with other nations to do good in the world. People describe Trump as transactional, but this is a predatory view of the world. It is one in which you not only don’t want to participate in coöperation; you want to destroy the coöperation. There is a deep desire to make the W.H.O. ineffective in working with other nations; to make other U.N. organizations ineffective in doing their work. They already struggled with efficiency and being effective in certain domains, and yet they continue to have been very important in global health emergencies, responding and tracking outbreaks. . . .

We have a flu vaccine because there are parts of the world where flu breaks out, like China, that don’t share data with us. But they share it with the W.H.O., and the result is that we have a flu vaccine that’s tuned to the diseases coming our way by the fall. I don’t know how we’ll get a flu vaccine this fall. Either we’ll get it because people are, under the table, communicating with the W.H.O. to get the information, and the W.H.O is going to share it, even though the U.S. is no longer paying, or we’re going to work with other countries and be dependent on them for our flu vaccine. This is not a good answer.

I must ask you this, more generally: You’re watching a President of the United States begin to side with Russia over Ukraine. You’re watching the dismantlement of our foreign-aid budget, and both its compassion and its effectiveness. Just the other day, we saw a Columbia University graduate—you may agree with him, disagree with him on his politics, but who has a green card—and ice officers went to his apartment and arrested him, and presumably will deport him. It’s an assault on the First Amendment. You’re seeing universities being defunded—starting with Columbia, but it’ll hardly be the last, etc. What in your view motivates Donald Trump to behave in this way? What’s the vision that pulls this all together?

What I see happening on the health side is reflective of everything you just said. There is a fundamental desire to remove and destroy independent sources of knowledge, of power, of decision-making. So not only is U.S.A.I.D. dismantled but there’s thousands of people fired—from the National Institutes of Health, the C.D.C., the Food and Drug Administration—and a fundamental restructuring of decision-making so that political judgment drives decision-making over N.I.H. grants, which have been centralized and pulled away from the individual institutes. So the discoveries that lead to innovations in the world—that work has a political layer now. F.D.A. approvals—now wanting a political review. C.D.C. guidance—now wanting a political review. These organizations were all created by Congress to be shielded from that, so that we could have a professional, science-driven set of decisions, and not the political flavor of the moment.

Donald Trump’s preference, which he’s expressed in those actions and many others, is that his whims, just like King Henry VIII’s, should count. King Henry VIII remade an entire religion around who he wanted to marry. And this is the kind of world that Trump is wanting to create—one of loyalty trumping any other considerations. So the inspectors general who do audits over the corruption that they seem to be so upset about—they’ve been removed. Any independent judgment in society that would trump the political whims of the leader. . . . The challenge is—and I think is the source of hope for me—that a desire for chaos, for acceding to destruction, for accepting subjugation, is not a stable equilibrium. It’s not successful in delivering the goods for people, under any line of thinking.

In the end, professionally organized bureaucracies—that need to have political oversight, need to have some controls in place, but a balance that allows decision-making to happen—those have been a key engine of the prosperity of the country. Their destruction will have repercussions that I think will make the Administration very unpopular, and likely cause a backlash that balances things out. I hope we get beyond getting to the status quo ante of a stalemate between these two lines of thinking—one that advances the world through incremental collective action that’s driven around checks and balances as we advance the world ever forward, and one in which a strongman can have his way and simply look for who he can dominate.

Right now, Robert F. Kennedy, Jr., is the head of H.H.S. His targets include not only vaccine manufacturers but the pharma industry writ large. But he’s talked a lot, too, about unhealthy food in the American diet—to some extent, he’s not wrong. Do you see any upside in his role in pushing this so-called Make America Healthy Again idea?

Of course there is good. I mean, we as a country have chronic illness that is importantly tied to our nutritional habits, our exercise, and so on. But for all our unhealthiness, we’ve also had an engine of health that has enabled the top one per cent in America to have a ninety-year life expectancy today. Our job is to enable that capacity for public health and health-care delivery to get to everybody alive, I would argue, and certainly to get it to all Americans.

What’s ignored is that half the country can’t afford having a primary-care doctor and don’t have adequate public health in their communities. If R.F.K., Jr., were taking that on, more power to him. Every indication from his history is that this is an effort to highlight some important things. But how much of it’s going to actually be evidence-driven? He’s had some crazy theories about what’s going to advance chronic illness and address health.

I’d say the second thing is the utter incompetence in running things and making things work. They’ve utterly destabilized the National Institutes of Health, the Centers for Disease Control, the F.D.A.

Explain that destabilization—what it looks like from inside and what effects it’ll have.

One small example: doge has declared that all kinds of buildings are not necessary anymore. That includes the headquarters of the Department of Health and Human Services. They’re saying, “Oh, everybody has to show up for work now, but you won’t have a building to work in anymore.”

No. 2 on the list is F.D.A. specialized centers around the country. There’s a laboratory in St. Louis where they have specialized equipment for testing food and drugs for safety. And so that whole capability—to insure that your foods and your medications are able to be tested for whether they have contaminants, whether they are counterfeit—that’s a basic part of good nutrition, good medicine, that could be pulled away.

Whether it’s maintaining the building infrastructure, maintaining the staff who are being purged sort of randomly left and right, or treating them not like they’re slaves but actually bringing good work out of everybody, by good management—that is what’s not happening.

I have the feeling that you, even in a short time, loved being in the federal government. What I hear in our conversation is a sense of tragedy that is not only public but that is felt very intimately by you.

I did not expect that going into government would be as meaningful to me as it was. I went into government because it was the covid crisis and I was offered an opportunity to lead the international component of the response. We got seven hundred million vaccines out to the world. But what I found was a group of people who could achieve scale like I’d never seen. It is mission-driven. None of these people went into it for the money; it’s not like they’ve had any power—

I assume all of them could have made more money elsewhere.

