Barbara Kingsolver points out that Trump’s “so-called Big Beautiful Bill” could be devastating for Appalachia, with its cuts to the National Park Service, the Weather Service and disaster preparedness – just last year the area was hit by the devastating Hurricane Helene – and cuts to Medicaid, which could cause havoc in an already under-served area. “The damage will be unimaginable. Lots of people will die, lots of wild lands will be destroyed. The damage is terrifying.” Does she think her Trump-voting neighbours will change their allegiance if such terrors come to pass? “Will they connect the dots when our hospital closes? I don’t even know the answer to that,” she says, shaking her head, fearing that the TV and radio stations that told them to vote for Trump in the first place will “come up with some other reason why your hospital closed. For those of us who are in the information business, that’s a depressing subject.”