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      ‘It’s back to drug rationing’: the end of HIV was in sight. Then came the cuts

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      This year the world should have been “talking about the virtual elimination of HIV” in the near future. “Within five years,” says Prof Sharon Lewin, a leading researcher in the field. “Now that’s all very uncertain.”Scientific advances had allowed doctors and campaigners to feel optimistic that the end of HIV as a public health threat was just around the corner.Then came the Trump administration’s abrupt cuts to US aid funding. Now the picture is one of a return to the drugs rationing of decades ago, and of rising infections and deaths.But experts are also talking about building a new approach that would make health services, particularly those in sub-Saharan Africa, less vulnerable to the whims of a foreign power.The US has cancelled 83% of its foreign aid contracts and dismantled USAid, the agency responsible for coordinating most of them.Many fell under the President’s Emergency Plan for Aids Relief (Pepfar) programme, which has been the backbone of global efforts to tackle HIV and Aids, investing more than $110bn (£85bn) since it was founded in 2003 and credited with saving 26 million lives and preventing millions more new infections. In some African countries it covered almost all HIV spending.View image in fullscreenThere is a risk, says Lewin, director of Melbourne University’s Institute for Infection and Immunity and past president of the International Aids Society, of “dramatic increases in infections, dramatic increases in death and a real loss of decades of advances”.There is no official public list of which contracts have been cancelled, and which remain. It appears that virtually no HIV-prevention programmes funded by the US are still in operation, save a handful principally providing drugs to stop pregnant women passing on the infection to their babies. Countries report disruption to the most basic measures, such as condom distribution.Some treatment programmes have been spared, but not those whose focus conflicted with the Trump administration’s war on “gender ideology” or diversity, equity and inclusion (DEI), such as those working with transgender communities. Doctors, nurses and other healthcare workers have been laid off, while worried patients are hoarding drugs or stretching supplies, according to UNAids surveillance. UNAids itself has lost more than half of its funding.Even programmes that have survived the cull have faced turmoil since February, with instructions to stop work rescinded but with no certainty that funding will continue.View image in fullscreenIn only one example, the Elizabeth Glaser Paediatric Aids Foundation says it has had to halt HIV treatment for 85,000 people in Eswatini, including more than 2,000 children, and tests for thousands of pregnant women and babies to prevent transmission and begin life-saving medication.Access to drugs represents an “immediate crisis”, Lewin says. “If people with HIV stop the medications, then not only do they get sick themselves, which is tragic, but they also then become infectious to others.”As clinics on the frontline of treating the disease scrabble to secure access to basic drugs, scientists at this month’s Conference on Retroviruses and Opportunistic Infections in San Francisco were hearing that HIV might soon be preventable with a once-a-year injection.The drug lenacapavir was already generating huge excitement in the field, after trial results showed that a six-monthly jab could prevent HIV. New results from the manufacturer Gilead suggest that a tweak to the formula and how it is given could see its protective effects last even longer.Nevertheless, Lewin says, the mood at the meeting, packed with many of the world’s leading HIV specialists, was “dire”.As well as programme cancellations, there are “huge concerns around science and what’s going to happen to the [US] National Institutes of Health, [whose] funding of science has been so significant on every level”, she says.Some scientists in receipt of US funding have been told to remove their names from DEI-linked research, she says, even though DEI is fundamental to the HIV response.View image in fullscreen“I don’t mean that in a sort of touchy-feely way, I mean that’s what we need to do: you need to actually get those treatments to these diverse communities.”In 2022, 55% of all new HIV infections were within “key populations”, such as gay men, other men who have sex with men, sex workers, transgender people, prisoners and people who inject drugs.Prof Linda-Gail Bekker, of South Africa’s Desmond Tutu Health Foundation, has seen US funding for three trials of potential HIV vaccines involving eight countries cancelled and only reinstated after an appeal to the US supreme court.“We’re running around like chickens without heads to at least get one going, because the vaccines are sitting in the fridge and will expire,” she says.She led the lenacapavir trial that showed it offered 100% protection to young women in sub-Saharan Africa, but now worries about HIV/Aids prevention “falling off the radar completely”.The global community had been making headway towards the United Nations’ goal of ending Aids by 2030, she says, with a five-year plan to use “amazing new innovative tools and scale them up”, which would have led to “less dependence on foreign aid and more self-reliance” as new infections fell and attention shifted to maintaining treatment for people with HIV.“All of that is hugely at risk now because, without these funds, our governments will have to step up but they will concentrate on treatment,” she says. “We know they will do that, because that is what we did for the first 30 years.”Efforts to control Aids were entering “the last mile”, which was always likely to be more expensive, she says. “The people who were happy to come into health facilities, they would have come into health facilities.”It would be difficult to rely on government funding to reach the remaining groups, she says, not only because of fewer resources but also because in some countries it means targeting groups whose existence is illegal and unrecognised, such as sex workers or sexual minorities, and young girls may be reluctant to use government clinics if they are not supposed to be sexually active.“I feel like the odds are very stacked against us,” says Bekker, adding: “We’re obviously going to have to re-programme ourselves [and] formulate a different plan.”Pepfar had pledged funding to the Global Fund to Fight Aids, Tuberculosis and Malaria, to deploy 10m doses of lenacapavir in low-income countries. While the Global Fund has promised to maintain its commitment, it might receive fewer than the planned number of doses, Bekker fears.“Six months ago, I was saying the best thing we can do with lenacapavir is offer it to everybody in a choice environment. [Now] I think we’re gonna have to say who needs [injectable] prep,” she says, “and the rest have to do the best they can.“How do we make that decision? And what does that look like? It is back to sort of rationing.“When we started ARVs [antiretroviral drugs] way back in 2000,” Bekker recalls, “you would go, ‘you get treatment; you don’t, you don’t, you don’t’.“It feels terrible … but you have to get over that. You have to say it will be infection-saving for some people. And we’ve got to make it count.”View image in fullscreenFor Beatriz Grinsztejn, president of the International Aids Society, the disruption is critical and threatens many vulnerable people. But, she adds, it could present “an important opportunity for ownership – otherwise we are always left in the hands of others”.She worries about the impact of cuts to funding on younger scientists, with their potential loss from the research field “a major threat for the next generation”. But, she adds, the HIV community is “powerful and very resilient”.There have already been calls for new ways of doing things. It is “time for African leadership”, members of the African-led HIV Control Working Group write in the Lancet Global Health. There are now plans for Nigeria to produce HIV drugs and tests domestically.Christine Stegling, deputy director of UNAids, says it began “a concerted effort” last year to develop plans with countries about how their HIV programmes could become more sustainable domestically “but with a longer timeframe … now we are trying to do some kind of fast-tracking”.Governments are determined, she says, but it will require fiscal changes either in taxation or by restructuring debt.The goal of ending Aids by 2030 is still achievable, Stegling believes. “I think we have a very short window of opportunity now, in the next two, three months, to continue telling people that we can do it.“I keep on reminding people, ‘look, we need to get back to that same energy that we had when people were telling us treatment can’t be available in the global south, right?’ And we didn’t accept it. We made it happen.“We have national governments now who are also very adamant, because they can see what can happen, and they want to make it happen for their own populations.” More

