Trump is proposing an $800 billion cut in Medicaid which is health care for the working poor, elderly, disabled. The neoliberal austerity policies imposed by the US & Europe on the rest of the world are coming home to roost.
Many are pessimistic because of the apparent, almost leaden quietism of American workers in the face of these assaults. US history shows how this can change overnight. American working people are conservative & slow to action but when they do act, they do so massively.