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    ‘We are failing’: doctors and students in the US look to Mexico for basic abortion training

    On paper, it should not be difficult for Dr Sebastian Ramos to learn to perform abortions. As a family medicine doctor, Ramos works in a specialty that frequently provides the procedure. He lives in deep-blue California, where it is still allowed. And the administrators running Ramos’s residency program – a kind of apprenticeship that US doctors must undergo to become full-fledged physicians – support Ramos’s desire to learn how to do it.But over the course of his three-year-long residency, Ramos is guaranteed just three days’ worth of training at Planned Parenthood. Residents get to participate in only a handful of abortions.“That’s just not enough if you want to practice abortion care,” said Ramos, who asked to go by a shortened version of his last name to protect his privacy. “I knew that if I wanted to do this, I needed more experience.”That’s why, earlier this month, Ramos traveled to a clinic in Mexico City for two weeks’ worth of training in abortion provision. During his first week at the clinic, which is run by the global organization MSI Reproductive Choices and its Mexican arm Fundación MSI, Ramos performed roughly 60 abortions.In the years since the US supreme court overturned Roe v Wade, paving the way for more than a dozen states to ban virtually all abortions, a small but growing number of would-be abortion providers have begun to leave the country in search of an education. In 2023, MSI trained nine American doctors to perform abortions at clinics in Mexico. In 2024, it trained 27. So far this year, it is on track to double that number.View image in fullscreen“On one hand, it’s a tremendous relief to know that medical students and residents aren’t going to have to forego this very important part of their training in their education,” said Pamela Merritt, executive director of Medical Students for Choice. Last year, Merritt’s organization helped eight medical students and residents receive abortion training in Mexico and the UK.Merritt continued: “It’s also incredibly sad that in the United States, we are failing to train people even to the standard of care indicated by abortion bans.”Every abortion ban in the US permits abortions to save a patient’s life. But without adequate training, doctors may not be skilled enough to perform abortions even in those dire circumstances.‘It’s a shame’Medical schools and residency programs are run by massive hospitals that are heavily dependent on public funding; such institutions tend to be, by nature, leery of anything as controversial as abortion. The Accreditation Council for Graduate Medical Education (ACGME) has required OB-GYN residencies to teach doctors how to perform abortions since the 1990s, but rather than offer training in-house, hospitals have often farmed their residents out to freestanding abortion clinics for training.Even before Roe fell, this system was faulty: a 2019 study found that, despite the ACGME requirement, just 64% of OB-GYN residency programs offered “routine training with dedicated time” for abortions. Family medicine residents who want to learn to perform abortions face a greater disadvantage, since the ACGME does not require their residency programs to offer any kind of abortion training.View image in fullscreenEven most OB-GYN residents, program directors reported in the 2019 study, did not achieve what doctors call “competency” when it came to abortion. Without competency – a qualification that’s measured through a melange of doctors’ knowledge, skills and attitudes – doctors may not be able to safely perform abortions on their own.Abortion training and competency is now even harder to come by. Since Roe’s collapse, more than 100 abortion clinics have closed. Those that are left are often besieged by patients fleeing abortion bans, leaving them without the time and space to teach everybody who wants to learn.If an OB-GYN residency program is located in a state that bans abortion, ACGME rules currently dictate that the residency “must provide access to this clinical experience in a different jurisdiction where it is lawful”. The ACGME declined to respond to a request for information about how many residency programs are currently compliant with its abortion-training requirement, although records show that no OB-GYN programs have lost their accreditation status in the last year. Patricia Lohr serves as the director of research and innovation for the British Pregnancy Advisory Service (Bpas), a UK non-profit that provides abortions up until about 24 weeks of pregnancy. Lohr trained to become an OB-GYN in the US. “Having been a resident and a medical student in the United States, I could really see the importance of having access to abortion education that wasn’t entirely reliant on what was being delivered within academic training programs,” Lohr said. “Because often, abortions weren’t being provided in those academic hospitals.”View image in fullscreenWhen Lohr moved to the UK, she quickly moved to create a two-week training program at Bpas where medical students could learn about abortions and observe – but not perform – the procedure. In the years since Roe fell, that training program has received a surge of applications from American medical students and residents.