Absolutely. And many of them spent their lives as Foreign Service officers living in difficult places in the world. I remember that Kyiv was under attack about eight weeks after I was sworn in. I thought I was going to be working on covid, but this thing was erupting. First of all, our health team, along with the rest of the mission and Embassy in Kyiv, had to flee for safety. But within a week they were already saying, “We have T.B. breaking out, we have potential polio cases. How are we going to respond?” And my critical role was to say, “What’s going to kill people the most? Right now, Russia has shut down the medical supply chain, and so nearly a hundred per cent of the pharmacies just closed. Two hundred and fifty thousand H.I.V. patients can’t get their meds. A million heart patients can’t get their meds. Let’s get the pharmacies open.” And, by the way, they’ve attacked the oxygen factories and put the hospitals under cyberattack and their electronic systems aren’t functioning.

And this team, in four weeks, moved the entire hospital record system to the cloud, allowing protection against cyberattacks; got oxygen systems back online; and was able to get fifty per cent of the pharmacies open in about a month, and ultimately got eighty per cent of the pharmacies open. That is just incredible.

Yes, are there some people that I had to deal with who were overly bureaucratic? Did I have to address some people who were not performing? Absolutely. Did I have to drive efficiency?

As in any work . . .

In every place you have to do that. But this was America at its best, and I was so proud to be part of that. And what frustrated me, in that job, was that I had to speak for the U.S. government. I couldn’t write for you during that time.

Believe me, I know!

I couldn’t tell the story. I’ve got a book I’m working on now in which I hope to be able to unpack all of this. It is, I think, a sad part of my leadership, that I didn’t also get to communicate what we do—partly because U.S.A.I.D. is restricted, in certain ways, from telling its story within the U.S. borders.

If you had the opportunity to tell Elon Musk and Donald Trump what you’ve been telling me for the past hour, or if they read a long report from you about lives saved, good works done, the benefits of soft power to the United States and to the world and so on—do you think it would have any effect at all?

Zero. There’s a different world view at play here. It is that power is what matters, not impact; not the over-all maximum good that you can do. And having power—wielding it in ways that can dominate the weak and partner with your friends—is the mode of existence. (When I say “partner with friends,” I mean partner with people like Putin who think the same way that you do.) It’s two entirely different world views.

But this is not just an event. This is not just something that happened. This is a process, and its absence will make things worse and worse and have repercussions, including the loss of many, many, maybe countless, lives. Is it irreparable? Is this damage done and done forever?

This damage has created effects that will be forever. Let’s say they turned everything back on again, and said, “Whoops, I’m sorry.” I had a discussion with a minister of health just today, and he said, “I’ve never been treated so much like a second-class human being.” He was so grateful for what America did. “And for decades, America was there. I never imagined America could be indifferent, could simply abandon people in the midst of treatments, in the midst of clinical trials, in the midst of partnership—and not even talk to me, not even have a discussion so that we could plan together: O.K., you are going to have big cuts to make. We will work together and figure out how to solve it.”

That’s not what happened. He will never trust the U.S. again. We are entering a different state of relations. We are seeing lots of other countries stand up around the world—our friends, Canada, Mexico. But African countries, too, Europe. Everybody’s taking on the lesson that America cannot be trusted. That has enormous costs.

It’s tragic and outrageous, no?

That is beautifully put. What I say is—I’m a little stronger. It’s shameful and evil. ♦︎

It’s long been clear that Trump has relied on evangelical Christians as a significant part of his political base. It’s also long been clear that Trump himself is not religious. He seldom quotes the Bible, which he usually mangles, but he does sell a Trump Bible ($60). He is usually golfing every Sunday, seldom seen in any house of worship. He has had three wives and cheated on them all. He has operated fraudulent businesses (such as Trump University, which cheated war widows, veterans, and the elderly, and was ordered to pay $25 million to victims of his scam).

Despite having broken almost every one of the Ten Commandments, Trump is adored by evangelicals because he delivered what they wanted most: the repeal of Roe v. Wade. Now, following the agenda of Project 2025, he is wiping out the barriers between church and state and satisfying his religious base.

Ruth Graham covers religion for The New York Times. She wrote:

This week, the White House issued an extraordinary statement — a presidential Easter greeting that was more directly evangelistic than those in the past. Trump and the first lady said they were celebrating “the living Son of God who conquered death, freed us from sin, and unlocked the gates of Heaven for all of humanity.” (By contrast, the White House’s much shorter Ramadan statement last month sent “warmest greetings.”)

The White House spent much of this week celebrating, including at a live-streamed Easter prayer service and a dinner attended by the president. Trump told attendees he hoped it would be “one of the great Easters ever.”

Trump has significantly expanded the power and influence of conservative Christians in government, as my colleague Elizabeth Dias and I have been reporting on for years. This week is a visible demonstration of just how powerful people advancing conservative Christian causes have become inside this administration.

The language and rituals of the White House are changing. The first Cabinet meeting opened with prayer “in Jesus’ name.” Prayer sessions and even hymn-singing have broken out in the West Wing, in public and in private.

President George W. Bush established the first White House faith office in the early 2000s, and versions carried on under later administrations, often working to direct some federal money to faith-based groups providing social services. This term, Trump has given the office a higher stature and a broader mandate.

The new faith office is led by Trump’s longtime personal pastor, Paula White-Cain, and by Jennifer Korn, who worked in his first administration. They have promised a more ambitious agenda to end what they see as Christian persecution in America and to challenge the notion that church and state should be separate.

Ruth and her colleague Elizabeth Dias met the White House faith leaders in their much-coveted office in the West Wing.

White-Cain and Korn said they were focused on all forms of anti-religious bias, not just those affecting Christians. But if atheist groups and abortion rights groups have had a voice in government, “why shouldn’t pastors, priests and rabbis?” Korn told us. “We’re telling them the door’s open.”

In the new organizational structure, the faith office is now able to weigh in on any issue it deems appropriate. White-Cain said the office works closely not just with Trump and his chief of staff, Susie Wiles, but also with officials in intelligence, domestic policy and national security.