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      Pentagon restores webpage for Black Medal of Honor winner but defends DEI purge

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      The US defense department webpage celebrating a Black Medal of Honor recipient that was removed and had the letters “DEI” added to the site’s address has been restored – and the letters scrubbed – after an outcry. But defense department officials have continued to argue publicly that it is wrong to say that diversity is a strength, and that it’s essential to dismantle all “diversity, equity and inclusion” efforts.On Saturday, the Guardian reported that US army Maj Gen Charles Calvin Rogers’s Medal of Honor webpage led to a “404” error message – and that the URL had been changed, with the word “medal” changed to “deimedal”.Rogers, who died in 1990, served in the Vietnam war, where he was wounded three times while leading the defense of a base. Then president Richard Nixon awarded him the Medal of Honor, the country’s highest military honor, in 1970, making him the highest-ranking African American to receive it, according to the West Virginia military hall of fame.On Saturday the web page honoring him was no longer functional, with a “404 – Page Not Found” message appearing along with the note: “The page you are looking for might have been moved, renamed, or may be temporarily unavailable.”A screenshot posted on Bluesky by the writer Brandon Friedman noted that a Google preview continued to show the defense department’s profile page – noting of Rogers that, “as a Black man, he worked for gender and race equality while in the service”. Friedman added that the page no longer worked and the URL had been “changed to include ‘DEI medal’”.By Monday, however, the site was operational once more – and the URL had returned to its original formulation, with the letters DEI no longer present.In a statement Monday that did not elaborate, a defense department spokesperson told the Guardian: “The department has restored the Medal of Honor story about army Maj Gen Charles Calvin Rogers … The story was removed during auto removal process.”While the defense department also claimed publicly on Monday that internet pages honoring Rogers, as well as Japanese American service members, had been taken down mistakenly, spokesperson Sean Parnell also staunchly defended its overall campaign to strip out content singling out the contributions by women and minority groups, which the Trump administration considers “DEI”.“I think the president and the secretary have been very clear on this – that anybody that says in the Department of Defense that diversity is our strength is, is frankly, incorrect,” Parnell said.In all, thousands of pages honoring contributions by women and minority groups have been taken down in efforts to delete material promoting diversity, equity and inclusion – an action that Parnell defended at a briefing.Defense secretary Pete Hegseth and Donald Trump have already removed the only female four-star officer on the joint chiefs of staff, Navy Adm Lisa Franchetti, and removed its Black chairperson, Gen CQ Brown Jr.Brown, a history-making Black fighter pilot, had spoken out during the 2020 George Floyd protests about his own experiences with racial discrimination. Before he became Trump’s secretary of defense, Hegseth had publicly questioned whether Brown had become the chair of the joint chiefs of staff because of his race.skip past newsletter promotionafter newsletter promotion“Was it because of his skin color? Or his skill? We’ll never know, but always doubt – which on its face seems unfair to CQ. But since he has made the race card one of his biggest calling cards, it doesn’t really much matter,” Hegseth wrote in a book.“The full throttled attack on Black leadership, dismantling of civil rights protections, imposition of unjust anti-DEI regulations, and unprecedented historical erasure across the Department of Defense is a clear sign of a new Jim Crow being propagated by our Commander in Chief,” said Richard Brookshire, co-CEO of the Black Veterans Project, a non-profit advocating for the elimination of racial inequities among uniformed service members.Since retaking the Oval Office in January, Trump has moved his administration to roll back DEI – diversity, equity and inclusion – efforts across the federal government.One executive order sought to terminate all “mandates, policies, programs, preferences and activities in the federal government”, which the Trump administration deems “illegal DEI and ‘diversity, equity, inclusion and accessibility’ (DEIA) programs”.In a win for the Trump administration, an appeals court on Friday lifted a block on executive orders that seek to end the federal government’s support for DEI programs.The Associated Press contributed reporting More