“It’s a shame that people would have to travel to learn a basic part of women’s health care,” Lohr said. “There are many trainees out there at the moment who would like to obtain abortion skills, but cannot get it locally, and so they get diverted into doing something else.”Lauren Wiener, a New Jersey medical student, had originally planned to travel to Arizona in summer 2022 to learn how to provide abortions. But when Roe’s fall led Arizona abortion providers to temporarily stop working, Wiener had to cancel her trip. Instead, she ended up undergoing a week-long training at Bpas last fall.“It is something that you need to know how to do, because there are emergency situations,” Wiener said of abortions. “You might not want to electively perform an abortion at 24 weeks, but if someone comes in and they’re miscarrying, you need to know how to evacuate that uterus. It’s a skill you need to have to save a life.”‘We will be there’While training in the US dwindles, the country’s increasingly conservative approach to abortion has also put it at odds with much of the rest of the world. Only four countries – including the US – have tightened their abortion laws over the last 30 years, while more than 60 countries and territories have loosened theirs, according to a tally by the Center for Reproductive Rights.Mexico is one of them. In 2023, its supreme court decriminalized abortion nationwide; the procedure is now available in about half of all Mexican states. And providers aren’t the only people taking advantage of Mexico’s liberalized abortion laws: last year, Fundación MSI provided first-trimester abortions to 62 women from the United States.“Training, training, training – it is key, to have less danger for actual patients,” said Araceli López-Nava, managing director of MSI Latin America. “We understand how difficult the situation is becoming in the US, so we’re happy to help.”The organization has the capacity to train up to 300 doctors a year to perform abortions, López-Nava estimated.View image in fullscreenMSI is not, however, a solution for everybody. Would-be trainees need to speak Spanish. And although the organization has in past years trained medical students, MSI’s Mexico clinics have started focusing on teaching residents who have already performed 20 abortions. Because residents have already chosen their specialties and secured berths in residency programs – which can be highly competitive – they are more likely to become abortion providers.Training in Mexico can also be pricey, especially since the program does not pay for travel and lodging. Ramos’s entire trip cost about $5,000, although a scholarship helped him cover most of the costs.“It’s a way, at least for me, to be exposed to a different medical system, learn from different providers from a different country, exchange knowledge,” Ramos said. “I feel like I’m being adequately prepared to meet the needs of my patients in the US.” More

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    Melania Trump’s secret to getting through hard times? Love (actually)

    Melania’s guide to getting through hard timesLet’s take a quick break from the increasingly dreadful news for a little check-in, shall we? So … how are you holding up right now? How are those stress levels?Mine aren’t great, to be honest. I’m pickling in my own cortisol as I write this. But I’m not here to moan. I am here to share some helpful advice, courtesy of our inspiring first lady Melania Trump, about how to get through these challenging times.Now, I know what you may be thinking: what on earth does Melania Trump know about adversity? The woman divides her time between a gold penthouse in Manhattan and a mansion in Florida, occasionally dropping into the White House to wave at commoners. She’s not exactly worrying about the price of eggs or the balance of her 401(k).But let’s not be too quick to judge. Money doesn’t insulate you from everything, and I’m sure Melania has her own problems. I mean, the poor woman is probably forced to regularly socialize with Elon Musk – which would drain the lifeblood from anyone. Then there’s the fact her husband has taken to using the stomach-turning nickname the “fertilization president”.Melania’s also not just lounging around in luxury: I am sure she is working extremely hard for the millions of dollars Amazon has thrown at her for the privilege of making a sycophantic documentary about her life. And then there’s all the annoying first lady admin; her office has just had to reschedule the White House spring garden tours – which Melania is not expected to actually attend – because of some pesky protesters.So how does our first lady navigate these very stressful challenges? While presenting the state department’s 19th International Women of Courage awards, which honored eight women from around the world, Melania shared her secret trick for getting through hard times. It’s … wait for it … love.