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Yeah, I mean... You ain't getting shit with Trump.
I vote blue out of harm reduction, but don't kid yourself.
The single greatest acheivement Democrats crow about was a healthcare band-aid originally conceived by the Heritage Foundation and instituted by a Republican governor designed to further enshrine private, for profit insurers like United Healthcare cut in as the entire point.
When the people screamed "Help us left wing from this for profit deathcare hell! Here's a supermajority!" they protected the profit motive in what gets covered and declared victory.
They can make excuses, there's always several, but as the decades go by and nothing changes, advocating patience starts to sound like "well just be patient, maybe my nepo great grandkids will magically decide to start being civil and equitable with your peasant great grandkids, lol."
I believe that was done as a compromised.