White-Cain and Korn have also hosted multiple briefings, listening sessions and other events with faith leaders over the last few months. One regular attendee at events hosted by the office, the Rev. Samuel Rodriguez, who has visited the White House in previous administrations, said the new structure meant “unprecedented access” for faith leaders. Evangelical Christians are by far the most prominent presence.

These events are also communicating a clear message across the country. Many of the pastors have returned home to their large congregations in states like Colorado and Pennsylvania and shared photos of them with Trump. They’ve also recounted praying with him. Clips of faith leaders singing and praying in the White House have gone viral in conservative Christian circles.

“Even the White House shall be called house of prayer,” a pastor from Alabama wrote online in February, sharing a video clip of Christian leaders singing an impromptu a cappella version of the hymn “How Great Thou Art” in the Roosevelt Room. He added, “Would you join me in praying for President Trump and our United States of America?”

While the influence of conservative Christians is visible in the White House, it’s also emerging in federal policy. Trump has already taken several actions that have delighted his conservative Christian supporters. He has signed executive orders that establish a task force, spearheaded by the Justice Department, to “eradicate anti-Christian bias” and that declare there are “two sexes,” male and female.

I wonder if atheists, Muslims, Universalist Unitarians, and gay rabbis are invited to join the multi-faith meetings?

Politico reports that Trump plans to go after the tax-exempt status of non-profit organizations he doesn’t like or send in DOGE to destroy them. Should we refer to him as King Donald? He also intends to wipe out the career civil service, replacing civil servants with appointees who are committed to his agenda, not to the U.S. government.

His second term is not about making America “great again” but about vengeance, retribution, and cruelty, as well as complete power over the federal government. Trump is now intent on punishing anyone who ever criticized him or stood in his way. It doesn’t matter to him that federal law prohibits the President from influencing IRS decisions. When has a law ever stopped him? Emoluments clause? Forget about it. Due process? No way. A nonpartisan civil service? No way.

Politico reported:

LATEST: President DONALD TRUMP announced this afternoon that he plans to invoke “Schedule F,” which would reclassify tens of thousands of federal workers. The change would make it easier for Trump to fire career government employees he believes are not in line with his agenda. The move comes three months after a Day One executive order which reinstalled Schedule F from his first term.

“If these government workers refuse to advance the policy interests of the President, or are engaging in corrupt behavior, they should no longer have a job,” Trump said in his post. “This is common sense, and will allow the federal government to finally be ‘run like a business.’”

NONPROFITS FEEL THE HEAT: The Trump administration is mounting a sweeping offensive on America’s nonprofit sector, deploying a blend of funding cuts, the elimination of tax benefits, bureaucratic paralysis and even installing a small DOGE team to target organizations that challenge the president’s agenda.

The tactics include indirect measures, like hollowing out entire grant-making agencies like AmeriCorps and USAID, and making federal personnel or contract cuts at other agencies so deep that groups can no longer access grants or loans. But there are also more direct efforts, like visits from DOGE or the USDA halting $500 million in deliveries to food banks.

DOGE staffers have attempted to install their own operatives inside major nonprofits like NeighborWorks, a community development group, and the Vera Institute, which advocates for lower incarceration rates.

It’s a campaign that’s hitting a sector that’s already struggling. “You’re cutting or eliminating government funding at the same time when donations are going down, at the same time that costs are going up for the nonprofits and the demand for their services is going up,” said RICK COHEN, chief communications officer at the National Council of Nonprofits.

In just over two months, at least 10,000 nonprofit workers have lost their jobs, according to an estimate from the Chronicle of Philanthropy. And groups providing essential services including housing, education and domestic violence support — and who are already scrambling in an uncertain economic environment — could now face an even steeper funding drought.

“Non profits have been running wild off of the drunken unchecked spending of the federal government and that stopped on Jan 20. We are no longer going to support organizations that stand in stark contrast to the mission of the president of the United States,” White House spokesperson HARRISON FIELDS said in a statement.

The Trump White House is considering a budget proposal that would completely eliminate funding for Head Start, a federal program providing early childhood education administered by 1,700 nonprofit and for-profit organizations, the Associated Press reported. It’s unclear if Congress, as it did during Trump’s first term, will keep funding for groups that Trump’s proposed budgets stripped.

Meanwhile, other groups such as NeighborWorks and the Vera Institute are being pressured from the inside. DOGE staffers met with senior leadership at NeighborWorks on Tuesday and requested that a DOGE operative be embedded in the organization’s staff, according to two people with direct knowledge of the meeting granted anonymity to avoid retribution.

“NeighborWorks America is a congressionally chartered nonprofit corporation,” not a government agency, said NeighborWorks spokesperson DOUGLAS ROBINSON, emphasizing that the group is aligned with the administration’s housing goals.

NeighborWorks, which provides grants and training to 250 community development groups, is usually governed by a five-person board composed of senior leaders from five different federal agencies.

“There’s concern they’re going to load the board up, get rid of officers, and install someone else to implode the organization,” one of the people said. “Slashing that organization during a housing crisis really goes against the president’s platform of creating additional homes and the ticket to the American dream.”

At the same time, Trump is escalating rhetoric against nonprofits that don’t receive federal dollars but have challenged his administration, including good governance groups.

Asked this week about whether he’d consider revoking tax-exempt status from groups beyond Harvard, Trump singled out Citizens for Responsibility and Ethics in Washington, a nonprofit ethics watchdog group. “They’re supposed to be a charitable organization,” Trump said. “The only charity they had is going after Donald Trump.”

“For more than 20 years, CREW has exposed government corruption from politicians of both parties who violate the public trust and has worked to promote an ethical, transparent government,” said CREW spokesperson JORDAN LIBOWITZ.

