Conservative regions are taking the bulk of the bloodletting.Was this email forwarded to you? Sign up here to get The Daily Prospect Monday through Friday. [link removed]

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**OCTOBER 9, 2025**

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Donald Trump famously swung many Rust Belt communities that twice voted for Barack Obama, and many commentators concluded that it was because they had been left behind by neoliberalism and free trade. It might have been true at the time, and it’s partly why Joe Biden plowed investment and jobs into those MAGA communities. But now that Trump is back in office, he is blowing up those factories [link removed]—and taking their health insurance and hospitals to boot.

**–Ryan Cooper, senior editor**

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Alex Brandon/AP Photo

Donald Trump to Trump Country: Drop Dead [link removed]

One of the most baffling themes of Donald Trump’s second term is how he is specifically ruining the cities and lives of his most loyal voters—taking their factories, their jobs, their health care, their hospitals, and their future.

The first knife Trump drove into the backs of red economies was to repeal almost all of the Inflation Reduction Act. President Biden’s economic and climate program, particularly the IRA, ended up directing the lion’s share of its investment to red states and regions. No longer! Most IRA-based future planned investment has been canceled, and some existing investment has **been abandoned** [link removed].  

The second knife was enormous health care cuts, with Trump signing the biggest slashes to Medicaid in history, along with refusing to extend Biden-era Obamacare subsidies. It turns out that 57 percent of all enrollees on the Obamacare marketplaces **live in districts represented by a Republican** [link removed], and enrollment is disproportionately large in the South.  

The third knife was specifically for the backs of farmers, whose international export markets have been devastated, probably permanently, by Trump’s lunatic trade war.  

And now, Trump is yanking tens of billions of dollars of yet more red state high-tech investment that had already been approved as part of the bipartisan infrastructure law. Lots of liberal regions will be hurt by these cuts, but on the whole, conservative regions are taking the bulk of the bloodletting. 

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