DB: For tens of millions of working people, America could become a third world country. The job market is bleak. Pay in most fields is going down—not up. Home ownership is becoming increasingly iffy. There are no more guaranteed pensions. Congress is anxious to slash Social Security. Health care protection is marginal. And the outlook for the next generation is even darker. All this at the same time there is more wealth concentrated in fewer hands than at any time in history, and members of Congress, perhaps even a majority, want the people in the middle and the bottom to pick up the bills for the excesses of the past decade enjoyed by Wall Street.

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Trudy Lieberman is a fellow at the Center for Advancing Health and a longtime contributing editor to the Columbia Journalism Review. She is the lead writer for The Second Opinion, CJR’s healthcare desk, which is part of our United States Project on the coverage of politics and policy. Follow her on Twitter @Trudy_Lieberman.