The author compares the hopelessness of the American rural hinterlands & the rust belt, where suicide & drug abuse are rising to the AIDS epidemic and wonders why the gay community was able to turn the corner while the others cannot. The answer is simple; viral infections are not nearly so dangerous nor as monstrous of a killer as the state. Opposing it is much, much harder.

That said, he at least gets why we're gonna get fascism:

Lets be honest- Clinton doesn’t give a shit about me. When Clinton talks about people hurt by the economy, she means you: elite-educated white-collar people with obvious career tracks who are having trouble with their bills and their 401k plans. That’s who boomed under the last president Clinton, especially the 401ks. Me, or the three guys fighting two nights ago over the Township mowing contract, we’re nothing. Clinton doesn’t have an economic plan for us. Nobody has an economic plan for us. There is no economic plan for us, ever. We keep driving trucks around and keep the margins above gas money and maybe take an odd job here or there, but essentially, we’re history and nobody seems to mind saying so.

And let me be honest again- Trump doesn’t have an economic plan for me either. What Trump’s boys have for me is a noose- but that’s the choice I’m facing, a lifetime of grueling poverty, or apocalypse. Yeah I know, not fun and games- the shouts, the smashing glass, the headlights on the lawn, but what am I supposed to do, raise my kid to stay one step ahead of the inspectors and don’t, for the love of god, don’t ever miss a payment on your speeding ticket? A noose is something I know how to fight.

Fuck it. Give me the fascists, I’ll know where I stand…