President Donald Trump insulted Republican Sen. Mitch McConnell of Kentucky and questioned his childhood battle with polio after the senator opposed anti-vaccine activist Robert F. Kennedy Jr.’s confirmation Thursday to be the secretary of the Department of Health and Human Services. 

When asked by a reporter whether McConnell’s past bout with polio influenced his “no” vote, Trump responded, “I have no idea if he had polio. All I can tell you about him is that he shouldn’t have been leader.”

The president added, “[McConnell’s] not voting against Bobby, he’s voting against me.” He later called McConnell “a very bitter guy.”

McConnell has voted against several of Trump’s recent Cabinet picks, including Tulsi Gabbard (for director of national intelligence), Pete Hegseth (for secretary of defense), and Kennedy. In the cases of Gabbard and Kennedy, McConnell was the only Republican to buck the president. With Hegseth’s vote, however, two other Republican senators—Susan Collins of Maine and Lisa Murkowski of Alaska—joined him in voting against Trump’s nominee.

In addition to calling Trump a “despicable human being,” a “narcissist,” and “stupid” in a recent biography, McConnell has blasted Trump’s sweeping use of tariffs. He said they were “bad policy” and would raise prices.

Trump’s “aggressive proposals leave big, lingering concerns for American industry and workers,” McConnell wrote in a Wednesday op-ed for Louisville’s Courier-Journal.

McConnell wasn’t always this big of a thorn in Trump’s side, though. At the beginning of Trump’s first term, the senator helped Trump confirm hundreds of judges and fill three Supreme Court vacancies—moves that will shape the judiciary for a generation. (Notably, in 2016, McConnell helped block Merrick Garland, whom then-President Barack Obama nominated to the Supreme Court, from getting a hearing.) McConnell was also instrumental in Trump’s 2017 effort to pass sweeping tax cuts for the wealthy.

Despite minor disagreements, the Republicans’ relationship didn’t turn icy until the attack on the U.S. Capitol on Jan. 6, 2021. McConnell called Trump “practically and morally responsible” for the insurrection, but ultimately, he did not vote to convict the president.  

The two also squabbled over the party’s failure to repeal the Affordable Care Act during Trump’s first administration. (More recently, McConnell said the repeal effort against the law seems “largely over.”) And they have traded a fair share of nasty personal attacks. Despite this, McConnell still endorsed Trump’s reelection bid. 

McConnell, who will turn 83 this month, is up for reelection in 2026, but it’s unclear whether he’ll run again. He’s suffered a series of falls as of late, including two last week. A spokesperson for the senator suggested that “the lingering effects of polio in his left leg” contributed to it, but said the fall would not disrupt McConnell’s “regular schedule of work.”

It makes sense, then, that McConnell would vote against Kennedy, an alleged animal abuser with a history of attacking vaccination and promoting bogus conspiracy theories. Shortly after his confirmation, Kennedy appeared on Fox News and confirmed there were plans to cut the number of HHS employees. Notably, Kennedy said those who have been “involved in good science” (whatever that means!) have “nothing to worry about.”

“If you care about public health, you’ve got nothing to worry about. If you’re in there working for the pharmaceutical industry, then I should say you should move out and work for the pharmaceutical industry,” he said.

On Thursday, Trump questioned McConnell’s mental acuity and said “he’s not equipped” to lead the GOP. This is the Trump way: viciously attack anyone who doesn’t do your bidding, regardless of how they’ve helped you in the past. It’s also a classic authoritarian tactic, and given that Trump is a petty narcissist, it’s not shocking that he’s going after McConnell.

That said, McConnell doesn’t deserve a pat on the back for voting against just a handful of Trump’s awful nominees. The senator’s pushback is not just politically convenient—he’s no longer Senate majority leader—but it also comes far too late in the game. 

Maybe McConnell feels guilty for elevating Trump and is voting against the Cabinet picks as a way to make up for his past transgressions. Either way, given how much he helped Trump to get to where he is now, he’s just as complicit in the downfall of American democracy. 

McConnell doesn’t get a pass.

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