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      ‘One death is too many’: abortion bans usher in US maternal mortality crisis

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      In Louisiana, doctors will no longer be able to carry a lifesaving medication with them during pregnancy emergencies. In Texas, the infant mortality rate is soaring. In Idaho, pregnant people drive hours just to give birth. And in Oklahoma and Georgia, women are bleeding out in hospital parking lots and facing dangerous infections before they can find care – and sometimes, that care comes too late.The limitations and outright bans on abortion that have taken hold in half of the US in the wake of the Dobbs decision have wreaked enormous changes to the reproductive health landscape.The restrictions put a growing burden on the health and wellbeing of patients and providers, even as more Americans find it difficult to find and access care.“The United States is, and has been for quite some time, in the midst of a maternal and infant mortality crisis,” said Dr Jamila Perritt, a board-certified obstetrician and gynecologist and president of Physicians for Reproductive Health.Banning access to reproductive healthcare, including abortion care, is “directly causing an increase in morbidity and mortality in our community”, she said. “We have really robust evidence that shows us that when people have sought abortion care and are unable to obtain it, their psychological, social, physical and emotional health is harmed.”Maternal and infant mortality will probably increase because of the restrictions – especially if national limitations, like enforcement of the Comstock Act, are put into place.“I expect in the next few years, we’re going to start to see the infant mortality, pre-term birth, maternal mortality, and maternal morbidity numbers rise for everyone, and particularly for folks from racially marginalized and low-socioeconomic communities,” said Rachel Hardeman, professor of reproductive health and founding director of the Center for Antiracism Research for Health Equity at the University of Minnesota.Calculating mortality is often a complicated and controversial endeavor. When maternal mortality dropped in 2022, anti-abortion advocates credited the success to the Dobbs decision.But that’s not the case, according to new research in Jama Network Open.Maternal deaths surged during the first two years of the pandemic, when Covid, a deadly illness during pregnancy, accounted for one-quarter of all maternal deaths. But in 2022, that rate dropped to levels similar to pre-pandemic levels, from 32.9 deaths per 100,000 live births in 2021 to 22.3 in 2022.That rate is still higher than maternal mortality rates in peer nations, and research indicates it will increase if officials clamp down on abortion nationally – which, with the Comstock Act, would require no additional anti-abortion legislation or bans.Right now, “people can still travel to other states, but once there’s a federal ban, that won’t be an option any more,” says Amanda Jean Stevenson, co-author of the new Jama research and a sociologist at the University of Colorado Boulder. “And there could be this very different set of outcomes when people’s options are gone.”In the United States, more than 80% of pregnancy-related deaths and more than 60% of infant deaths in the first week are preventable – and those figures were estimated before the Dobbs decision.Because of abortion restrictions, there are already significant challenges to accessing reproductive healthcare – and it’s not just abortion care.In Louisiana, misoprostol – a drug used for medication abortion and other lifesaving purposes – will be labeled a controlled substance beginning on 1 October. One of its uses is keeping patients from bleeding out after childbirth, which is the No 1 cause of postpartum mortality.Yet physicians cannot keep controlled substances in their emergency carts, and they fear they won’t have enough time to fill prescriptions for patients when minutes and even seconds make the difference between life and death.In the year following Texas’s abortion ban, child mortality shot up by 12.9% – compared with a 1.8% increase in the rest of the country, according to a recent study. Congenital anomalies are the leading cause of infant death in the US – but while they went down by 3.1% in the rest of the country, they went up by 22.9% in Texas.“That study was chilling. That is a huge change,” Stevenson said.It echoed previous research finding that states with the most restrictive abortion laws saw 16% more infant deaths between 2014 and 2018.The trauma and costs of carrying to term pregnancies that are incompatible with life inflict an incalculable toll on families and providers.States are closing obstetric units and losing experienced providers who worry about not being able to offer lifesaving care as patients die on the table in front of them, and facing jail time if they provide care.More than two-thirds (68%) of obstetricians and gynecologists say the Dobbs decision has made it harder for them to respond to pregnancy-related emergencies, according to the non-partisan health research organization KFF. They also believe it has worsened mortality in pregnancy while increasing racial and ethnic inequities, and fewer doctors are now interested in entering the field.In 2022, soon after the Dobbs decision, medical residency applications dropped for states with bans.More than half of doctors surveyed in states with bans and limitations said they were very concerned about legal repercussions to providing the standard of care in pregnancy.“That can just exacerbate already pretty large gaps in the workforce,” said Usha Ranji, associate director for women’s health policy at KFF.In the past two years, more than 100 hospitals have closed their obstetric units entirely, according to a new March of Dimes report. More than one-third of US counties are now maternity care deserts, with no obstetricians or places to give birth. North Dakota, South Dakota, Alaska, Oklahoma and Nebraska have the least access to maternity care.The majority of rural hospitals (57%) no longer deliver babies, with more than 100 of the rural hospitals ending labor and delivery services in the past five years.“We’ve created policy and legislation to limit access to abortions and also have closed the exact places that people need to go to get care if they are pregnant,” Hardeman said. That puts pressure on neighboring states that still provide care, she said.“Where you live matters for your health. And I think that the Dobbs decision and the fall of Roe have demonstrated that in a very real and very obvious way, because there are literally places in this country where there is essentially no access to reproductive healthcare,” she said.“It started out in rural spaces, but more and more, there’s reports popping up of labor and delivery units closing in, like, urban Chicago.”In states with restrictions on abortion, women of color and pregnant people from low-income communities often suffer the most, said Hardeman. “Taking away access to reproductive healthcare is exacerbating those disparities.”Black women die because of pregnancy at twice the national rate, and three times more than white women, according to the US Centers for Disease Control and Prevention.“The fact that black women and birthing people are dying at three to four times greater risk than white women is shameful – and it’s preventable,” Perritt said.It’s important to shore up protections for reproductive health for all Americans before health complications and mortality rise even more, she said. “One death is too much. One is too many.” More

