Trump pretends to be buddies with coal miners and other working stiffs, but when it comes to enforcing regulations that protect workers…sorry, he has a pressing engagement on the nearest golf course.

When coal miners came to Washington in April, they posed behind President Trump at the White House, wearing their hard hats and thanking him for trying to reinvigorate their struggling industry.

But on Tuesday dozens of miners and their families will be in a more unusual position: protesting the Trump administration outside the Labor Department building, arguing it has failed to protect them from black lung disease, an incurable illness caused by inhaling coal and silica dust.

They have been waiting months for the government to enforce federal limits on silica dust, a carcinogen that has led to a recent spike in the disease. But mining industry groups have sued to block the rule, and the Trump administration has paused enforcement while the lawsuit plays out.

When in doubt, side with the owners, who will never have to deal with black lung disease.

The federal government has recognized the health threats that coal dust poses since 1969, when Congress passed the Federal Coal Mine Health and Safety Act, which set health and safety standards for coal mining and required federal inspections and monitoring for black lung disease.

But now, after decades of improvements, the disease has made a disturbing resurgence, particularly among younger workers because of their exposure to a different material: silica dust. Experts said that is in part because of changing mining practices. Most of the thick coal seams in places like Appalachia have already been mined, and workers are increasingly cutting through more rock to reach coal, exposing them to silica dust.

Composed of tiny crystals that can lodge in lung tissue, silica dust can cause inflammation and scarring when inhaled. It is considered about 20 times more toxic to the lungs than coal dust and can also cause lung cancer and kidney disease.

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A 2018 study found that more than 10 percent of coal miners who had been working for at least 25 years had black lung disease. In Kentucky, Virginia and West Virginia, home to most of the miners who planned to travel to the Tuesday rally, up to 20 percent of veteran miners suffer from lung disease caused by dust.

“It’s not the coal that’s getting them, it’s the silica,” said Mr. Martin, who paused to cough and catch his breath every few minutes during a recent interview. “We need to get this done for the younger generation.”

Limits on silica exposure were supposed to take effect in April. But the National Sand Stone and Gravel Association, the National Mining Association and other industry groups asked a federal appeals court to block the rule, citing the cost to mine operators.

In other words the industry groups are trying to suffocate more workers. They wouldn’t put it that way of course, but that is what they’re doing.

The Trump administration did not defend the rule in court. Instead, it agreed to delay enforcement and has since petitioned the court to prevent labor unions and a lung health association from intervening in the case. This month it asked for another court delay, citing the government shutdown.

That’s Trump, the workers’ friend – working to keep unions and lung health experts locked out of rulings on health and safety regulations for workers.

Democrats and labor unions accused the Trump administration of using coal miners as backdrops for photo opportunities while ignoring their health needs.

“The Trump administration was handed tools to protect black lung and they are doing everything in their power to toss those rules in the trash,” said Jason Walsh, executive director of the BlueGreen Alliance, a partnership of labor unions and environmental organizations.

Senator Tim Kaine, Democrat of Virginia, said abandoning the silica standards “would be a real slap in the face for those who work so hard to power our communities.”

Slap in the face and hard punch in the lungs.