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      Trump administration briefing: judge incredulous at deportations defense; Doge workers break into building

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      The Trump administration claimed to a federal judge on Monday that it did not turn around the deportation flights of hundreds of suspected Venezuelan gang members over the weekend despite his specific instructions because that was not expressly included in the formal written order.The administration also said that even if James Boasberg, the chief US district judge in Washington, had included that instruction in his formal order, his authority to compel the planes to return disappeared the moment the planes entered international airspace.An incredulous Boasberg at one stage asked the administration: “Isn’t then the better course to return the planes to the United States and figure out what to do, than say: ‘We don’t care; we’ll do what we want’?”Here are Monday’s key US politics stories:White House’s defense for not reversing deportations ‘one heck of a stretch’, says judgeThe showdown between the administration and James Boasberg, the chief US district judge in Washington, reached a crescendo over the weekend after the US president secretly invoked the Alien Enemies Act of 1798 to deport, without normal due process, Venezuelans over age 14 who the government says belong to the Tren de Aragua gang.Read the full storyTrump says he and Putin will discuss land and power plants in Ukraine ceasefire talksDonald Trump is to speak to Vladimir Putin on Tuesday – with the two expected to discuss territory and control of the Zaporizhzhia nuclear power plant – after the Russian president last week pushed back on a US-brokered plan for an immediate ceasefire in Ukraine with a series of sweeping conditions he said would need to be met.Read the full storyTrump pulls out of US body investigating Ukraine invasionThe Trump administration is withdrawing from an international body formed to investigate responsibility for the invasion of Ukraine in the latest sign that the White House is adopting a posture favoring Vladimir Putin.Read the full storyUS Institute of Peace says Doge workers have broken into its buildingEmployees of Elon Musk’s so-called “department of government efficiency” (Doge) have entered the US Institute of Peace despite protests from the non-profit that it is not part of the executive branch and is instead an independent agency.The Doge workers gained access to the building after several unsuccessful attempts Monday and after having been turned away on Friday, a senior US Institute of Peace official said. The official spoke on condition of anonymity due to the sensitivity of the matter.Read the full storyTrump makes unsupported claim Biden pardons ‘void’Donald Trump claimed, without offering evidence, that pardons signed by Joe Biden were “void, vacant and of no further force and effect” because they were signed with an autopen.Read the full storyBlack Medal of Honor winner web page returns after outcryOn Saturday, the Guardian reported that US army Maj Gen Charles Calvin Rogers’s Medal of Honor webpage led to a “404” error message – and that the URL had been changed, with the word “medal” changed to “deimedal”. By Monday, however, the site was operational once more – and the URL had returned to its original formulation, with the letters DEI no longer present.Read the full storyDemocrats demand Musk corruption investigationLeading Democrats demanded an investigation of possible criminal corruption involving Elon Musk. The investigation should involve “the Federal Aviation Administration’s decision to cancel a $2.4bn contract with Verizon to upgrade air traffic control communications, and to pay … Musk’s Starlink to help manage US airspace”, senators Chris Van Hollen, Richard Blumenthal and Elizabeth Warren wrote to Pam Bondi, the attorney general, and Mitch Behm, acting inspector general of the transportation department.Read the full storyWill Trump strand rural US with bad internet to help Musk?Small-town USA is facing a “significant risk” that the Trump administration is going to abandon key elements of a $42.45bn Biden-era plan to connect rural communities to high-speed internet so that Elon Musk can get even richer, a top departing commerce department official warned in an email.Read the full storyFrench politicians jokes US should give back Statue of LibertyA French European parliament member has quipped that the US should return the Statue of Liberty, which it received as a gift from France about 140 years ago, after Donald Trump’s decision “to side with the tyrants” against Ukraine.Read the full storyWhat else happened today:

      Senate minority leader Chuck Schumer postponed several stops on a his book tour as he faced intensifying backlash over his vote to support a Republican-drafted spending bill to avert a government shutdown.