“Throughout my life, I have harnessed the power of love as a source of strength during challenging times,” Melania said. “Love has inspired me to embrace forgiveness, nurture empathy and exhibit bravery in the face of unforeseen obstacles.”Melania noted that the award recipients – which included women from Yemen, South Sudan, Israel and the Philippines – “came from diverse backgrounds and regions, yet love transcends boundaries and territories”. She further added that she was inspired by “the women who are driven to speak out for justice, even though their voices are trembling”.The first lady deserves an award of her own for that speech because I have absolutely no idea how she managed to say all that with a straight face. I mean, seriously, is she trolling us? How can she talk about love while her husband’s hate-filled administration is deporting everyone they can? Having the wrong tattoo – or just a stroke of bad luck – can now get you sent to a prison in El Salvador. (The secretary of state Marco Rubio, by the way, who is presiding proudly over these deportations, also made a speech at the International Women of Courage awards.)How can Melania talk about justice when the Trump administration is currently doing their best to deport or imprison anyone who speaks out for justice for Palestinians? And how dare she talk about diversity and women’s rights, when the Trump administration is erasing women from government websites as part of their crackdown on diversity, equity and inclusion.But, look, I don’t want to completely dismiss Melania’s advice. Perhaps she has a point. Perhaps, in these challenging times, we should all just channel Melania and reach for the power of love. So: if you happen to get into trouble with any US border guards because you’ve indulged in a little wrongthink online, just remind them of Melania’s words. Remind them that love transcends borders and territories. And then sit back, and enjoy your free trip to El Salvador.Katy Perry says she is ‘going to put the “ass” in astronaut’Please don’t, Katy. For more cringeworthy quotes on how “space is finally going to be glam”, read this feature in Elle. It profiles the all-women crew that has been chosen to joyride around space on Jeff Bezos’s Blue Origin rocket. They’re all going to be glammed up with lash extensions, folks! It’s gonna be one giant leap for womankind.Women in the US are dying preventable deaths because of abortion bansNew research details how three critically ill patients in the US could have survived if they’d been able to access abortions.How Taliban male-escort rules are killing mothers and babiesEven before the Taliban took power, Afghanistan had a maternal mortality rate three times higher than the global average. Now draconian policies, including guardianship rules that mean a woman can’t travel to hospital without being accompanied by a man, are contributing to an increase in maternal deaths in Afghanistan.House revolts over Republican bid to stop new parents from voting by proxyA small group of Republicans joined forces with Democrats to stop the GOP from blocking consideration of a measure that would allow new parents to temporarily designate someone else to vote in their place. “I think that today is a pretty historical day for the entire conference. It’s showing that the body has decided that parents deserve a voice in Washington,” the Republican Anna Paulina Luna said.The US woman with the world’s longest tongueImagine people screaming in shock every time you stick your tongue out. Such is the life of Chanel Tapper, a California woman who holds the Guinness World Record for woman with the globe’s longest tongue.US anti-abortion group expands campaign in UKA rightwing US group has been trying to export abortion extremism to the UK, lobbying heavily against the introduction of buffer zones around reproductive health clinics.Russell Brand charged with rape and sexual assault“Nation Could Have Sworn Russell Brand Was Already Convicted Sex Offender”, reads an Onion headline from 2023.At least 322 children killed since Israel’s new Gaza offensive, Unicef saysUnicef said “relentless and indiscriminate bombardments” had resulted in 100 children killed or maimed every day in the 10 days to 31 March.How Gina Rinehart is pushing the Maga message in AustraliaSome fascinating details in this Guardian series about Rinehart, who has been described as a “female Donald Trump” and is Australia’s richest person. Money clearly can’t buy taste because Rinehart is renovating her company headquarters to include a sculpture of Peanut the squirrel, Maga’s favourite rodent, and etchings of inspirational Elon Musk quotes.The week in pawtriarchyTrump’s tariffs are so far-reaching that they’ve even been imposed on the Heard and McDonald islands near Antarctica, inhabited only by penguins. (And a few seals.) I am sure the penguins, already suited up for an emergency meeting on the tariffs, are not too happy about this development – but the rest of us have been gifted some brrrrilliant memes. More

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    Read the Alabama Judge’s Ruling

    Case 2:23-cv-00450-MHT-KFP
    Document 84 Filed 03/31/25
    Page 7 of 131
    to make the decisions that are best for themselves and
    their families. [It] also seek[s] to communicate
    funding recipients, volunteers, employees,
    to
    supporters,
    other abortion advocacy groups, and the general public
    the belief that all people deserve access to the
    resources necessary to make the decisions that are right
    for them.” Id. ¶ 11. To further its mission, the Fund
    distributes free diapers, school supplies,
    tests, contraception, hygiene products,
    pregnancy
    emergency
    contraception, sex-education materials, and referrals
    for a wide range of reproductive-healthcare providers.
