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The secular, political version of the Golden Rule, as most pundits note, is “Those with the gold rule.” That “gold” in the U.S. political system is a combination of money and votes. The magical tale beneath the presidential election victories of 1960 and 2012 was that both were the consequence of the actions of people who half a century prior had neither. Indeed, they faced difficulties that left but one choice: to vote with their feet. Two massive migrations, the second a direct consequence of the first, produced these victories and, in the process, transformed health policy in the United States.