Incidental or Intentional Culling of American Citizens.

An unflinching analysis of how Trump-era policies turn the poor, the sick, and the marginalized into predictable casualties. From healthcare cuts to immigration crackdowns, this piece exposes the quiet machinery of elimination behind the rhetoric of patriotism and fiscal discipline.

NOBEL INDEX

8/9/20255 min read

Incidental or Intentional? The Culling of America

BY NOBLE INDEX

To understand Donald Trump, you don’t need a law degree or a crystal ball. You only need to see the world as a ledger. In MAGA’s worldview, everything they rail against falls neatly into two categories:

  • Monetary liabilities — people or programs that drain the federal budget (SSI, Medicaid, food stamps, disability care, Planned Parenthood, housing assistance).

  • Social liabilities — people or movements that threaten the “traditional” order (immigrants, LGBTQ+ rights, feminism, DEI, reproductive freedom, public health mandates).

Put simply: if you cost money or challenge hierarchy, you’re the enemy.

Here’s how it plays out across the pillars:

  • Healthcare → Poor, chronically ill, and elderly = “too expensive.” When people can’t afford medicine or treatment, they die sooner. That means fewer years the government has to pay their medical bills.

  • Public health → Vaccines, masking, and pandemic response = “weakness.” Let disease spread, and the weakest die first. That means fewer babies, seniors, and poor families to keep alive.

  • Welfare & aid → SSI, food stamps, and housing help = “dependency.” Cut them, and families collapse into homelessness, sickness, incarceration, or death. That means fewer checks and vouchers to issue.

  • Reproductive rights → Abortion, contraception = “irresponsibility.” Restrict choice, and women die from complications. That means fewer people the system has to support for decades.

  • Immigration → Families seeking asylum = “criminals.” Force them into deserts, detention, or deportation. That means fewer new claimants on education, healthcare, and services.

  • Education & DEI → Black history, gender studies, LGBTQ+ inclusion = “indoctrination.” Strip it out, and fewer kids grow up demanding rights or services.

  • Mass incarceration → Black men and poor defendants = “dangerous.” Fill prisons, and you eliminate voters while reducing social service spending.

The beauty (for them) is the double payoff:

  1. Death saves money.

  2. Survival is filtered by loyalty and privilege.

That’s the shortcut. That’s why Trump can shrug at stories of parents bankrupted by insulin, or at mothers who die in childbirth. To him, those deaths prove America is being “saved from itself.”

Healthcare: Too Expensive to Save

The numbers are clear. When states expanded Medicaid, about 27,400 lives were saved between 2010 and 2022 (University of Chicago Harris School: https://harris.uchicago.edu/news-events/news/new-research-shows-medicaid-expansion-reduced-mortality-low-income-adults). When coverage was blocked, people died.

The Lancet estimated that proposed Medicaid cuts would cause 14,660 excess deaths (https://www.lancet.com/journals/lancet/article/PIIS0140-6736(25)00761-5/fulltext).

To Trump, that’s not failure. That’s fewer diabetics draining Medicaid. Fewer cancer patients needing coverage. Fewer seniors living years past retirement with the government footing the bill. If you can’t afford to live, you don’t — and that means America spends less.

Public Health: Children as Collateral

When Trump mocked masks and catered to anti-vaccine activists, it wasn’t just rhetoric. It had a body count.

Here’s the chain:

  • A kid catches measles or COVID at school because vaccination rates dropped.

  • They bring it home. The baby sibling too young for shots gets sick. Grandma with a weak immune system gets sick.

  • Parents delay going to the doctor because a prescription costs a week’s pay.

  • Some survive. Some don’t.

The CDC says measles spikes when vaccination rates fall below 95% (https://www.cdc.gov/measles/about/index.html). The American Academy of Pediatrics reports thousands of preventable child COVID hospitalizations and deaths (https://www.aap.org/en/patient-care/covid-19/).