Meanwhile, White House officials are finalizing a set of executive orders that would revoke the tax-exempt status of environmental nonprofits, particularly those opposing oil, gas and coal development, Bloomberg reported. The move could be unveiled as early as Earth Day on Tuesday, symbolically reinforcing the administration’s fossil-fuel priorities.

Meanwhile the AP reported that DOGE contacted the Vera Institute of Justice, which tries to reduce incarceration rates, and said that DOGE planned to embed a team at Vera and all other nonprofits that receive federal funding. Vera told them they had already lost their federal funding so DOGE staffers were not welcome.

Vera, which has an annual budget of around $45 million that mostly comes from private funders, advocates for reducing the number of people imprisoned in the U.S. They consult with law enforcement and public agencies to design alternative programs to respond to mental health crises or traffic violations, and also support access to lawyers for all immigrants facing deportation.

Nonprofits told the AP that the Trump administration was eroding civil society by its efforts to undermine their work.

CNN reports that Kristi Noem sent a stern letter to Harvard, demanding the disciplinary records of all international students or lose the right to enroll any international students.

Trump is turning all his dogs loose on Harvard. He can’t believe Harvard is standing up to his threats, and he is determined to crush the nation’s most prestigious research university.

Whatever happened to small government? Republicans used to believe that the federal government should leave the private sector alone. Trump believes in big government, big enough to interfere in every institution, even into private medical decisions. He wants to be the emperor.

Clearly, he never read the U.S. Constitution. He knows nothing about checks and balances. Nor did he read Dr. Seuss’s Yertle the Turtle; Yertle wanted to be the master of all he could see. Read it to see what happened to him.

CNN reports:

Department of Homeland Security Secretary Kristi Noem is threatening to strip Harvard University of its ability to enroll international students if it doesn’t turn over records on international students’ “illegal and violent activities,” the agency said Wednesday.

Noem “wrote a scathing letter demanding detailed records on Harvard’s foreign student visa holders’ illegal and violent activities by April 30, 2025, or face immediate loss of Student and Exchange Visitor Program (SEVP) certification,” DHS said in a news release.

The certification allows universities to issue forms to admitted international students that they can then use to apply for visas to enter the United States, according to DHS.

CNN has reached out to DHS for additional information.

A Harvard spokesperson said in a statement that the university is aware of the letter, but they stand by their previous statement that they “will not surrender its independence or relinquish its constitutional rights.”

Trump hates Harvard. It refuses to follow his orders. Harvard’s President Alan Garber flatly refused to let the Trump goons take control of the university. Trump wants to show Harvard who is in charge. He said Harvard should lose its tax-exempt status. This is an unprecedented show of force. The president is not allowed to interfere with IRS decisions. But he appointed a new IRS leader. Nobody says no to Trump. But Harvard said no.

When Harvard’s President, Alan Garber, resolutely refused to accept the Trump administration’s demand to oversee its curriculum, its admissions, and its hiring practices, Trump was furious. He lashed out and threatened to revoke Harvard’s tax-exempt status. By law, the President is not allowed to direct the IRS to investigate anyone. But lo and behold, the IRS commissioner absurdly claimed that it was already investigating Harvard, the nation’s most prestigious university. Sure.

Academic freedom hangs in the balance. Big government wants to control what universities teach, who they admit, and who they hire.

This is the worst attack on the independence of universities since the McCarthy era. it is actually more dangerous than McCarthy, who picked out individual professors. This is the President of the United States declaring war on America’s universities.

The New York Times reported:

The Internal Revenue Service is weighing whether to revoke Harvard’s tax exemption, according to three people familiar with the matter, which would be a significant escalation of the Trump administration’s attempts to choke off federal money and support for the leading research university.

President Trump on Tuesday publicly called for Harvard to pay taxes, continuing a standoff in which the administration has demanded the university revamp its hiring and admissions practices and its curriculum.

Some I.R.S. officials have told colleagues that the Treasury Department on Wednesday asked the agency to consider revoking Harvard’s tax-exempt status, according to two of the people, who spoke on the condition of anonymity to describe internal conversations.

An I.R.S. spokeswoman declined to comment. The Treasury Department did not respond to a request for comment.

Federal law bars the president from either directly or indirectly requesting the I.R.S. to investigate or audit specific targets. The I.R.S. does at times revoke tax exemptions from organizations for conducting too many political or commercial activities, but those groups can appeal the agency’s decision in court. Any attempt to take away Harvard’s tax exemption would be likely to face a legal challenge, which tax experts expect would be successful.

Harrison Fields, a White House spokesman, said the I.R.S.’s scrutiny of Harvard began before the president’s social media post.

“Any forthcoming actions by the I.R.S. are conducted independently of the President, and investigations into any institution’s violations of their tax status were initiated prior to the President’s TRUTH,” Fields said in a statement, referring to Mr. Trump’s website Truth Social.

In a statement, Harvard said there is no legal basis for rescinding its tax status.

“Such an unprecedented action would endanger our ability to carry out our educational mission,” the university said. “It would result in diminished financial aid for students, abandonment of critical medical research programs, and lost opportunities for innovation. The unlawful use of this instrument more broadly would have grave consequences for the future of higher education in America.”

Even an attempt at changing Harvard’s tax status would signify a drastic breach in the independence of the I.R.S. and its historic insulation from political pressure.

The Trump administration has cleared out much of the agency’s senior leadership in the last few months, installing allies to temporarily serve as the commissioner and its top lawyer. Its newest acting commissioner, Gary Shapley, was an I.R.S. agent who has said that the investigation into the taxes of Hunter Biden, former President Joseph R. Biden Jr.’s son, was not aggressive enough.

Governor Greg Abbott finally got the voucher legislation he wanted, after years of defeats. His goal was frustrated by a coalition of Democrats and rural Republicans. The latter were defending their hometown schools, which are staffed by friends and relatives and are the community’s hub.

