The heartbreaking health care crisis that is ravaging working-class and rural communities threatens to cut short Donald Trump’s political career, and demands a forceful response from opposition Democrats. It will teach big lessons about how to reach working people who are struggling, regardless of color.

These are mostly low-wage families, many with children raised by a single parent. They are consumed with rising opioid deaths and disabilities and a deadly expensive health care system. That was a big part of why they voted for Donald Trump in 2016: so he could end Obamacare and its costly mandate, and deliver affordable health insurance for all. When he failed to do so, many voted against the Republicans in the midterms.

But the pandemic was the perfect storm. I have never seen such a poignant discussion of the health and disability problems facing families and their children, the risks they faced at work, and the prospect of even higher health care and prescription drug costs. The final straw was a president who battled not for the “forgotten Americans,” but for himself, the top one percent, and the biggest, greediest companies.

That is why most in the Zoom focus groups pulled back from President Trump. Three-quarters of these voters supported Trump in 2016, but less than half planned to vote for him now. Even those who still supported him did not push back when other participants expressed anger with his doing nothing about health care, fostering hatred and racism, dividing the country, siding with the upper classes, and having no plan for COVID-19. This is a life-and-death issue for them, as much as nearly any other group in American society.