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      Bernie Moreno Under Fire Over Comments About Suburban Women

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      Bernie Moreno, the Republican Senate candidate in Ohio, is facing criticism over demeaning remarks he made last week against women who support abortion rights, including from Nikki Haley, the former Republican presidential candidate and one of the most prominent women in her party.Speaking on Friday at a town hall in Warren County, Ohio, Mr. Moreno characterized many suburban women as “single-issue voters” on abortion rights, suggesting that older women should not care about abortion because they were too old to have children.“It’s a little crazy, by the way — especially for women that are like past 50,” Mr. Moreno said, drawing laughter from the crowd. “I’m thinking to myself: I don’t think that’s an issue for you.”In a social media post on Tuesday morning quoting Mr. Moreno’s remarks, Ms. Haley, the former governor of South Carolina, addressed the Senate candidate: “Are you trying to lose the election? Asking for a friend.”Ms. Haley, who was former President Donald J. Trump’s top rival in the Republican presidential primaries this year, has endorsed his candidacy even as she has offered advice and criticism to him and the party from the sidelines.In interviews on Fox News, Ms. Haley has said that the party needs a “serious shift” to defeat Vice President Kamala Harris, saying this month that Mr. Trump and his running mate, Senator JD Vance of Ohio, “need to change the way they speak about women.”“You don’t need to call Kamala dumb,” Ms. Haley said, adding that “she didn’t get this far, you know, just by accident” and that “she’s a prosecutor. You don’t need to go and talk about intelligence or looks or anything else.”She added that “when you call even a Democrat woman dumb, Republican women get their backs up, too.”Democrats have embraced abortion rights as an issue that they see as advantageous to them, spotlighting Mr. Trump’s bragging about appointing three of the Supreme Court justices who voted to end the constitutional right to abortion enshrined in Roe v. Wade, and pinning their hopes of winning control of the Senate on abortion initiatives. Voters, by a wide margin, say they trust Ms. Harris to handle abortion over Mr. Trump. More

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      Harris calls for end to Senate filibuster to restore US abortion rights

