Though patients don't rush through the doors of this emergency room anymore, an empty hospital in Williamston, North Carolina, offers an evocative illustration of why Republican Sen. Thom Tillis would buck his party leaders to vote down President Donald Trump's signature domestic policy package.

His decision creates a political opportunity for Democrats seeking to bolster their numbers in the 2026 midterm elections, creating a wide-open Senate race in a state that has long been a