Vance’s form of far-right politics is so ominous because it responds in a primal, perverted way to something actual. We are caught under a heap of wreckage, an accumulation of social and historical trauma that we are largely without means of getting out of. Millions are dead, and millions more permanently sick, from a pandemic that everyone now pretends didn’t happen, and even more vigorously pretends is not still happening. This massive new collective burden was piled on a society already stumbling under the weight of organized abandonment, environmental racism, for-profit health care, and mass incarceration. Vance, in the end, cannot abide the idea that what he suffered has to do with any of that disabling stuff.