Meet the first-time voters of Hicksville, Ohio

"Even though some of them have been indoctrinated at home, they are open-minded."

Hicksville's high school is housed in a state-of-the-art red-brick building, opened in 2009, on the east side of town. Students spill corridors filled with lockers in classic American high school style. On the day I visit, government teacher Dave Blue is taking two senior-year classes, most of whom will be eligible to vote for the first time tomorrow.

Among them, some are simply not interested. “I don't really pay attention to [politics],” says one 18-year-old student, Chad Klema, while another, Dean Conley simply says “I'm not voting.” When this gets an anguished response from the more politically active of his peers, he defends himself. “I just hate hearing about it. I don't think any president can fix this.”

Many are entirely disillusioned with the political process as a whole. “Neither candidate is great” is a common factor among many – though not all – students in both classes. “There are negative ads before every video on YouTube,” says 18-year-old Morgan Hahn. “It's not cool.”

Many of them, however, are more politically aware. Each lesson has a clearly dominant voice; obviously old rivals, they tell me they often spar with each other on political issues. Andrew Willis, the most powerful voice in the morning lesson, is a staunch and vocal Democrat. “I'm pro-choice, and gay marriage. I don't like that the rich get the tax cuts – Bush's tax cuts added to the deficit.” What does he think of the Republican challenger? “I think Romney is really, really untrustworthy. I think he changes his opinions to get elected.”

“He's a political rat!” he says with venom.

The afternoon class, by comparison, is all about Austin Laney – whose conservatism Willis tells me he likes to goad. “[Romney's] not just for one part of the country, he's for all of it,” Laney tells me. Even for the middle class? “Yeah.”

“Obama doesn't know what he's talking about,” he continues. “I don't like Obama. Romney's not that great – but he's better.”

Their teacher, Dave Blue, is one of those teachers that all his former pupils remember with a grin. I first meet him in the Brickhouse, Hicksville's local sports bar – I'm introduced by several former pupils. “You have to meet Dave,” they tell me. He makes quite an entrance, wearing a long leather trenchcoat and a battered stetson, and orders a whisky.

Blue has been helping his pupils negotiate the minefields of American politics for 28 years. I ask him if the students he sees generally lean one way or another. “I'd say [they're] more Republican than Democrat,” he tells me, “but Obama's got a good chance among these kids. They're young, they're willing to listen. Their minds are reasonably flexible. Even though some of them have been indoctrinated at home, they are open-minded. Some are probably going to rebel from mum and dad.”

When I ask the afternoon class if their political beliefs have been affected by their parents, there is a chorus of “yes” – except from Laney, who tells me scornfully that his parents are Democrats.

“I could go either way,” says another pupil, Charlie Guto. What would sway him? “I dunno.” He stops to think. “I'm against abortion. I don't think it's right.” Does that mean Romney's on his side on that one? “Yeah. But I feel like whoever wins, no one's going to fix it right away.”

Some of them have been under pressure from their classmates – but Shane Bostik is not giving in. “I'm on the border still,” he says, looking at Laney with a grin. “I've had Austin trying to persuade me to go for Romney... but I think I'm sticking with Obama. I think things are getting better each year.”

“They are starting to realise,” says Dave Blue proudly after the bell has gone and the students have joined the throng in the corridors heading to their next class, “that the real world is not that far away.”

He gestures expansively around his classroom. “And this is a part of it.”

A Democrat volunteer encourages people to turn out in Ohio. Photograph: Getty Images

Nicky Woolf is a freelance writer based in the US who has formerly worked for the Guardian and the New Statesman. He tweets @NickyWoolf.

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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear