I propose that a sense of internal shame has festered within the American populace
Trump, and the Subtleties of Not Giving a Fuck
Caleb Epley

Economic conditions might be an ancillary cause of our national shame, but I believe our “original shame” comes from knowing — even on a subconscious level — that our country was built on and continues to thrive on exploitation, slavery and violence.

Psychologically healthy people bear that burden — the psychologically unhealthy ones get elected.