Additionally, the U.S. working class (who are most affected) is disorganized and politically weak. Other democracies often have "labor" parties; that doesn't exist in the U.S. Labor unions have been under attack for decades. There is a saying that the U.S. has one political party, the Business Party, with two factions. Elements of the working class are so desperate and underserved by establishment Democrats that some are turning to Trump-ian false promises and easy answers. Remember Trump (falsely) promised to fix their health care and offer cheap, quality plans.