On Thursday, after Robert F. Kennedy Jr. got confirmed as Secretary of Health and Human Services, Mitch McConnell, the only Republican to vote no, issued a powerful statement citing RFK’s anti-vax conspiracy theories and crediting vaccines for saving millions of lives around the world. That prompted two unhinged, angry rants from Trump in which he absolutely savaged McConnell as a loser, a failure, and worse. We talked to veteran congressional observer Norm Ornstein, who explains what this Trump-McConnell rift tells us about Trump’s ability to terrorize today’s GOP into submission—and why we can’t count on Republicans to stand up to him going forward.

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