    Before Dobbs and the Attorney General’s threats,
    Yellowhammer Fund also operated an abortion fund, which
    provided financial assistance and logistical support,
    including help coordinating food, lodging, childcare, and
    travel logistics to people in Alabama seeking abortions.
    At that time, between 15 and 20 percent of the abortions
    7 More

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    New York Court Blocks Texas From Filing Summons Against Doctor Over Abortion Pills

    The showdown catapults the interstate abortion wars to a new level.A New York state court on Thursday blocked Texas from filing a legal action against a New York doctor for prescribing and sending abortion pills to a Texas woman.The unprecedented move catapults the interstate abortion wars to a new level, setting the stage for a high-stakes legal battle between states that ban abortion and states that support abortion rights.The dispute is widely expected to reach the Supreme Court, pitting Texas, which has a near-total abortion ban, against New York, which has a shield law that is intended to protect abortion providers who send medications to patients in other states.New York is one of eight states that have enacted “telemedicine abortion shield laws” after the Supreme Court overturned the national right to an abortion in 2022. The laws prevent officials from extraditing abortion providers to other states or from responding to subpoenas and other legal actions — a stark departure from typical interstate practices of cooperating in such cases.The action by the New York court is the first time that an abortion shield law has been used.This case involves Dr. Margaret Daley Carpenter of New Paltz, N.Y., who works with telemedicine abortion organizations to provide abortion pills to patients across the country. In December, the Texas attorney general, Ken Paxton, sued Dr. Carpenter, who is not licensed in Texas, accusing her of sending abortion pills to a Texas woman, in violation of the state’s ban.Dr. Carpenter and her lawyers did not respond to the lawsuit and did not show up for a court hearing last month in Texas. Judge Bryan Gantt of Collin County District Court issued a default judgment, ordering Dr. Carpenter to pay a penalty of $113,000 and to stop sending abortion medication to Texas.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Kansas Voters Will Decide Whether to Hold Open Elections for State Supreme Court

    A question on the ballot next year will ask voters to amend the Constitution to set open elections. Republicans said it would empower Kansans, while Democrats argued it would politicize the judiciary.The Kansas Supreme Court, made up mostly of jurists appointed by Democrats, has long served as a check on the Republican-dominated Legislature.The justices have established a statewide right to abortion. They have told Republican leaders that they were not spending enough on schools. And they have weathered repeated attempts to tip the court’s balance of power toward conservatives.But the high court, which is officially nonpartisan, could soon face major changes. Lawmakers decided on Wednesday to place a question on the primary ballot in August 2026 that would ask voters to amend the Kansas Constitution to set open elections for the court. If voters approve the change, justices would become free to campaign and hold leadership positions in political parties.The move, which follows efforts in other states to elect justices, would give Kansas Republicans a clearer path toward a conservative majority on the court and the possibility of revisiting issues like abortion. Conservative lawmakers said making the change would return power to voters.“It comes down to one thing: Do you trust the people of Kansas to select the seven people who run the third branch of our government and who have an enormous say over our government and how it’s run?” asked State Representative Bob Lewis, a Republican from western Kansas who supported placing the amendment on the ballot.Democrats criticized the effort to hold open elections, saying it would empower wealthy campaign donors and politicize the judiciary. They pointed to polarizing elections in places like North Carolina, where the results of a 2024 State Supreme Court election are still being disputed, and Wisconsin, where tens of millions of dollars have been spent ahead of a State Supreme Court election next month.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Fact-Checking Trump’s Justice Dept. Speech on Crime, Immigration and His Cases

