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Why the fuck is it normal in the US to group together unrelated things… ‘the free healthcare for all bill is loosing support because of the mandatory puppy smashing rider’
It's because of the lack of party discipline in the US political system. There's no party whip to bring everyone in line, so bills need to cater to the whims of many individual politicians to get votes rather than being negotiated strictly at the leadership level.
There is. It tends to be the Senate Majority and Minority leaders in the Senate, and the Speaker in the House. Both parts of Congress do have official positions of Whips, but those are mostly secondary leaders. They don't hold executive authority the way a Prime Minister does in a parliamentary system, so they can focus on being the external face of their portion of Congress, and the internal work of whips.
Democrats, for the most part, are all working on the same page. Nancy Pelosi--whatever her other faults--is actually very good at working the mechanisms of Congress to whip votes. Republicans, however, are eating each other in purity purges. If Matt Gaetz had his way, the party would continue these purges until it's only a purified form of Matt Gaetz.
I'm almost nostalgic for the days of horsetrading politics where both parties needed to whip votes instead of things being a given along party lines. It resulted in a lot of shitty deals, but at least things got done.