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13 September 2026

Institutional breakdown in America: From elections to healthcare

America faces a crisis of trust in its institutions, from election denialism to controversial healthcare practices. Discover the far-reaching implications of these challenges.

Institutional breakdown in America: From elections to healthcare

The United States is grappling with a profound crisis of trust in its institutions. From the election process to healthcare systems Americans are increasingly questioning the integrity and reliability of the entities they once relied upon. This erosion of trust poses significant challenges to the nation’s democratic foundations and social fabric.

The past decade has witnessed a series of events that have shaken public confidence. The pandemic revealed stark truths about the transparency and honesty of public health institutions. Meanwhile, the 2020 election and its aftermath exposed deep divisions and a growing acceptance of election denialism within the political landscape. These issues are not isolated but part of a broader pattern of institutional failure.

The election denialism phenomenon

The election denialism movement, spearheaded by former President Donald Trump has had a lasting impact on American politics. Trump’s persistent claims of a rigged election in 2020, despite a lack of evidence, have fueled a broader distrust in the electoral process. This movement has not only influenced public opinion but has also infiltrated the very systems designed to safeguard democracy.

In Georgia for instance, the state election board is now dominated by individuals who have embraced Trump’s election fraud narrative. Salleigh Grubbs a former activist with no prior political experience, has risen to a prominent position on the board. Her journey from a concerned citizen to a key player in the state’s electoral apparatus highlights how the Big Lie has permeated local governance. This shift raises serious concerns about the integrity of future elections, particularly the 2028 presidential race.

The consequences of election denialism extend beyond the political arena. The January 6 insurrection at the U.S. Capitol was a stark manifestation of the violence and unrest that can result from unfounded claims of election fraud. The event served as a wake-up call, revealing the fragility of democratic institutions when faced with sustained disinformation campaigns.

The healthcare controversy: Gender-affirming care

The healthcare sector is another area where trust in institutions has been severely tested. The pediatric gender medicine industrial complex has come under scrutiny for its practices and the ethical implications of gender-affirming care. A recent report from the Department of Health and Human Services (HHS) has shed light on the financial incentives and ethical concerns surrounding these practices.

The report details how children’s hospitals across the country have used fraudulent billing codes to profit from gender-confused children. These hospitals, which receive significant tax breaks and donations, have allegedly prioritized financial gain over the well-being of their young patients. The report highlights the case of Clementine Breen who experienced severe health complications after receiving gender-affirming treatments at Children’s Hospital Los Angeles.

The controversy surrounding gender-affirming care is not just a medical issue but a social and political one. The normalization of these practices within elite institutions has sparked debates about the role of medical professionals in shaping societal norms. The HHS report underscores the need for greater transparency and accountability in healthcare practices, particularly those involving vulnerable populations.

The broader implications

The erosion of trust in American institutions has far-reaching implications. It undermines the social contract that binds citizens to their government and erodes the foundations of democracy. The acceptance of election denialism and the controversies in healthcare reflect a deeper crisis of confidence in the systems designed to protect and serve the public.

As the nation approaches the 2026 midterm elections the stakes are higher than ever. The integrity of the electoral process and the trustworthiness of healthcare institutions will be critical factors in shaping the future of America. The challenges ahead require a concerted effort to restore trust and ensure that institutions are held accountable to the people they serve.

Author

Jordan Wells

Jordan Wells covers Pride, policy and the cultural arc with equal seriousness. Reports on legislation, films, and the writers reshaping queer narrative today.