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      Kamala Harris has called for an end to the Senate filibuster to make good on her pledge to restore the right to abortion through legislation.The US vice-president, herself a former senator, told a radio station in Wisconsin that eliminating the filibuster – which sets a 60-vote threshold in the 100-seat upper chamber of the US Congress – would be necessary to codify the rights that were enshrined in Roe v Wade, the 1973 supreme court ruling that upheld the right to legal abortion throughout the US until it was overturned by a ruling two years ago.“I think we should eliminate the filibuster for Roe and get us to the point where 51 votes would be what we need to actually put back in law the protections for reproductive freedom, and for the ability of every person and every woman to make decisions about their own body – and not have their government tell them what to do,” Harris told WPR, an affiliate of National Public Radio, on a campaign trip to Wisconsin, a key midwestern swing state where she has a wafer-thin lead over Donald Trump, according to recent polls.Her remarks accentuated her determination to put abortion rights at the heart of her campaign message amid polling evidence that it is a priority for many women voters.However, it cost her the support of the outgoing West Virginia senator, Joe Manchin – a former Democrat who left the party this year to become an independent – who said he would not endorse her candidacy because of her pledge.“Shame on her,” Manchin, who is retiring from the Senate at the end of the year, told CNN. “She knows the filibuster is the holy grail of democracy. It’s the only thing that keeps us talking and working together. If she gets rid of that, then this would be the House on steroids.”Trump has been on the defensive on abortion because the 2022 supreme court ruling was achieved with the votes of three conservative justices he appointed to the bench when he was president. Harris has claimed that Trump would sign a nationwide ban if he re-captured the White House, although he insists he would leave it to individual states.Harris’s use of a radio interview to underline her commitment follows criticism that she was deliberately avoiding high-profile interviews – a charge Harris has sought to counter by making herself available to selected media in battleground states.Trump told a rally in Pennsylvania on Monday that he would be women’s “protectors” and that they would not “be thinking about abortion” if he won a second term.Harris’s filibuster remarks echoed a similar comment by Joe Biden immediately after Roe v Wade was struck down, when he said an exception to the time-honoured Senate rule had to be made to guarantee abortion rights.“I believe we have to codify Roe v Wade in the law,” he said. “And the way to do that is to make sure the Congress votes to do that. And if the filibuster gets in the way, it’s like voting rights – it should be (that) we provide an exception to this … requiring an exception to the filibuster for this action to deal with the supreme court decision.”Harris has previously advocated overriding the filibuster to pass additional voting rights laws and Green New Deal legislation.In 2020, Barack Obama described the filibuster as a “Jim Crow relic” from America’s racially segregated past and argued that it should be eliminated if used to block voting reform.The filibuster describes the use of prolonged debate to delay or prevent a vote on a bill. It can be invoked by any senator objecting to a bill and has been used with increasing regularity in recent decades.It can only be overridden by triggering “cloture”, which requires a three-fifths majority vote – or 60 of the 100 senators. If cloture passes, it enables a vote on the original measure the filibuster was designed to block.The longest filibuster in Senate history was achieved by Strom Thurmond, the pro-segregationist South Carolina senator, when he spoke for 24 hours and 18 minutes in an effort to block civil rights legislation in 1957.Thurmond’s speech – described by his biographer as a “urological mystery” – was reportedly achieved with help of prior steam baths to dehydrate his body and preclude the need for regular bathroom breaks. He was also reported by a staffer to have had himself fitted with a catheter to relieve himself while he spoke. More

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      Abortion measures are on the ballot in 10 states this year. Democrats can win them | Katrina vanden Heuvel