      The leader of a prominent Jewish group has condemned Leo Terrell, the head of Trump’s official antisemitism taskforce, for sharing a post by a white supremacist.

      Ireland’s prime minister has denounced anti-immigration comments made by Conor McGregor as he visited the White House for a Saint Patrick’s Day meeting with Trump. More

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      Doge breaks into US Institute of Peace building after White House guts board

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      The Trump administration fired most of the board of the US Institute of Peace (USIP) and sent its new leader into the Washington DC headquarters of the independent organization on Monday, in its latest effort targeting agencies tied to foreign assistance work.The remaining three members of the group’s board – defense secretary Pete Hegseth, secretary of state Marco Rubio and national defense university president Peter Garvin – fired president and CEO, George Moose, on Friday, according to a document obtained by the Associated Press.An executive order that Donald Trump signed last month targeted the organization, which was created by Congress more than 40 years ago, and others for reductions.Current USIP employees said staffers from Elon Musk’s so-called “department of government efficiency” entered the building despite protests that the institute is not part of the executive branch. USIP called the police, whose vehicles were outside the building on Monday evening.USIP is a congressionally funded independent non-profit that works to advance US values in conflict resolution, ending wars and promoting good governance.Moose, said: “DOGE has broken into our building.” Police cars were outside the Washington building on Monday evening.The CEO vowed legal action, saying: “What has happened here today is an illegal takeover by elements of the executive branch of a private non-profit.”He said the institute’s headquarters, located across the street from the state department, is not a federal building. Speaking to reporters after leaving the building, Moose noted: “It was very clear that there was a desire on the part of the administration to dismantle a lot of what we call foreign assistance, and we are part of that family.”The Doge workers gained access to the building after several unsuccessful attempts Monday and after having been turned away on Friday, a senior US Institute of Peace official said. The official spoke on condition of anonymity due to the sensitivity of the matter.It was not immediately clear what the Doge staffers were doing or looking for in the non-profit’s building, which is across the street from the state department in the Foggy Bottom neighborhood.White House spokesperson Anna Kelly pointed to USIP’s “noncompliance” with Trump’s order.After that, “11 board members were lawfully removed, and remaining board members appointed Kenneth Jackson acting president,” she said. “Rogue bureaucrats will not be allowed to hold agencies hostage. The Trump administration will enforce the President’s executive authority and ensure his agencies remain accountable to the American people.”Jackson had been seen earlier on Monday trying to get into the non-profit’s building.Moose said the organization had been speaking with Doge since last month, trying to explain its independent status. Speaking of Trump, he said: “I can’t imagine how our work could align more perfectly with the goals that he has outlined: keeping us out of foreign wars, resolving conflicts before they drag us into those kinds of conflicts.”Doge has expressed interest in the US Institute of Peace (USIP) for weeks but has been rebuffed by lawyers who argued that the institute’s status protected it from the kind of reorganization that is occurring in other federal agencies.On Friday, Doge members arrived with two FBI agents, who left after the institute’s lawyer told them of USIP’s “private and independent status”, the organization said in a statement.Chief of security Colin O’Brien said police on Monday helped Doge members enter the building and that the private security team for the organization had its contract canceled.The US Institute of Peace says on its website that it is a nonpartisan, independent organization “dedicated to protecting U.S. interests by helping to prevent violent conflicts and broker peace deals abroad”.The non-profit says it was created by Congress in 1984 as an “independent nonprofit corporation”, and it does not meet US code definitions of “government corporation”, “government-controlled corporation” or “independent establishment”.Also named in the president’s executive order were the US African Development Foundation, a federal agency that invests in African small businesses; the Inter-American Foundation, a federal agency that invests in Latin America and the Caribbean; and the Presidio Trust, which oversees a national park site next to the Golden Gate Bridge in San Francisco.The African Development Foundation, which also unsuccessfully tried to keep Doge staff from entering its offices in Washington, went to court, but a federal judge ruled last week that removing most grants and most staff would be legal. The president of the Inter-American Foundation sued on Monday to block her firing in February by the Trump administration. More

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      White House’s defense for not recalling deportations ‘one heck of a stretch’, says judge

