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And unlike its conservative counterpart, it is too often tethered to party elites, hesitant to challenge institutional Democratic power, and still operating as if gatekeepers hold the same influence they did 30 years ago.

Other moms in the Facebook group were hesitant to share the names publicly for fear that the doctors could get into trouble, she said, preferring to direct message her instead.

That was one where we had the clients there, and they were really hesitant.

“You seem like such an affable, kind, nice man,” Morgan said, her voice hesitant at first.

Why do you think people have been hesitant to launch these sorts of primary challenges in the past?