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It is a combination of this and the power of propaganda.
When you can control the information that people consume, you can have a huge influence over what they think.
If you can influence the thoughts of a big portion of the populous, you can create control structures. You use these control structures to move people into their emotional decision making more often. The more often you can keep people in their emotional decision mode, the easier you can control what they do.
The thing is, the easiest way to keep people in their emotional thought mode, is to pull the fear and anger levers. Keep people afraid and angry, and you can steer society.
The other problem with this is, the people who see through this kind of thing are not the majority.
The people who can see through the techniques, are not always the traditionally "smart"; but higher intelligence is certainly an advantage.
This is true. Always has been, always will be. Many Trump voters are already regretting their decision after seeing the early consequences of Trump's statements. But that won't be permanent. Many will likely be duped again by another conman using the same tactics.
I need to mention that old school 'patent medicine' (ex: snake oil) in the 19th to very early 20th was not destroyed by advancements in actual medicine and education and awareness... it was done by simply banning the patent medicines and forcing others to disclose their ingredients. When buyers of said medicine were aware of the bullshit of old snake oil, they just moved onto another brand of snake oil (which may or may not have been made and sold by the same guy).
If they removed regulations on medicine and legalized many of the old hard drugs we would see a resurgence in patent medicine that caused so many problems in times past. There was actually a reason why people who avoided all medication in the 19th century actually had a longer than average life expectancy.