In early 2025, Kansas became the epicenter of one of the worst tuberculosis outbreaks in recent American history—an outcome both shocking and entirely predictable. With at least 67 active and 79 latent cases, including children, the crisis has exposed a deeply fractured public health system gutted by years of legislative sabotage, professional hesitation, and a culture that mistakes defiance for freedom. Drawing on the ideological themes of What’s the Matter with Kansas, this investigation traces the origins of the outbreak through policy failures, community apathy, and medical inaction—laying bare how anti-science fervor, vaccine resistance, and erosion of public trust created the perfect conditions for an entirely preventable tragedy.