In last year’s elections, Abbott ran hard-right Republicans against the rural Republicans who stood in his way and disposed of most of them. He attacked them with a campaign of lies, saying they opposed border control, never mentioning vouchers. His efforts to oust anti-voucher Republicans were funded by out- of-state billionaires, including Jeff Yass, the richest man in Pennsylvania, Betsy DeVos, and Charles Koch, as well as home-grown Texas billionaires. Even Trump intervened to encourage the passage of vouchers.

The article says that the legislators refused to permit a referendum because such votes “generally” reject vouchers. Fact-checking would have changed the word “generally” to “always.” In more than 20 state referenda over the years, the public has always voted against vouchers. The article does not mention that the vast majority of vouchers in every state that have adopted them are used by students already in private schools, mostly religious schools. Nor does it note that the academic results of vouchers are strikingly negative (see Josh Cowen’s book The Privateers). Typically the students at private schools are exempt from state testing requirements (which conservatives contend is absolutely necessary for students in public schools).

Most important, it is not the students or the parents who have choice. It is the schools that choose their students. Voucher schools are not bound by anti-discrimination laws. They may exclude students for any reason, including their race, religion, disability, gender or sexual orientation. Some religious schools accept only children of their own sect.

Gregg Abbott campaigned exclusively at private Christian schools. He attacked public schools for “indoctrinating” students, but the best schools for indoctrination are the evangelical schools that will benefit from this legislation.

The following article is a gift, meaning no pay wall.

The New York Times reported:

The Texas House of Representatives voted early Thursday morning to create one of the largest taxpayer-funded school voucher programs, a hard-fought victory for private school choice activists as they turn their attention to a nationwide voucher push.

The measure still has some legislative hurdles to clear before Gov. Greg Abbott signs it into law, but the House vote — 85 to 63 — secured a win that was decades in the making, propelled by the governor’s hardball politics last year. It was also a significant defeat for Democrats, teachers’ unions and some rural conservatives who had long worried that taxpayer-funded private-school vouchers would strain public school budgets.

The program would be capped at $1 billion in its first year, but could grow quickly, potentially reaching an estimated $4.5 billion a year by 2030. The funds can be used for private school tuition and for costs associated with home-schooling, including curriculum materials and virtual learning programs.

The bill was championed by an ascendant wing of the Republican Party, closely allied with President Trump and important conservative donors, including Betsy DeVos, Mr. Trump’s wealthy former education secretary, and Jeff Yass, a billionaire financier from Pennsylvania and a Republican megadonor.

Thom Hartmann explains the significance of what Trump did to our democracy yesterday. He killed it. He sneered at the Declaration of Independence and the U.S. Constitution. He snuffed out the rule of law, which is the foundation of democracy.

Thom Hartmann writes:

Yesterday was the day democracy in our nation officially died.

We no longer live in the America we grew up in: “The land of the free and the home of the brave.” The country the rest of the world looked up to and depended on. The country that claimed to follow the rule of law, and valued compassion and the protection of its most vulnerable people.

We are now in the midst of an outright coup against the Constitution, against the United States, and against our founding ideals: Donald Trump proclaimed it yesterday when he openly defied the Supreme Court and our founding documents with a sneer, and his neofascist sycophants chuckled and giggled in the Oval Office.

When Marco Rubio claimed that arresting and deporting a man legally living in the US was “foreign policy” that can’t be overseen by the Supreme Court and then congratulated himself on his cleverness.

Kilmar Abrego Garcia, a legal U.S. resident who committed no crime, is now held in El Salvador’s most notorious concentration camp, where as many as 75 men are packed into cells designed for a fraction of that number. 

Prisoners are not allowed outside — not for fresh air, not for exercise — and the fluorescent lights never go off. Food is minimal: plain rice or beans twice a day, with water. There is no possibility of appeal for him or the other 75,000 people El Salvadoran dictator Bukele has arrested and imprisoned without due process.

This father of three US citizens, this husband of a US citizen, who had been in the US with the permission of our government, is today packed in with savage gang members — literally murderers and rapists — in one of the most infamous and violent prisons in the world.

He has no access to legal counsel, no information about charges or release, and medical care is often denied except in extreme emergencies. Days blur into nights as men lie on concrete floors or sit in silence, many carving repetitive paths along the walls to stay sane. 

Kilmar may be doing the same, clinging to routine, to hope, to anything that reminds him he once belonged to a country that promised justice.

But then came the most lawless president in the history of America, who yesterday all but declared that we are no longer a constitutional democratic republic as long as he is president.

Article I, Section 9 of the United States’ Constitution is unambiguous about habeas corpus, Latin for “produce the body,” which means no person can be imprisoned without first knowing the charges against them, being able to challenge those charges, and having a court of law decide their fate.

This right embraced by our Founders and written into our Constitution literally dates back to the year 1215 when King John signed the Magna Carta at Runnymede, as Article I Section 9 clearly states:

“The Privilege of the Writ of Habeas Corpus shall not be suspended, unless when in Cases of Rebellion or Invasion the public Safety may require it.”

(Trump is falsely and cynically claiming in an illegal Executive Order that the government of Venezuela has sent gang members to “invade” the US. Bizarrely, even if a court were to uphold this “invasion” gimmick, Kilmar Abrego Garcia is neither a gang member nor even a Venezuelan; he’s a citizen of El Salvador who’s lived in the US since he was 16, is a union worker and beloved member of his community, and was here legally.) 

Fifth Amendment to the Constitution:

“No person shall be held to answer for a capital, or otherwise infamous crime, unless on a presentment or indictment of a Grand Jury… nor be deprived of life, liberty, or property, without due process of law…”

Sixth Amendment to the Constitution:

“In all criminal prosecutionsb, the accused shall enjoy the right to a speedy and public trial, by an impartial jury of the State and district wherein the crime shall have been committed, which district shall have been previously ascertained by law, and to be informed of the nature and cause of the accusation; to be confronted with the witnesses against him; to have compulsory process for obtaining witnesses in his favor, and to have the Assistance of Counsel for his defence.”

