july/august 2002

Something very strange has been happening in Missouri: A hospital in the state, Ozarks Healthcare, had to create a “private setting” for patients afraid of being seen getting vaccinated against COVID-19. In a video produced by the hospital, the physician Priscilla Frase says, “Several people come in to get vaccinated who have tried to sort of disguise their appearance and even went so far as to say, ‘Please, please, please don’t let anybody know that I got this vaccine.’” Although they want to protect themselves from the coronavirus and its variants, these patients are desperate to ensure that their vaccine-skeptical friends and family never find out what they have done.

Missouri is suffering one of the worst COVID-19 surges in the country. Some hospitals are rapidly running out of ICU beds. To Americans who rushed to get vaccinated at the earliest opportunity, some Missourians’ desire for secrecy is difficult to understand. It’s also difficult to square with the common narrative that vaccine refusal, at least in conservative areas of the country, is driven by a lack of respect or empathy from liberals along the coasts. “Proponents of the vaccine are unwilling or unable to understand the thinking of vaccine skeptics—or even admit that skeptics may be thinking at all,” lamented a recent article in the conservative National Review. Writers across the political spectrum have urged deference and sympathy toward holdouts’ concerns about vaccine side effects and the botched CDC messaging about masking and airborne transmission early in the pandemic. But these takes can’t explain why holdouts who receive respect, empathy, and information directly from reliable sources remain unmoved—or why some people are afraid to tell their loved ones about being vaccinated.

One phone call changed my life.

On Thursday, July 25, 2019, I was seated at the table in one of the two Situation Rooms in the basement of the West Wing. The bigger room is famous from movies and TV shows, but this room is smaller, more typically businesslike: a long wooden table with 10 chairs, maybe a dozen more chairs against wood-paneled walls, and a massive TV screen. This was the room where President Barack Obama and his team watched a feed of the Osama bin Laden raid. This morning, the screen was off. We were all focused intently on the triangular conference-call speaker in the middle of the table. President Donald Trump’s communications team was placing a call to President Volodymyr Zelensky of Ukraine, and we were there to listen.

Mission control in Houston first noticed it Thursday morning.

The International Space Station was drifting. The station is always moving, of course, in a looping trajectory around Earth. But this, what mission control was seeing in the latest data, was unexpected, and unnerving. On Thursday morning, the space station was suddenly and mysteriously deviating from its course.

The massive pieces of NASA-built hardware that hold the space station in place couldn’t keep up with the motion, and within minutes, the station had been thrown out of its usual orientation.

NASA quickly turned to Roscosmos, Russia’s space agency. To counter the shift, Moscow’s mission control commanded one of its modules on the space station to ignite its engines, then instructed a cargo ship to fire its thrusters too. Inside the station, astronauts reconfigured important systems. Twice, ground control lost communications with the crew for several minutes. The longer the space station remained off track, the more scrambled its operations, including the communication system and solar panels, could become.

While he was president of the United States, Donald Trump tried to overthrow the election of 2020, first by fraud, then by violence. His efforts were defeated in great part because of the integrity and courage of state-level Republican officials.

Half a year has now passed since supporters of the president stormed Congress in an effort to coerce Vice President Mike Pence to declare Trump the winner of the 2020 election. In that time, honest and brave state Republican officials have been reviled, condemned, and punished by their own party.

The president was impeached, but most Republicans in the House voted against the impeachment, and most in the Senate voted to acquit. Trump has otherwise to date escaped all consequences for his attempted destruction of the Constitution. He remains the Republican Party’s best fundraiser, and the clear front-runner for the 2024 Republican presidential nomination.

When you contemplate the end of democracy in America, what kind of person do you think will bring it about? Maybe you picture a sinister billionaire in a bespoke suit, slipping brown envelopes to politicians. Maybe your nightmare is a rogue general, hijacking the nuclear football. Maybe you think of a jackbooted thug leading a horde of men in white sheets, all carrying burning crosses.

Here is what you probably don’t imagine: an affable, self-made midwesterner, one of those goofy businessmen who makes his own infomercials. A recovered crack addict, no less, who laughs good-naturedly when jokes are made at his expense. A man who will talk to anyone willing to listen (and to many who aren’t). A philanthropist. A good boss. A patriot—or so he says—who may well be doing more damage to American democracy than anyone since Jefferson Davis.