Facing the bittersweet truth of reality.

A cartoon depicts a trolley track with various disabled or injured people (an elderly man with a walker, a girl with crutches, a child in a hospital bed, and an elderly woman in a wheelchair) positioned along the path. A masked figure with a crowbar is shown pulling the trolley away from them. Above, Uncle Sam is depicted pulling the same trolley in the opposite direction. The overlaid text reads: 'Any actual change or legislation to fix the problem'.

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