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      If you’re tired of breathlessly following the horserace polling of the presidential and congressional races, you might consider instead breathlessly following the horserace polling of ballot initiatives to protect reproductive rights. In a sense, they’re more revealing.Pending some outstanding court challenges from Republicans – whose dogged commitment to “leaving this issue to the states” curiously disappears when they realize they’re going to lose – up to 10 states will have abortion referendums on the ballot this year. And it happens that they’ll share that ballot with competitive Senate races in states like Montana, Nevada, Arizona, Florida and Maryland.In Nevada and Arizona, which could also play a decisive role in the presidential race, a Fox News poll found that over 70% of voters in both states plan to vote in favor of codifying abortion rights.Giving voters the opportunity to vote directly on abortion rights is a strategic win for progressives on a few levels. Of course, in a time when 22 state legislatures have acted to restrict abortion access since Dobbs, it’s a powerfully effective way to protect the right to choose. It also helps keep the subject in headlines when the Trump campaign would prefer voters to be distracted by mythical, racist claims about Haitian immigrants. And perhaps most significantly, it could motivate otherwise unenthusiastic voters to show up for what seems to be yet another excruciatingly close election.Ballot initiatives are a useful exercise in revealed preference. It has long been observed that millions of Americans end up voting against their economic self-interest each election cycle. In presidential elections, voters choose candidates, not policy papers. It’s why swing voters were not compelled by the argument that Joe Biden could serve four more years as president because he “surrounds himself with the right people”.Yet when voters have the chance to vote up or down on an issue that will directly impact their lives, they aren’t in the habit of denying themselves civil rights or quality of life improvements. And in the wake of Roe v Wade getting overturned, that has proved especially true.In 2022, every state referendum on abortion was a victory for pro-choice advocates. Voters in California, Michigan and Vermont voted to enshrine reproductive rights in their respective constitutions, while voters in Kentucky and Montana decisively voted down measures that would have restricted them. This coincided with progressive overperformance in gubernatorial and congressional races, where abortion proved highly salient.Ballot initiatives on other issues have also demonstrated sizable majorities for the right progressive priorities, even in so-called conservative states. Since 2012, measures to legalize recreational marijuana have passed in over a dozen states – including Alaska, Montana, Missouri and Ohio. Meanwhile, per Ballotpedia, there have been 22 statewide measures to raise the minimum wage since 1998; they’ve all passed.In this election, too, there are opportunities for waves of support for progress in unexpected places.Take Florida (please). The citizen-led group Floridians Protecting Freedom has been tirelessly pushing for amendment 4, which would enshrine the right to an abortion in the state’s constitution if it can garner 60% of the vote. One poll found that the initiative is positioned nicely to pass, with 69% support.Meanwhile, Florida amendment 3, which would legalize marijuana in the state, has already broken the record for the most money spent on any state cannabis measure, with more than $100m raised and counting. On that issue, the Republican party seems to recognize which way the smoke is blowing, since Trump has come out in favor of it.For all the talk of Florida falling out of reach for progressives, these amendments could serve as yet another signal that the left shouldn’t give up on the state. This is the same state that voted to restore the voting rights of more than 1 million felons in 2018 (despite immediate efforts that followed by the Republican government to subvert the will of the people). There is such a sizable bloc for progress, in fact, that despite Florida’s 60% threshold for constitutional amendments being the highest in the country, Republicans have proposed raising it even higher, to 66.67%.Beyond the Sunshine state, putting abortion rights front and center could also help address the Harris campaign’s nationwide challenges with younger voters. While Kamala Harris has managed to earn back some of the support that Biden lost among voters under 30, she still isn’t matching his 2020 performance.Sure, maybe touting Taylor Swift’s endorsement on Instagram or sending Barack Obama to juice voter registration on TikTok will move the needle. But with women under 45 citing abortion as their most motivating issue this election, it would seem wise to keep spotlighting a rare issue that is both persuasive to swing voters and galvanizing for young activists.At the St Petersburg campus of the University of South Florida, the 20-year-old college senior Alexis Hobbs can be found wearing a pink T-shirt behind a pink table recruiting her peers to vote “Yes on 4.”In an interview with New York Magazine, Hobbs shared just how motivated her fellow young people are to fight this fight: “They don’t want to live out their entire adulthood this way.”

