Tom Dispatch

10/21/2025

“Structural problems require structural solutions,” Bernie Sanders wrote in a 2019 op-ed piece, “and promises of mere ‘access’ have never guaranteed black Americans equality in this country… ‘Access’ to health care is an empty promise when you can’t afford high premiums, co-pays or deductibles. And an ‘opportunity’ for an equal education is an opportunity in name only when you can’t afford to live in a good school district or to pay college tuition. Jobs, health care, criminal justice and education are linked, and progress will not be made unless we address the economic systems that oppress Americans at their root.”

But addressing the root of economic systems that oppress Americans is exactly what the Democratic Party leadership, dependent on big corporate donors, has rigorously refused to do. Looking ahead, unless Democrats can really put up a fight against the pseudo-populism of the rapacious and fascistic Trump regime, they are unlikely to regain the support of the working-class voters who deserted them in last year’s election.

During this month’s federal government shutdown, Republicans were ruthlessly insistent on worsening inequalities in the name of breaking or shaking up the system. Democrats fought tenaciously to defend Obamacare and a health-care status quo that still leaves tens of millions uninsured or underinsured, while medical bills remain a common worry and many people go without the care they need.

“We must start by challenging the faith that public policy, private philanthropy, and the culture at large has placed in the market to accomplish humanitarian goals,” historian Lily Geismer has written in her insightful and deeply researched book Left Behind. “We cannot begin to seek suitable and sustainable alternatives until we understand how deep that belief runs and how detrimental its consequences are.”

The admonitions in Geismer’s book, published three years ago, cogently apply to the present and future. “The best way to solve the vexing problems of poverty, racism, and disinvestment is not by providing market-based microsolutions,” she pointed out. “Macroproblems need macrosolutions. It is time to stop trying to make the market do good. It is time to stop trying to fuse the functions of the federal government with the private sector… It is the government that should be providing well-paying jobs, quality schools, universal childcare and health care, affordable housing, and protections against surveillance and brutality from law enforcement.”

Although such policies now seem a long way off, clearly articulating the goals is a crucial part of the struggle to achieve them. Those who suffer from the economic power structure are victims of a massively cruel system, being made steadily crueler by the presidency of Donald Trump. But progress is possible with clarity about how the system truly works and the victimizers who benefit from it.