    President Trump repeated a number of well-trodden falsehoods on Friday in a grievance-fueled speech at the Justice Department, veering from prepared remarks to single out lawyers and prosecutors and assail the criminal investigations into him.His remarks, billed as a policy address, were wide-ranging, touching on immigration, crime and the price of eggs.Here’s a fact-check.Mr. Trump’s misleading claims touched on:His legal troublesThe 2020 electionBiden and classified documentsThe Jan. 6, 2021, attack on the CapitolParents, anti-abortion activists and CatholicsImmigration and crimeEgg pricesHis legal troublesWhat Was Said“They weaponized the vast powers of our intelligence and law enforcement agencies to try and thwart the will of the American people.”“They spied on my campaign, launched one hoax and disinformation operation after another, broke the law on a colossal scale, persecuted my family, staff and supporters, raided my home Mar-a-Lago and did everything within their power to prevent me from becoming the president of the United States.”This lacks evidence. Mr. Trump’s claims refer to a wide array of investigations and criminal cases that occurred before, during and after his first term as president.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    The rise of pronatalism: why Musk, Vance and the right want women to have more babies

    In his first address to the United States after becoming vice-president, JD Vance stood on stage and proclaimed: “I want more babies in the United States of America.” Weeks later, Donald Trump signed an executive order pledging support for in vitro fertilization, recognizing “the importance of family formation and that our nation’s public policy must make it easier for loving and longing mothers and fathers to have children”.In late January, a Department of Transportation memo directed the agency to prioritize projects that “give preference to communities with marriage and birth rates higher than the national average”. And last week, it was reported that Elon Musk, the unelected head of the government-demolishing “department of governmental efficiency” and a man who has said that the “collapsing birth rate is the biggest danger civilization faces by far”, had become a father of 14.Republicans have long heralded the importance of “family values”. But in these developments, many see mounting signs of a controversial ideology at work: pronatalism.Pronatalism is so contentious that people often struggle to agree on a definition. Pronatalism could be defined as the belief that having children is good. It could also be defined as the belief that having children is important to the greater good and that people should have babies on behalf of the state, because declining birth rates are a threat to its future. Perhaps most importantly, pronatalism could be defined as the belief that government policy should incentivize people to give birth.While people on the left might agree with some pronatalist priorities, pronatalism in the US is today ascendant on the right. It has become a key ideological plank in the bridge between tech bro rightwingers like Musk and more traditional, religious conservatives, like the speaker of the House, Mike Johnson – who once said in a House hearing that abortions were harming the economy by eliminating would-be workers.But there are plenty of widening cracks in that bridge and, by extension, Trump’s incoherent coalition.‘Hipster eugenicists’In the US, interest in pronatalism has historically coincided with growing anxiety over changing gender norms and demographics, according to Laura Lovett, a University of Pittsburgh history professor and the author of the book Conceiving the Future: Pronatalism, Reproduction, and the Family in the United States, 1890-1930. In the 1920s, pronatalism’s prominence grew after women gained the right to vote, as people worried about women working and wielding power outside the home.“When Theodore Roosevelt uses the term ‘race suicide’, he actually blames women who are going to college for the first time for that eventual suicide of the right, white race. There’s this linkage between women’s educational and aspirational futures and the declining birth rate,” Lovett said. “There was this anxiety that white, native-born, middle-class women were having smaller families.”Historically, US pronatalism was also tied to an interest in eugenics – and some of the more tech-minded, modern-day pronatalists do want to use breeding to fashion a better human race. Malcolm and Simone Collins, parents of four who have become standard-bearers for the burgeoning popularity of pronatalism among Silicon Valley venture capitalists, have championed “no-holds-barred” medical research to engineer the “mass production of genetically selected humans”. They have joked to Business Insider about making business cards declaring themselves “hipster eugenicists” – although they have also rejected the idea that they are performing eugenics, stressing that they think racism is “so dumb” and that the only bloodlines they are altering are their own.The Collinses, who support Trump, have spent hundreds of thousands of dollars on in vitro fertilization (IVF) and screening their embryos for IQ, risk of depression and other markers. (Scientists aren’t convinced that it is possible to screen embryos for IQ.) These kinds of practices – which the Collins have called “polygenics” – draw a wedge between the Silicon Valley pronatalists who back Trump and his more traditional pronatalist supporters. The anti-abortion movement, which was critical to getting Trump elected in 2016, has long opposed IVF, largely because it can lead to unused or discarded embryos.In signing his pro-IVF executive order, Trump appears to be siding with the “tech right” (and the broader electorate, among which IVF remains extremely popular). When Musk recently brought his son X Æ A-Xii to the Oval Office, Trump called the four-year-old a “high-IQ individual”.View image in fullscreen‘Restructuring society’While the Collinses are avatars for the emerging pronatalist tech right, Lyman Stone is one of the highest-profile pronatalists from a more traditionally conservative background.