You want to know one totally doable action step you can take before the next administration? Get vaccinated. Seriously. Check your immunization history right now and see if you're up to date. One you've been putting off? Don't. You taking that step now may save someone's life in the next few years.
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No adult polio (system said yes) or novavax Covid (they get ~6 doses some days).
Keep on keeping on. We will outlive the antivax people & their damaged spawn. (See short telomeres)