Typically, Presidential candidates say what they will do on their first day in the White House. And the Republican Party keeps to promising to do something—once they win the House, and then the Senate, and then the White House, all three.

At this point, the country is fed up with promises—to repeal ObamaCare, to restrict the torrent of illegal immigrants, to stop ISIS, to repair the economy, and on and on. Meanwhile, the fundamental transformation of America is proceeding at a breakneck pace, and a lot of irreversible change (or destruction) can occur before 2017.

Take the Iran deal. As with ObamaCare, Americans don’t know what is in it. By 2017, Iran could get a nuclear warhead and the ability to detonate it 20 miles above Middle America. The electromagnetic pulse (EMP) could destroy our electronics and power grid, plunging America into darkness and silence—and chaos, famine, and pestilence.

If we release $150 billion of frozen Iranian assets, will they not be used for terrorist training and weapons? Instead of aiding our enemies, why are we not protecting our electric grid and building a missile defense?

And does the non-treaty really commit us to attacking Israel—say for defending itself?

To their credit, Ted Cruz and Donald Trump went to Capitol Hill, putting aside differences to stand with others trying to stop this deal. Where are the other candidates, both Democrats and Republicans?

Before 2017, Planned Parenthood will probably abort more than half a million American babies, while collecting nearly a billion taxpayer dollars, plus profits from organ trafficking. And how many more live-born infants will perish in its back rooms, or be vivisected to harvest “tissue” for research? How many more young women will be molested because Planned Parenthood ignores laws requiring the reporting of sexual abuse and statutory rape?

Rand Paul went to Washington, D.C., to support Students for Life of America. Ben Carson has a petition to Congress to cut off funding to Planned Parenthood. Ted Cruz might be willing to push the issue to the point that Obama must choose between funding Planned Parenthood or the rest of the government. Where are the others in terms of action, not just words?

The population gap left by aborted American babies will be more than filled by an influx of foreigners, many illegal, many invited as refugees. Billions will be spent on resettlement of foreigners, but little on supporting American women faced with a crisis pregnancy who want their baby to live. Some entrants will have a criminal record or gang affiliations. Some will be terrorists. Some carry infectious diseases such as drug-resistant tuberculosis. Many will have no desire to become Americans.

Who besides Trump is speaking out unequivocally for effective measures to stop the illegal influx? Who will discuss how and why we need to screen and track refugees?

Many other issues cry for serious attention from candidates. Trump deplores job loss caused by exodus of companies like Ford and Nabisco. But can even he “make” them stay by threatening tariffs or boycotting Oreos? Other nations buy cars and cookies too.

Who will explain why industry is leaving? Who will talk about what will happen when the Obama EPA’s “Clean Air” rules cut off access to affordable, reliable electricity? Who is speaking for our coal industry, which now supplies that power? Who will point out that one of the few promises Obama is keeping is the promise to bankrupt the coal industry and make the price of electricity soar? Who is demanding that Congress investigate EPA’s corrupt science and curb its abuses of executive authority?

Rand Paul has timidly said that claims about “climate change” might be exaggerated. Ben Carson opposes over-reaction. Ted Cruz and Donald Trump have taken on the climate-change juggernaut courageously. But so far, I haven’t heard the case that the most extreme anti-carbon regulation would have virtually zero effect on climate even if alarmists are correct.

Trump has shown that Americans want action and love confrontation with the establishment. Lives—and our economy and security—are at stake. We can’t wait until 2017 to change course.

Instead of pretending that they can fix all problems as President, candidates need to remind Americans that Congress has the sole Constitutional authority to make law and appropriate funds. And they need to demand congressional action now.

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Jane M. Orient, M.D. obtained her undergraduate degrees in chemistry and mathematics from the University of Arizona in Tucson, and her M.D. from Columbia University College of Physicians and Surgeons in 1974.

By Jane M. Orient, M.D.