“Pronatalism has to be disciplined by a commitment to human liberty and human flourishing – and this is coming out of work on reproductive justice, basically. People have a right to have the families they want to have, and for some people, that means no family,” said Stone, a demographer who in 2024 established the Pronatalism Initiative at the right-leaning Institute for Family Studies. “The focus of pronatalism, in my view, generally is not and certainly should not be on family gigantism, and instead should be on helping young people overcome the barriers and obstacles to romantic and family success in their life.”In practice, Stone said, pronatalists should help people get married earlier in life so that they can start having children younger. That could mean, he said, everything from improving mental health services to creating better childcare programs. Stone’s frequent collaborator, Brad Wilcox – a University of Virginia sociology professor and author of the book Get Married: Why Americans Should Defy the Elites, Forge Strong Families and Save Civilization – pointed to several policies that he thinks would help strengthen “family formation”, such as expanding the child tax credit and converting federal land into affordable housing.“Pronatalism is not just a fiscal program. It’s a program of restructuring society in a way that treats family goals as worthy, worth supporting and socially important,” Stone said.Asked if he supports abortion rights, Stone clarified: “No, I would draw the line at destruction of human life.”Many of these policy proposals could comfortably fit into a left-leaning political platform – in fact, they may be more at home on such a platform than within today’s Republican party. Although Vance said on the campaign trail that he would like to expand the child tax credit, a move that could cost trillions of dollars in federal spending, Republicans have instead committed to slashing the government budget by at least $1.5tn.Instead, elected Republicans have tended to invoke pronatalist rhetoric in support of their top culture-war causes.They have repeatedly condemned gender-affirming healthcare for allegedly “sterilizing” people; in 2022, as Idaho weighed whether to ban kids from accessing the care, one Republican state legislator said: “We are not talking about the life of the child, but we are talking about the potential to give life to another generation.” When a Republican lawmaker from Michigan introduced a resolution to condemn same-sex marriage, he told reporters: “This is a biological necessity to preserve and grow our human race.” And last year, in a lawsuit to cut access to a common abortion pill, the Republican attorneys general of Idaho, Kansas and Missouri argued that access to the pill had “lowered birth rates for teen mothers”, leading to a falling state populations, “diminishment of political representation and loss of federal funds”.In practice, pronatalism – especially when paired with anti-abortion policy – often overlooks the disproportionate effect that having more babies has on women, according to Elizabeth Gregory, director of women’s gender and sexuality studies at the University of Houston. Childbearing can reshape a woman’s entire future.“This idea that the child is the only person in the dyad loses a real understanding of how embedded and dependent children are on their mothers,” Gregory said. “Fertility affects many, many parts of culture and talking about it can’t be reduced to just a few soundbites.”Falling birth ratesBirth rates are, indeed, on the decline. To remain stable, populations must reproduce at a “replacement rate” of 2.1; in other words, each mother must have 2.1 babies. The US currently averages closer to 1.6. (South Korea, which maintains the world’s lowest fertility rate, had a rate of just 0.75 in 2024.)Experts are split over how to address this problem. The world’s population is at a record high, and immigration to rich countries could offset declines in fertility – but, as the medical journal the Lancet warned in a 2024 issue, “this approach will only work if there is a shift in current public and political attitudes towards immigration in many lower-fertility countries”. If countries remain hostile to immigration while their birth rates fall, they will probably end up with a shrunken labor force that is unable to support an ageing population.There is evidence that Americans would like to have more children. A 2023 Gallup poll found that 47% of Americans think an ideal family has one or two children, while only 2% said families should have zero. At the same time, a Pew poll that same year found that 47% of American adults under 50 say they are unlikely to ever have children. Of those, nearly 60% say they just don’t want kids. Nearly 40% said they couldn’t afford to have kids or that the “state of the world” had convinced them not to.“We’re living in a moment where – I would say, unfortunately – marriage and parenthood have become ideologically polarized,” Wilcox said. More