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      The Trump administration claimed to a federal judge on Monday that it did not recall deportation flights of hundreds of suspected Venezuelan gang members over the weekend despite his specific instructions because that was not expressly included in the formal written order issued afterwards.The administration also said that even if James Boasberg, the chief US district judge in Washington, had included that instruction in his formal order, his authority to compel the planes to return disappeared the moment the planes entered international airspace.The extraordinary arguments suggested the White House took advantage of its own perceived uncertainty with a federal court order to do as it pleased, testing the limits of the judicial system to hold to account an administration set on circumventing adverse rulings.An incredulous Boasberg at one stage asked the administration: “Isn’t then the better course to return the planes to the United States and figure out what to do, than say: ‘We don’t care; we’ll do what we want’?”The showdown between the administration and the judge reached a crescendo over the weekend after the US president secretly invoked the Alien Enemies Act of 1798 to deport, without normal due process, Venezuelans over age 14 who the government says belong to the Tren de Aragua gang.The underlying basis for Trump to invoke the statute is unclear because it historically requires the president to identify a state adversary, and Boasberg on Saturday issued a temporary restraining order blocking deportations of five Venezuelans who had filed suit against the government.At an emergency hearing on Saturday evening, Boasberg extended his injunction to block the deportation of all Venezuelan migrants using Alien Enemies Act authority, and told the administration that any deportation flights already in the air needed to be recalled.By the time of the hearing, two flights had already taken off and a third flight left after Boasberg issued his ruling. All three flights landed in El Salvador, where the deportees were taken to a special maximum security prison, after Boasberg issued his written order.The Trump administration claimed at a hearing on Monday that it believed it had complied with the written order issued by Boasberg, which did not include his verbal instructions for any flights already departed to return to the US.“Oral statements are not injunctions and the written orders always supersede whatever may have been stated in the record,” Abhishek Kambli, the deputy assistant attorney general for the justice department’s civil division, argued for the administration.The judge appeared unimpressed by that contention. “You felt that you could disregard it because it wasn’t in the written order. That’s your first argument? The idea that because my written order was pithier so it could be disregarded, that’s one heck of a stretch,” Boasberg said.The administration also suggested that even if Boasberg had included the directive in his written order, by the time he had granted the temporary restraining order, the deportation flights were outside of the judge’s jurisdiction.The judge expressed similar skepticism at the second argument, noting that federal judges still have authority over US government officials who make the decisions about the planes, even if the planes themselves were outside of US airspace.“The problem is the equitable power of United States courts is not so limited,” Boasberg said. “It’s not a question that the plane was or was not in US airspace.” Boasberg added. “My equitable powers are pretty clear that they do not lapse at the airspace’s edge.”At times, the Trump administration appeared to touch on a separate but related position that the judge’s authority to block the deportations clashed with Trump’s authority to direct US military forces and foreign relations without review by the courts.Boasberg expressed doubt at the strength of that argument, as well as Kambli’s separate claim that he could not provide more details about when the deportation flights took off and how many flights left the US on Saturday, before and possibly after his order.Kambli said he was not authorized to provide those details on account of national security concerns, even in private, to the judge himself. Asked whether the information was classified, Kambli demurred. Boasberg ordered the government to provide him with more information by noon on Tuesday.The statements offered by the administration in federal district court in Washington offered a more legally refined version of public statements from White House officials about the possibility that they had defied a court order.White House press secretary Karoline Leavitt insisted on Monday that the administration acted within “the bounds of immigration law in this country” and said the Trump team did not believe a verbal order carried the same legal weight as a written order.But the White House’s “border czar” Tom Homan offered greater defiance at the court order and told Fox News in an interview that the court order came too late for Boasberg to have jurisdiction over the matter, saying: “I don’t care what the judges think.” More

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      White House removes advisory defining gun violence as a public health issue

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      The Trump administration has removed former surgeon general Vivek Murthy’s advisory on gun violence as a public health issue from the US Department of Health and Human Services’ website. This move was made to comply with Donald Trump’s executive order to protect second amendment rights, a White House official told the Guardian.The “firearm violence in America” page, where the advisory had been posted, was filled with data and information about the ripple effects of shootings, the prevalence of firearm suicides and the number of American children and adolescents who have been shot and killed. Now, when someone reaches the site they will be met with a “page not found” message.When it was originally released last summer, Murthy’s advisory was met with praise from violence prevention and research groups, and was lambasted by second amendment law centers and advocacy groups that argued the Biden administration was using public health as a cloak to push forward more gun control.“This is an extension of the Biden Administration’s war on law-abiding gun owners. America has a crime problem caused by criminals,” the National Rifle Association (NRA) said in a statement posted to X on 25 July 2024.But Daniel Semenza, a firearm violence researcher with Rutgers University, argues that talking about gun violence through a public health lens is meant to “bring the heat down” about a deeply politicized issue and broaden what prevention can look like.In 2023, nearly 47,000 people died by firearms, most of them suicides.“When people read gun violence is a public health problem, they read guns are a public health problem,” Semenza said. “This idea actually removes the politics from the issue and is an engine to get us on the same page. [The removal] feels like an unnecessary and mean-spirited way to politicize something that people have actively been trying to bring people together on.”The removal of Murthy’s advisory and the rest of the information on the page is one of the thousands of pieces of health information and research removed from federal websites. They include information about vaccines, health risks among youth and gender-based violence, the New York Times reported.Some of these pages have been restored following a court order, and it is unclear whether the removal of the “firearm violence in America” will see the same fate.In response to the Guardian’s question about the removal of webpages, the White House said: “Illegal violence of any sort is a crime issue, and as he again made clear during his recent speech at the Department of Justice, President Trump is committed to Making America Safe Again by empowering law enforcement to uphold law and order.”While researchers and violence prevention advocates have described gun violence – including both suicides and homicides – as a public health issue for more than a decade, it’s only recently that this language has entered mainstream discourse. Experts across the field of violence prevention argue that this updated lens is meant to reflect the widespread impacts of shootings on entire communities and offer solutions to violence beyond law enforcement and firearm restrictions and policy.This new framing has also led to more dollars from federal government offices, such as the Centers for Disease Control and Prevention and National Institutes of Health, for research that could illuminate preventive methods. These efforts were supercharged with the passage of the Bipartisan Safer Communities Act, passed in June 2022, which allocated millions of dollars for research into the unseen consequences of shootings. It also allowed researchers to evaluate groups that are working on the ground in the nation’s most underserved communities where shootings happen most.If this work doesn’t continue or is severely pared down, years of progress and gun violence status as a public health is at risk of being lost, Semenza said.“The vernacular of gun violence as a public health issue that has shaped in the last five to 10 years of research and advocacy is under direct threat,” he said. “I’m really disheartened and sad to hear about it. But it’s not because I’m surprised. This is a clear example of this administration pulling the wool over people’s eyes and being disingenuous about the things that harm people who are most vulnerable.” More

