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Me too. I'm shocked that they didn't. Trump's standard operating procedure is to quickly discard anybody not useful to him.
It can be hard to impossible to know what's going on in the deep, dark, scary void that's Trump brain but if it's not some level of belief in Leatherface Kennedy's beliefs - what is it?
Or it's Occam's razor. He is stupid, old, diseased, and forgets where he is and what he's doing daily.
Also him and what people he does care about will always have the best access to healthcare, so he doesn't give a damn otherwise
It's still undermining their own power in the long run. Having his base and America writ large sick and stupid is not a winning strategy for maintaining US hegemony. Recruitment goals for every branch of the military are way down not just because people are less ideologically motivated to join up, but because too many Americans are too physically unfit to clear the bar. Increasing the rate of childhood disease and disability is not going to improve that situation. Increasing communicable disease and making the workforce sick is not going to leave a good reserve army of labor around for their fantasies of reindustrializing. Having even more people become victim to the health insurance agencies and privatized hospital networks is not going to create a passive and happy population. The attitude you describe is not just myopic, it's self-defeating, which is why I think they must actually believe this grotesque anti-science stuff to some degree.
Your first mistake is thinking these people do long term planning.
Republicans lost entire counties in recent elections due to antivaxxers all dying from covid while libs actually made some effort to quarantine and vaccinate. It would be funny if it didn't also mean kids and disabled people were bystanders who got killed as well.