Seventh Amendment to the Constitution:

“[T]he right of trial by jury shall be preserved…”

Eighth Amendment to the Constitution:

“Excessive bail shall not be required, nor excessive fines imposed, nor cruel and unusual punishments inflicted.”

Please point out to me where, in our Constitution, it says that the President of the United States or the Secretary of State can simply order a “person” (see 5th Amendment; nowhere does the word “citizen” appear) to be arrested and transported to a foreign hellhole concentration camp without a warrant, without an attorney, without a trial, and without even advance notice that might give him a chance to protest his innocence.

An unanimous Supreme Court ruled last week that our Constitution, as quoted above, says exactly what it means and Trump must “facilitate” the return of Kilmar Abrego Garcia, who is not a criminal and has been denied all of the due process provisions detailed above in our Constitution and its amendments.

Justice Sotomayor was explicit:

“The Government’s argument, moreover, implies that it could deport and incarcerate any person, including U. S. citizens, without legal consequence, so long as it does so before a court can intervene. … 

“[T]he proper remedy is to provide Abrego Garcia with all the process to which he would have been entitled had he not been unlawfully removed to El Salvador. That means the Government must comply with its obligation to provide Abrego Garcia with ‘due process of law,’ including notice and an opportunity to be heard… 

“It must also comply with its obligations under the Convention Against Torture.”

Trump’s response yesterday was a resounding, “Fuck you” to our courts, our Constitution, and our laws. And to the millions of American citizens who are frightened by his systematic dismantling of our legal system.

It was an open assertion by Trump that he can do anything he wants, no matter how unlawful or unconstitutional, without fear of consequences. That he has successfully staged a coup against the government of the United States and her laws and has every intention of running this country like Russia or Hungary.

And not only that, he told El Salvador’s authoritarian president Bukele that the people he next wants to send to his slave labor camp are American citizens like you and me:

“Home grown criminals. Home growns are next. You gotta build about five more places. It’s not big enough.”

Which brings us to a frightening echo of Jefferson’s objections to the “tyranny” of King George II, as outlined in the Declaration of Independence he authored and was signed on July 4, 1776:

“We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.–That to secure these rights, Governments are instituted among Men, deriving their just powers from the consent of the governed

“The history of the present King of Great Britain is a history of repeated injuries and usurpations, all having in direct object the establishment of an absolute Tyranny over these States. To prove this, let Facts be submitted to a candid world.

He has refused his Assent to Laws, the most wholesome and necessary for the public good. …

“He has obstructed the Administration of Justice, by refusing his Assent to Laws for establishing Judiciary powers. …

“He has made Judges dependent on his Will alone

“He has combined with others to subject us to a jurisdiction foreign to our constitution, and unacknowledged by our laws

“For depriving us in many cases, of the benefits of Trial by Jury:

“For transporting us beyond Seas to be tried for pretended offences: …

“For taking away our Charters, abolishing our most valuable Laws, and altering fundamentally the Forms of our Governments: …

“In every stage of these Oppressions We have Petitioned for Redress in the most humble terms: Our repeated Petitions have been answered only by repeated injury. A Prince, whose character is thus marked by every act which may define a Tyrant, is unfit to be the ruler of a free people.” (emphasis added)

If Trump and his ass-kissing lackeys aren’t stopped by public outrage, our courts, and our Constitution and laws, then America has ceased to be a functioning republic and the future is unknowable but certainly grim.

That would be, the Declaration says, the very definition of tyranny. As Senator Chris Murphy just posted to Bluesky:

“You may not think this case matters to you. But Abrego Garcia was legally in the U.S., just like all the rest of us. His status as an immigrant doesn’t matter as a matter of law. If Trump can lock up or remove ANYONE — no matter what the courts say — we are all at grave risk.”

Trump should be impeached for his defiance of the Supreme Court and our Constitution. For spitting in the face of our Founders and every American veteran who has ever fought (or died) for this country and it’s ideals. For using foreign concentration camps.

Tragically, however, Republicans in Congress and across the country are now fully in on the coup. They have chosen an egomaniacal, self-centered narcissist and his billionaire friends over their integrity, country, and their oath of office.

Show up in the streets this coming Saturday and reach out to your elected representatives to demand a return to the rule of law. 

The number for Congress is 202-224-3121, at least for the moment; like with Social Security, Trump may cut that phone number off any day now, too. 

The Ink “sees” a therapist to explore the links between narcissism and authoritarianism — and get some advice for the next four years

THE INK AND NASTARAN TAVAKOLI-FAR

Anand Giridhadaras is a brilliant thinker and writer. He did all of us a service by seeing a therapist to get advice about how to survive the return of Trump, the Abuser-in-Chief. His blog is called “The Ink,” where this post appeared.

We’ve gotten ourselves into an abusive relationship, and it’s one we can’t escape.

The abuser in question is Donald Trump. And by abuse, we’re not talking about abuse of power, real as that may be. We’re talking about emotional abuse, doled out by a narcissist with an unstoppable need to rebuild the world in his image and to use the most powerful office in human history as a treatment center for his wounded ego.

Whether Trump suffers from a real disorder — malignant or traumatic narcissism has been floated — is a matter of debate among psychiatrists and psychologists. Most professionals have refused to make a diagnosis without a clinical interview (the so-called “Goldwater rule”), though before the 2024 election 225 experts felt Trump presented clear enough signs that they published an open letterwarning of his threat to the nation since, in their estimation, if it quacked like a duck, it was a duck:

Trump exhibits behavior that tracks with the American Psychiatric Association’s Diagnostic and Statistical Manual’s (DSM V) diagnostic criteria for “narcissistic personality disorder,” “antisocial personality disorder,” and “paranoid personality disorder,” all made worse by his intense sadism, which is a symptom of malignant narcissism. This psychological type was first identified by German psychologist Erich Fromm to explain the psychology of history’s most “evil” dictators.