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      Trump is setting the US on a path to educational authoritarianism

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      On 14 February, the US Department of Education’s office of civil rights issued a letter providing notice to American educational institutions, schools and universities of the department’s new interpretation of federal civil rights law. The letter lays out new conditions for institutions to receive federal funding, including in the form of student loans or scientific and medical research.Title VI of the 1964 Civil Rights Act prohibits discrimination on the basis of race, color and national origin in federally assisted programs or activities. The education department’s “Dear Colleagues” letter redefines the central targets of Title VI to centrally include supposed discrimination against whites. The letter was followed, on 28 February, with a set of guidelines for its interpretation. The novel understanding of anti-white discrimination in these documents is a chilling manifestation of educational authoritarianism.In the letter, the acting assistant secretary for civil rights, Craig Trainor, writes:
      Educational institutions have toxically indoctrinated students with the false premise that the United States is built upon ‘systemic and structural racism’ and advanced discriminatory policies and practices. Proponents of these discriminatory practices have attempted to further justify them – particularly during the last four years – under the banner of ‘diversity, equity, and inclusion’ (‘DEI’), smuggling racial stereotypes and explicit race-consciousness into everyday training, programming, and discipline.
      However, the United States pretty clearly is built upon systematic and structural racism. US history shows that slavery was a central factor in US wealth. The US was built on Indigenous genocide and colonialism, as seizing Indigenous land was one of the reasons for seeking independence from England and is, in any case, foundational to the country’s formation. Structural racism also persists; for example, cities are segregated because of structural injustice in housing and mortgage law. The ways in which the US was built on racism, against Black Americans and Indigenous Americans, is central both to the study of its history and its present structure. If Americans do not have an understanding of this topic, they will not be well informed.The guidelines for what would count as a Title VI violation are vague. From the guidelines:
      a racially-oriented vision of social justice, or similar goals will be probative in OCR’s analysis of the facts and circumstances of an individual case.
      The most straightforward way to read the letter and the guidelines is as defining “school-on-student harassment” as including Black history. The letter treats teaching large swaths of Black and Indigenous history as akin to a white professor consistently referring to all of their Black students with a terrible racial slur.The “more extreme practices at a university” that “could create a hostile environment under Title VI” include “pressuring them to participate in protests or take certain positions on racially charged issues”. But reason, rationality and morality are sources of “pressure”. How does one distinguish the pressure placed on people by moral arguments for racially charged issues from other kinds of pressure?The guidelines create a culture of fear and intimidation around history. If one discusses Black history, one immediately risks endorsing the view that the United States “is built upon ‘systemic and structural racism’”. The guidelines invite students to report their teachers and their school administrators for not adhering to a state-imposed ideology about history, as well as state-imposed ideology about gender, which threatens to make teaching critically about gender identity, or including trans perspectives, into school-on-student harassment. Failure to adhere to state ideologies about history and gender fits this new definition of “school-on-student harassment”. Billions in federal funding is at stake.View image in fullscreenThe guidelines are not just vague, they are intentionally vague, in a way that would make it difficult for even a diligent administrator to interpret. They therefore allow maximum latitude for abuse. As the influential pro-Trump intellectual Jonathan Keeperman explained in the New York Times, referring to the Trump administration’s war on language:
      The things they’re attacking in these executive orders are sort of loose concepts. By focusing on these key terms that the left has grabbed on to, you can, without knowing much else about what you’re doing, at the scale of the entirety of the federal budget, basically remove a lot of the rot.
