Right, but my comment isn't about current-day America, more a possible future where your access to care doesn't rest on an election, because not everything is hyper-politicized and some decisions get made for what is the best decision for most not what matches the ideology.

The hyper-polarization of the political landscape means you either get care or you don't. If one side will help you and one side wont, you're going to have a tough time holding on to your rights regardless of one election win.

A more unified America with a strong middle class wouldn't need to undermine one group to bolster another, and you would have more moderate political candidates rather than having to choose between two distant evils every election.

I get to not care because years of moderate politics in my country has seen a general trend toward humanitarianism regardless of which "side" wins. Recently the "right-wing" political group of my country protected same-sex marriage, even though it doesn't align with their ideology, because they're only moderate-right, and so their priorities still lie in pleasing the majority and not extreme political interests.

Obviously the US would have a long way to go before it could ever take any of this advice seriously, I was just trying to point out that the divided nature of your population drives the politics too.