We’ve talked often in the newsletter about the way autocrats can build support even without offering anything to their supporters by way of real material improvements, playing on the same deep emotional needs exploited by abusers within relationships and families. 

The real battleground of 2024 is emotion

Earlier this year we also looked back to Erich Fromm’s work to understand how Trump’s cultlike appeal depended on a bond of mutual emotional dependence between abuser and abused and against a threatening world — a bond Fromm called “group narcissism.”

“Even if one is the most miserable, the poorest, the least respected member of a group, there is compensation for one’s miserable condition in feeling ‘I am a part of the most wonderful group in the world. I, who in reality am a worm, become a giant through belonging to the group,”

Donald Trump, Victim King

The situation today is even more complex — and dire — than most expected early in the campaign, as Trump competes for power and attention with fellow narcissists: the oligarchs. And chief among them is the shadow president, Elon Musk, whose sense of his own omnipotence and importance is even stronger than Trump’s, and his vision of the future far more dystopian, and his disregard for humanity even more total.

What Elon Musk really wants

To better understand the situation facing Americans (and, to be honest, everyone around the world) our Nastaran Tavakoli-Far talked to therapist Daniel Shaw about how we can use the techniques that have helped people survive cults, abusive relationships, and toxic families to face and process and maybe even transcend the second Trump administration.



As someone who’s done a lot of reporting on topics involving narcissists and cults, something that’s really striking to me is that the advice given to the people suffering is to get out, go “no contact,” or have as little contact as possible. If you need to speak to this problematic individual do it via a lawyer, you know that kind of thing of just staying as emotionless as possible and not getting involved.

Now, what I always wonder is, because I think a lot of people when they look at Trump and MAGA, I mean a lot of people have said to me, “This is similar to what happened in my family.” A lot of these dynamics, if you’ve been exposed to narcissism, it’s actually very relatable to a lot of people.

But this isn’t a situation where you can go “no contact” because these are the people in power. You’re in a situation where you actually have to engage with these people. You can’t just leave the cult and try and heal. So what is your advice in this sort of scenario?

Stay sane, stay humane, and don’t isolate, would be the three phrases I would use.

Going “no contact” is sometimes a very good idea, but not always. And it’s also an idea that’s been turned around by abusive narcissists who isolate victims from their own families. You know, it’s the same thing that happens in Jehovah’s Witnesses. If you criticize the community, you are disfellowshipped and nobody, not your children, your spouse, your parents, or anybody is allowed to ever talk to you.

In terms of going “no contact” in a political situation, well, you don’t have that option. What are you going to do if, for example, the government benefits that you’ve paid into the system are suddenly turned off and there’s no more Social Security? Are you just going to say “Well, I’m not going to have anything to do with that bad president who just did that to me?” Or are you going to get involved in whatever way possible to fight against it?

Going “no contact” in this situation could be enabling the perpetrator, enabling the autocrat and I think that’s important to understand. If we’re enabling the autocrat, we’re complicit in the autocrat’s abuse.

So what can we do right now? If I wanted to ask for some practical advice?

One of the things that I’ve taken to heart about the current situation is the advice of Timothy Snyder, the historian who has studied the rise and fall of democracies and autocracies in Eastern Europe. One of the things he says is to not submit in advance.

Now, in the case of traumatizing narcissists, having managed a successful seduction they will begin to then create more dependence and they do that paradoxically through becoming more belligerent and belittling and more humiliating or shaming. What that does is create a state of constant intimidation at the same time increasing the sense of dependence the victim has on the narcissist.

In the current situation, it’s clear that everyone who is an opponent of the Trump administration is meant to feel horrified, shocked, belittled, and intimidated. That is what I believe is important: not to submit to the intention to terrify, intimidate, and make people feel powerless and small. So not to submit to that means that I don’t allow myself to be paralyzed with fear. I don’t allow myself to be boiling with rage, and I don’t isolate myself. I remember and connect to what I love about being in the world, about being a person, what I love about other people, and to the people who love me. Staying connected, not isolating, and not allowing yourself to drown in fear or rage is not submitting in advance.

So that’s my sense of what’s important right now.

You mentioned staying sane and about keeping connections. This time around it seems a lot of people are either kind of checking out or not checking the news every day. A lot of people are saying “I just want to do something positive in my community or be there for my family.” and things like that. What do you think about that? Why aren’t people protesting?

Right. I think everybody got exhausted, those who voted against Trump were exhausted by the amount of energy and effort spent hoping to elect Harris. I do limit my exposure so that I can keep my sanity for the time being. I don’t think that’s wrong and I encourage people who need to do that to do it.

So staying sane and humane, having those connections, and speaking up, speaking to our political representatives and pushing them.

People who care about these issues, who do not want to enable autocracy in this country or in general, exist at every level of society, and each of us has a certain amount of power. 

I speak primarily to other psychotherapists but some of my ideas can be useful in thinking about the political, so I try to speak where possible within my community. Each of us has a community, and if we can be vocal within our communities at least we can hope to make an impact, even on one person.

Groups will form that we may want to lend our support to, either financial support or volunteer support. I’m currently supporting Democracy Docket, for example, where Mark Elias has been conducting so many successful lawsuits against a lot of abuses of government. I am not a millionaire elite, so I make small donations on a regular basis. People can do that.

People can volunteer, they can protest and demonstrate. All of these things are happening. They will happen, I believe, to a greater extent. 

We may be under the threat of martial law in Trump’s world. We’re under the threat of having the National Guard tear-gas us if we take to the streets. He’s already demonstrated that he will do that and he’s saying he’ll do it again. But to whatever extent possible we need to speak, whatever our community might be, no matter how small. If you hold beliefs about injustice, it’s worth speaking out.

So what, exactly, is a traumatizing narcissist?

The traumatizing narcissist is a person who — for various reasons, based on their developmental history — has developed what starts out as a fantasy of omnipotence.

