Earlier this year, Angelia Hoomes’s back pain was so severe that she couldn’t bend down to put a cookie sheet in the oven. She was hiring others to load and unload her dishwasher. Any time she wasn’t taking care of her now 2-year-old granddaughter, she was lying in bed, practically unable to move. Hoomes—who is deeply involved in progressive politics in her local community in Macon, Georgia—will even have to sacrifice her proud position as a poll clerk in an upcoming January special election.