Each preventable death means fewer Medicaid claims, fewer SSI checks, fewer children growing up needing public school funding. To Trump, that’s not tragedy. That’s efficiency.

Welfare & Aid: Dependency as Dead Weight

Programs like SSI, SNAP (food stamps), and housing assistance keep millions alive. But Trump’s budgets consistently targeted them for cuts.

When those programs shrink, families fall apart. Some go hungry. Some become homeless. Some get sick without care. Some end up incarcerated. Some die. Every one of those outcomes means the government supports fewer people financially.

That’s the math. You don’t have to send anyone to a firing squad. You just close the office, slash the budget, and let nature do the rest.

Reproductive Control: Maternal Death as Savings

By reshaping the Supreme Court, Trump paved the way for Roe’s reversal. States banned abortion even in emergencies, and women started dying from treatable complications.

The CDC reported Black women died at 49.5 per 100,000 live births in 2022, more than twice the White rate (https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2022/maternal-mortality-rates-2022.htm). NIH confirmed Black women are nearly 3x more likely to die of maternal causes even after adjusting for income (https://pmc.ncbi.nlm.nih.gov/articles/PMC9914526/).

Every maternal death is one less Medicaid recipient. Every denied abortion means a child likely born into poverty — or a mother gone before her time. Either way, the state pays less long-term.

Immigration: Geography as a Weapon

The wall wasn’t built to stop everyone — it was built to funnel them into deserts and rivers. The GAO reported record migrant deaths at the border in 2021–22 (https://www.gao.gov/products/gao-23-105530). Human Rights Watch confirmed deaths in detention and from neglect (https://www.hrw.org/news/2022/12/05/us-record-number-migrant-deaths).

Dead migrants don’t need healthcare, education, or housing. Deportations mean fewer families on food stamps or in schools. The cruelty works like an invisible calculator: every body that doesn’t make it saves the system money.

Education & DEI: Starving the Future

Cutting school budgets, banning books, gutting DEI — it’s all about shrinking the pipeline of kids who grow up demanding rights.

GLSEN’s research shows LGBTQ+ students in hostile schools face higher suicide risks and worse academic outcomes (https://www.glsen.org/research/school-climate-survey). Those deaths and failures mean fewer adults later needing college aid, public housing, or mental health support.

An ignorant, obedient population costs less to maintain. That’s the long play.

Mass Incarceration: Cages as Cost-Cutters

Trump’s “law and order” message isn’t about safety — it’s about containment. The Prison Policy Initiative shows Black Americans are imprisoned at nearly five times the rate of Whites (https://www.prisonpolicy.org/reports/rates.html).

Prisoners don’t get food stamps. They don’t qualify for SSI. They don’t draw Medicaid. They don’t vote. Incarceration is elimination disguised as justice. Each cell filled means one less person the government has to support financially.

The Genius of the Shortcut

Here’s the brutal genius: Trump doesn’t need firing squads or mass graves. He only needs budgets, courts, and bureaucracies. Deny healthcare here, cut food stamps there, criminalize abortion, ban books, build walls, pack prisons. Each lever quietly reduces the number of people who cost money or challenge the hierarchy.

Death isn’t failure. Death is savings. Suffering isn’t the goal. Ending lives sooner is. Because the fewer liabilities the state has to carry, the “greater” the nation looks on paper.

The Double Payoff

This is why MAGA’s war makes sense when nothing else does. Every enemy on their list is either:

  • Too expensive to carry (monetary liability).

  • Too disruptive to tolerate (social liability).

And every “victory” delivers two things at once:

  1. Death saves money.

  2. Survival is filtered by loyalty and privilege.

That’s the shortcut Trump discovered. Not growth, not innovation, not investment — elimination.

The Legacy of the Ledger

If this project continues, history may crown Trump not as a builder, but as the first president to “save” America by letting its weakest die. To his supporters, that makes him a genius. To the people living it, it’s silent genocide.

Either way, the math is undeniable: fewer people alive means fewer people to support financially. And in Trump’s mind, that’s greatness.