Did you ever buy a lottery ticket? That’s a fantasy of omnipotence. We all have them. It was said by Freud that we start out as babies with a sense of omnipotence because everybody adores us. And that we have to grow up and lose that sense of omnipotence so that we don’t become narcissists.

A traumatizing narcissist doesn’t lose that infantile omnipotence. They go through some kind of traumatic humiliation growing up, and that leads them to the fantasy that they can be the most powerful person in the world and nobody can hurt them or humiliate them or make them feel small or weak. As that fantasy becomes a delusion, they start to be absolutely convinced of their superiority, of their infinite entitlement, and of their greatness.

Some traumatizing narcissists focus on an individual or a family. There they can exercise their delusion of omnipotence over a small group of people or over just one person. But their delusion can be so powerful that it invites others to join in. Often the delusion makes them charismatic and persuasive. They can become, in some cases, autocratic politicians. In other cases, they can become gurus, or they can become internet influencers. They have so much conviction in their own delusion of their own omnipotence that they persuade others to join.

Could you briefly describe the kind of people who join in? Who get into these kinds of relationships?

When people speak to me about having been in this kind of a relationship, they’re often full of shame and trying to understand what’s wrong with them. What I’ll say is, “Well, you were being vulnerable, which is very human.”

There is nobody who volunteers to be groomed and the traumatizing narcissist grooms people. We don’t volunteer for that. Some people may be more vulnerable to grooming than others but I’ve seen some very together, high-functioning people who got groomed by traumatizing narcissists, it’s not about being weak or unstable as a person. Look at Bernie Madoff, who convinced some of the most wealthy, creative, high-functioning people in the world that they should give him all their money.

I was very inspired when I left the cult I had been part of when I was younger by Erich Fromm’s book Escape from Freedom. He tried to understand what was happening in Germany which led people to believe that Hitler was a savior.

I think in a similar vein, people believe that Donald Trump is a savior, and part of the problem is that they are only being exposed to the information that Donald Trump wants them to have, which is the propaganda that is funded by millions and millions and millions of dollars by fossil fuel oligarchs and digital oligarchs. There is extraordinary support for Trump as the CEO and them as the board of directors of the new world they think they’re creating. It’s frightening because it is like they read Orwell’s 1984 and decided the hero was Big Brother.

I would call these people malignant narcissists rather than traumatizing narcissists because they’re not just narcissistic, they’re also sociopathic and they believe that there is no law that they should have to obey, that they make the laws.

Sorry, when you say these people, do you mean Trump, or do you mean Trump and the tech bros and fossil fuel bros?

The group of elites who support autocrats. The autocrat and the elites that support the autocrat are people who see themselves as a superior race of people, entitled to rule over everyone else. Their solution for poor people is to create a jail system.

One of the major thinkers in the tech world has proposed that poor people be made into biofuel, that the prison system could become a factory for creating biofuel out of human beings. These things sound unbelievable. But they are being said publicly.

Is this Curtis Yarvin you’re thinking of?

Yes, that’s the person. He’s extremely influential over Vice President JD Vance, and Peter Thiel is a big disciple of his, as are quite a few other billionaires in the tech world. 

So we have an elite oligarchy in support of an autocrat. But why do people view Donald Trump as a savior?

There are a lot of reasons. But what Erich Fromm said is that people are afraid of freedom. They are uncertain of how to be free. And when they feel that there is a powerful leader, it’s like that becomes a magical person who they can feel safe and protected by. The allure of somebody promising absolute total protection, who seems very strong and very powerful and very certain, that is a very powerful allure.

To be a free person means that you have to provide yourself with a sense of safety and you have to create safety in your community.

Trump has been waging war against the nation’s top universities, demanding that they accept his orders to stamp out DEI or lose their federal grants. Trump uses the phony claim that he is combatting anti-Semitism, but the reality is that he is silencing academic freedom and free speech. For the record, Trump has accepted the support of American Nazis, so his concern for Jews cannot be taken seriously.

The first campus to receive Trump’s demands was Columbia University. Trump threatened to withhold $400 million if Columbia did not put several departments (Middle Eastern Studies, African American Studies, and South Asian Studies) into receivership. Sadly, Columbia complied.

Harvard was threatened with the loss of $9 billion in research grants. Harvard said NO. Harvard will not bend the knee to Trump as he seeks to trample academic freedom of faculty and students.

Mike Damiano of The Boston Globe reported:

Lawyers for Harvard University said Monday the school will not comply with a new list of demands sent by the Trump administration on Friday, as part of the government’s purported crackdown on antisemitism and alleged civil rights violations at elite universities.

The new demands expand on a previous list sent to Harvard’s leaders on April 3, which ordered Harvard to close diversity offices and cooperate with federal immigration authorities, among other directives.

In a message to the campus community Monday, Harvard president Alan Garber vowed that the university will not yield to the government’s pressure campaign. “The University will not surrender its independence or relinquish its constitutional rights,” Garber said.

Harvard’s stance is the most forceful pushback yet against the Trump administration’s crackdown on elite universities. It is a sharp contrast to the approach taken by Columbia University’s leaders who acquiesced to a list of demands from the Trump administration last month. Columbia promised to change student disciplinary procedures and place a Middle East studies department under new oversight, among other measures.

The Harvard demands went further. Two weeks ago, the Trump administration’s antisemitism task force placed $9 billion in federal funding under review and followed up with its first list of demands.

Then, last Friday, the government sent Harvard a much more detailed explanation of its demands, which Harvard released Monday afternoon. Harvard’s lawyers said the university “is not prepared to agree to demands that go beyond the lawful authority of this or any administration.”

Contrary to previous announcements, Dr. Azar Nafisi will NOT appear at Wellesley College on April 15.

Non-tenure track teaching faculty are string, and Dr. Nafisi would not take the chance of appearing while faculty are striking. She would not cross a picket line.

Her lecture–about her book Reading Dangerously–will be rescheduled.