      The state of Florida has been a model of this strategy, leading to books being removed from school libraries because they normalize LGBTQ+ relationships, for example, and an unprecedented level of widespread fear among Florida’s professors and teachers. But it has spread to other states. The state of Tennessee has an online “divisive concepts reporting tracker” form for students who wish to report professors whose teaching can be seen as “promoting division between, or resentment of, a race, sex, religion, creed, nonviolent political affiliation, social class, or class of people”.The Dear Colleague letter and its attendant guidelines are easily read as banning teaching the idea that many Americans have racist attitudes. But understanding that many Americans have racist attitudes is central to understanding US politics.For example, the Republican Southern Strategy involved exploiting racist attitudes against government programs they ideologically opposed, by using the term “welfare” as a dog whistle for these attitudes. We have strong evidence from social science to explain the mechanisms here. There is a large group of white Americans who agree with racist stereotypes. Among these Americans, calling a program “welfare” decreases its support dramatically.The letter also appeals to another racist dogwhistle, “DEI”, which is employed in a similar way to justify banning classroom discussion of a range of concepts (including, it appears, discussion of the use of dog whistles in American politics).By executive order, Donald Trump is trying to dismantle the Department of Education. Following Project 2025’s recommendation, he appears also to be seeking to eliminate funding for Title 1, which provides crucial federal support for students in under-resourced schools in urban and rural areas, special education for disabled students and a range of other educational programs. The abolition of the education department would mean no federal oversight of drastically widening educational inequalities facing millions of students (and threatens to undermine tracking of data on racial disparities in educational resources, which could be used to substantiate the official state ideology that there are no structural disparities).Linda McMahon, the new education secretary, issued a statement entitled “Our Department’s Final Mission” on 3 March. In it, she wrote about the motivation for this final mission:
      After President Trump’s inauguration last month, he steadily signed a slate of executive orders to keep his promises: combatting critical race theory, DEI, gender ideology, discrimination in admissions, promoting school choice for every child, and restoring patriotic education and civics. He has also been focused on eliminating waste, red tape, and harmful programs in the federal government. The Department of Education’s role in this new era of accountability is to restore the rightful role of state oversight in education and to end the overreach from Washington.
      From now on, the education department’s main function appears to be targeting “critical race theory”, DEI and “gender ideology”. The final mission of the education department also includes the imposition of “patriotic education”, as if the United States were trying to imitate North Korea.Since McMahon’s announcement, the education department has launched a broad investigation into “antisemitism” at the nation’s colleges and universities. The first target was Columbia University, whose student body is over 20% Jewish; as well as pressuring Columbia to fire a distinguished law professor for pro-Palestinian statements and arresting one of the university’s students for constitutionally protected speech, on 7 March, the education department cut $400m dollars in funding for Columbia for allowing “harassment of Jewish students”. On 10 March, the civil rights office of the education department announced it was sending letters warning of potential enforcement actions to 60 universities under investigation for antisemitic discrimination and harassment, who will presumably face similar jaw-dropping cuts, under the guise of protecting Jewish students and faculty.Universities are among the most Jewish institutions in American life, in fact and in their resonance. As the historian Tim Snyder dryly noted:
      History teaches clear lessons about breakdowns in the rule of law and about campaigns against cities and universities. These are very often associated with antisemitism. It is very hard, for me at least, to think of historical examples of campaigns against universities and freedom of expression that were intended to benefit Jews.
      As the US watches videos of the regime’s police handcuffing and arresting student protesters in front of their families, as well as the destruction of the world’s greatest system of higher education, all supposedly in the service of “protecting” Jewish Americans, it is past time to note: this can’t be good for Jewish people.As I have long warned, the media have been useful dupes for fascism. After years and years of vilifying academia, first by raising hysteria about “wokeness” and too little free speech (about eg race), and then by raising hysteria about too much free speech (about Israel), the mainstream media has smoothly paved the path for educational authoritarianism. No one should be surprised by its arrival.

      Jason Stanley is Jacob Urowsky professor of philosophy at Yale University. He is the author of Erasing History: How Fascists Rewrite the Past to Control the Future More

