Well, it won't be the first time people used their vote to take themselves out of the evolutionary gene pool.....

https://www.aamc.org/news/author-david-ansell-exposes-inequalitys-deadly-influence
Here is something a few folks should have read the last time trump was on the throne. ( In his own mind )
The book covers the urban areas' issues fairly well, but you would have to understand the concepts
to extrapolate from those finding to see how this is going to play out for nebraska's rural patients.
Then again, if this administrations policies end up being to be as bad as the experts are predicting,
then we might get Dr Ansell to write a book about nebraska's coming rural, and urban healthcare
tragedy. It would only be right to include the names, and faces of the republicans that foisted it on our state,
in an attempt to indoctrinate us to their far rightwing claptrap.

Unfortunately, that won't be in time for the midterm elections.




"Today the greatest health crisis isn’t a particular disease, like cancer, diabetes, or heart disease, but hardwired inequality itself. There’s a 35-year difference in life expectancy between the healthiest and wealthiest and the poorest and sickest neighborhoods in America. For example, 30 blocks apart in New York City, life expectancy of people in Harlem is 10 years less than those living on the Upper East Side; in Los Angeles, 16 years of life expectancy vanish along a short stretch of the 405 highway. In the Chicago Loop just two miles from my hospital, life expectancy is 85 years—think Japan. If it was a country, it would be ranked first in the world. Yet, three train stops past Rush [University Medical Center], life expectancy plummets to less than 69—think Iraq.

Why have you chosen life expectancy as the measure of health?
Life expectancy is a barometer of the health of a country or a community. It’s the single measure of health that can be used to sum up health status and help us understand health inequality. Life expectancy is a number that takes into account every known cause of death in a population from infant mortality to epidemics to chronic diseases.

Where you live—not just your beliefs, behaviors, and biology—determines when you’ll die if you are low income. Premature mortality results from the perpetuation of historical, structural injustices, like racism, poverty, and income inequality, into the present. Premature mortality—this death gap—is an American epidemic unlike any other developed country."