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    Packed Pacs: how billionaires in the US are bankrolling Republicans at the state level

    Billionaires are increasingly bankrolling Republican candidates in state legislative races across the US to push a rightwing agenda and gain long-term hegemony.The concerted effort shows that Donald Trump ally Elon Musk, currently throwing his weight behind a candidate for Wisconsin’s state supreme court, is far from alone in seeking to build influence at the grassroots.According to a research document obtained by the Guardian, the contributions are not limited to federal elections but extend to state-level campaigns and aim to influence policy at the state level. Priorities include dismantling government, targeting “culture war” issues – particularly abortion – and advancing school privatisation.In Virginia, for example, donors Thomas Peterffy and Jeff Yass contributed significantly to Governor Glenn Youngkin’s political action committee (Pac) Spirit of Virginia. Peterffy gave $3m while Yass added $2m. Spirit of Virginia spent more than $8m supporting Republican candidates in the 2023 Virginia general assembly elections.Democratic state house leader Don Scott was quoted by the Axios website as saying that Republicans were relying on “nameless, faceless, out-of-state mega-donors who have been pouring millions into the Commonwealth to push right-wing policies with no regard to what Virginians actually want”.In Michigan, the DeVos family, including former education secretary Betsy DeVos, donated more than $4.4m to state Republican candidates and causes in 2024. More than $1m combined went to the Michigan house and senate Republican Pacs.The DeVos family is known for promoting “school-choice policies”, specifically the expansion of charter schools. The Bridge Michigan news site reported “no individual has shaped school policy as much as Betsy DeVos”, contributing to Michigan having “some of the nation’s highest concentrations of charter schools run by for-profit companies”.In Wisconsin, Diane Hendricks and Elizabeth Uihlein contributed a combined $7m to Republican legislative campaign committees in 2024. Hendricks has a long history of influencing Wisconsin politics, including pushing for “right-to-work” legislation. The Uihleins have backed efforts to make it harder to receive unemployment benefits, oppose Medicaid expansion and create barriers to voting.In Pennsylvania, Yass, who is the state’s wealthiest billionaire, funded Pacs that reportedly spent nearly $4.4m to unseat Pennsylvania house Democrats. Yass-affiliated Pacs supported candidates who sponsored a near-total abortion ban. Since the 2018 cycle, these Pacs gave “$370,000 to bill sponsors and cosponsors” of such legislation.Yass also prioritises spending public funds on private education and is Pennsylvania’s biggest “school choice” donor. He told Philadelphia Magazine last year that it would be a “good thing” if public schools “shut down”, adding: “There is no possible way a government monopoly could be a better approach to schools than market competition.”Republicans in Pennsylvania pushed a constitutional amendment to ban abortion in 2021 and 2022 but without success.In Arizona, Earl “Ken” Kendrick (owner of the Arizona Diamondbacks baseball team) and his family contributed more than $200,000 to Republican legislative candidates and Pacs during the 2024 cycle. The Kendrick family supported the retention of far-right, anti-choice judges on the state’s supreme court. Legislative Republicans referred a proposal to the ballot to attempt to make these positions lifetime appointments.State legislative chambers, once regarded as sleepy backwaters, have become partisan battlegrounds in recent years as they have a huge impact on issues ranging from book banks to transgender rights to voting laws.On an otherwise disastrous election night last November, Democrats held their own at state level, emerging with more legislative majorities than they managed in 2016 or 2020. In Pennsylvania, for example, they held off a red wave to defend a one-seat majority in the state house.But that appears to be spurring on a small group of super-rich donors aiming to reshape state-level politics with a focus on issues including abortion, education and labour rights. Critics say such contributions raise questions about the role of money in politics and the influence of billionaires on the democratic process.Bernie Sanders, an independent senator currently on a “Fighting Oligarchy Tour” across the country, told last year’s Democratic national convention in Chicago: “Billionaires in both parties should not be able to buy elections, including primary elections. For the sake of our democracy we must overturn the disastrous Citizens United supreme court decision and move toward public funding of elections.” More