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[Editorial] 2019 in the USA: shutdowns and showdowns

If the events of the end of 2018 and early days of 2019 in Washington, DC, portend anything, it will be yet another contentious year ahead in the USA at the intersection of politics, governance, and health. The engine of much of the conflict is the acrimony resulting from years of partisan political entrenchment. Far-right conservatives within the Republican party, who have found an ally in President Donald Trump, have narrowed their political focus to essentially a single issue—national security.