The evil irony of the success of the GOP, or some might say karma, is that the very red states, Rust Belt, and rural areas which gave Republicans all branches of government are precisely the ones most vulnerable to losing affordable health insurance. And the GOP now has data suggesting that diminished education funding in the Midwest will result in gains for their party. So, the questions facing those of liberal and/or left persuasion seem to be:

1. Should we work to promote the physical welfare and education of constituencies which are resistant to the types of progress we see as necessary, or

2. Should we allow middle America to be continually marginalized in an economy that demands high-skilled labor, and allow them to die earlier and earlier than populations in urban centers and near the coasts? 

And to be honest, I’m not sure which is the most moral of the two.