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      in US Politics

      White House denies violating judge’s order with Venezuela deportations

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      The White House has denied allegations that it engaged in a “a blatant violation” of a judge’s order by deporting about 250 Venezuelan alleged gang members to El Salvador on Saturday, with the US border czar appearing to contradict the denial on Monday by declaring: “I don’t care what the judges think.”The US district judge James E Boasberg has scheduled a hearing for Monday afternoon to demand an explanation about why his Saturday order temporarily blocking the deportation flights had apparently been ignored.The Trump administration had ordered at least some of the deportations using the Alien Enemies Act, a law from 1798 that is meant to be used during wartime. The president quietly invoked the law on Friday and progressive groups almost immediately sued to stop it.On Saturday, during a court hearing over the case, Boasberg added a verbal order that any flights that had already departed with Venezuelan immigrants using the Alien Enemies Act turn around and return to the US.“This is something that you need to make sure is complied with immediately,” he told the justice department, according to the Washington Post.At that point (about 6.51pm ET, according to Axios), both flights were off the Yucatán peninsula, according to flight paths posted on X.Later on Saturday night, however, El Salvador’s president, Nayib Bukele, confirmed that the planes had landed in his country and the alleged gang members were in custody, posting on social media, “Oopsie … too late” above a news article about the judge’s order to turn the planes around.White House officials insisted that the migrants were no longer in US territory when the judge issued his order, claiming that it therefore did not apply.The administration “did not ‘refuse to comply’ with a court order”, said the White House press secretary, Karoline Leavitt, in a statement on Monday.She also argued, however, that the order itself did not need to be followed in the first place.“The order, which had no lawful basis, was issued after terrorist TdA aliens had already been removed from US territory,” Leavitt said. “The written order and the administration’s actions do not conflict.“As the supreme court has repeatedly made clear – federal courts generally have no jurisdiction over the president’s conduct of foreign affairs, his authorities under the Alien Enemies Act, and his core Article II powers to remove foreign alien terrorists from US soil and repel a declared invasion.“A single judge in a single city cannot direct the movements of an aircraft carrying foreign alien terrorists who were physically expelled from US soil.”Other Trump administration officials, who have not been named, echoed similar statements to Axios about the ruling coming too late, claiming that the administration did not defy the judge as the planes were “already outside of US airspace” and therefore arguing that the order was “not applicable”.In a court filing on Monday, lawyers for the administration said that the judge’s oral order was “not enforceable”.ABC News also reported that the administration cited “operational” and “national security” reasons that the planes needed to land, and that the two planes took off during the hearing on Saturday.When asked by a reporter on Sunday whether the administration violated the judge’s orders, Donald Trump said: “I don’t know, you have to speak to the lawyers about that.” He added: “I can tell you this, these were bad people.”Reuters reported that the Trump administration stated in a court filing on Sunday that “some” of the Venezuelans had already been removed from the US before the judge’s order, but did not provide any further details.The New York Times noted that the filing implied that the government had other legal grounds for the deportations of the Venezuelans, other than the use of the Alien Enemies Act that was blocked by the judge.The American Civil Liberties Union and Democracy Forward, which sued to stop the use of the act, added in a court filing on Monday that they believe that the government violated the court order , calling the administration’s actions a “blatant violation of the court’s order”.skip past newsletter promotionafter newsletter promotionThe rights groups asked the judge to compel the administration to clarify whether any flights departed after the judge’s orders, and to provide more information on the flight timings.On Monday morning, Boasberg scheduled a 4pm hearing for the Trump administration to explain if they defied his order.Later on Monday morning, Tom Homan, Trump’s “border czar”, told reporters: “By the time the order came, the plane was already over international waters, with a plane full of terrorists and significant public safety threats.”He added: “To turn the plane around over international waters” and “come back with terrorists back to the United States, that’s not what this president promised the American people”.He followed up the remarks in an appearance on Fox and Friends, where according to the Hill he said: “I don’t care what the judges think. I don’t care.”He repeated his claim that the flight was “already in international waters” but also questioned why the judge would want “terrorists returned to the United States”: “Look, President Trump, by proclamation, invoked the authorities of the Alien Enemies Act, which he has a right to do, and it’s a gamechanger.”The Georgetown law professor Steve Vladeck criticised the administration’s argument that it was too late to act once the planes had left the US. He argued on social media that “a federal court’s jurisdiction does not stop at the water’s edge” but rather, “the question is whether the defendants are subject to the court order, not where the conduct being challenged takes place”.Vladeck also told the Associated Press that although the judge’s verbal directive to turn around the planes was not technically part of his final written order, nevertheless the Trump administration clearly violated the “spirit” of it.Peter Markowitz, a Cardozo Law School professor and immigration enforcement expert, told Reuters that he believed the Trump administration’s actions “most certainly violate” the court’s order.In a statement on Monday, the Democratic senators Alex Padilla, Cory Booker, Dick Durbin and Peter Welch condemned Trump’s invocation of the Alien Enemies Act.“Let’s be clear: we are not at war, and immigrants are not invading our country,” they said. “Furthermore, courts determine whether people have broken the law – not a president acting alone, and not immigration agents picking and choosing who gets imprisoned or deported.”The deportations may not be the only instance of the White House directly violating a court order, after the administration reportedly deported Dr Rasha Alawieh, a kidney transplant specialist and Brown University professor, despite a court order temporarily blocking her expulsion.Citing her attorney and court documents, the New York Times reported that the 34-year-old Lebanese citizen – who had a valid US visa – was detained on Thursday upon returning to the US after visiting family in Lebanon. A federal judge had reportedly ordered the government to provide the court with 48 hours’ notice before deporting Alawieh, but she was reportedly put on a flight to Paris anyway. A hearing in her case is set for Monday. More