      Katrina vanden Heuvel is editorial director and publisher of the Nation, a member of the Council on Foreign Relations, and has contributed to the Washington Post, the New York Times and the Los Angeles Times More

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      Gretchen Whitmer calls Trump ‘deranged’ after comments on abortion

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      Gretchen Whitmer, the governor of Michigan, called Donald Trump “just deranged” on Sunday after he said women would no longer be thinking about abortion if he is elected as president in November.“This guy just doesn’t understand what the average woman is confronting in her life in this country, and how could he? He’s not lived a normal life,” Whitmer said in an interview on CNN’s State of the Union.Whitmer also reaffirmed her support for Kamala Harris, describing her as a person “who has worked hourly jobs, who knows how important it is that women have healthcare and access to the medical care that they need”.Whitmer was asked to comment about a speech the former president delivered on Saturday, saying women “will be happy, healthy, confident, and free” if he is elected president.“He’s just deranged,” the governor of Michigan said.On Friday, Trump made similar comments about women on his Truth Social platform.“WOMEN ARE POORER THAN THEY WERE FOUR YEARS AGO, ARE LESS HEALTHY THAN THEY WERE FOUR YEARS AGO … AND ARE LESS OPTIMISTIC AND CONFIDENT IN THE FUTURE THAN THEY WERE FOUR YEARS AGO!” Trump said.Harris is a staunch supporter of abortion rights. The vice-president delivered two speeches on Friday, first in Georgia and then Wisconsin, highlighting the case of Amber Thurman, who died in Georgia due to a strict abortion ban.Whitmer’s comments on Sunday come a week after participating in an online campaign event with TV host, producer and author Oprah Winfrey, which was livestreamed nationally from Michigan.The Michigan governor was previously named as a possible candidate for the Democratic nomination for president before ruling herself out in July. Michigan is a must-win prize for candidates, a state that has voted for the presidential winner in the last four national elections.Joe Biden took Michigan by 154,000 votes in 2020. Two years later, Whitmer defeated a Trump-backed candidate and Democrats took full control for the first time in 45 years. More

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      Rallying in Two Key States, Harris Presses Her Case on Abortion Rights

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      Rallying supporters in two battleground states, Vice President Kamala Harris signaled on Friday that her closing campaign message would focus on the life-or-death risks that abortion bans pose to American women — and on the argument that former President Donald J. Trump is to blame.In Madison, Wis., a crowd that had been ebullient suddenly grew hushed as Ms. Harris spoke about her visit with the family of a Georgia woman who died of sepsis after waiting for more than 20 hours for medical care to treat an incomplete medication abortion.“She was a vibrant 28-year-old,” Ms. Harris said. “Her name, Amber Nicole Thurman, and I promised her mother I would say her name every time.”Earlier in the day, Ms. Harris traveled to Georgia, where Ms. Thurman and another woman, Candi Miller, died after delays in medical care tied to state abortion restrictions, according to reporting by ProPublica. Their deaths occurred in the months after Georgia passed a six-week ban made possible by the Supreme Court decision overturning Roe v. Wade.In Atlanta, Ms. Harris condemned the deaths of the two women in an impassioned speech, saying that Mr. Trump had caused a “health care crisis” and that women were being made to feel as “though they are criminals.”Ms. Harris’s stops in the two battleground states capped a relatively smooth week for her campaign as Mr. Trump again caused or confronted several politically unhelpful headlines and controversies. Most strikingly, the Republican candidate for governor of North Carolina, whom Mr. Trump has praised as “Martin Luther King on steroids,” was found to have called himself a “Black Nazi” and praised slavery in a pornographic chat room.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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      Harris condemns Trump in Georgia after news of abortion-related deaths

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      In her first speech dedicated exclusively to abortion rights since becoming the presidential nominee, Kamala Harris spoke on Friday afternoon in Atlanta, Georgia, blaming Donald Trump for the abortion bans that now blanket much of the United States.Harris spoke days after news broke that two Georgia mothers died after being unable to access legal abortions and adequate medical care in the state.“Two women – and those are only the stories we know – here in the state of Georgia, died, died, because of a Trump abortion ban,” Harris said. She repeatedly referred to “Trump abortion bans” in the speech.“Suffering is happening every day in our country,” Harris continued. “To those women, to those families – I say on behalf on what I believe we all say, we see you and you are not alone and we are all here standing with you.”In the weeks since becoming the Democratic nominee for president, Harris has made reproductive rights a central part of her campaign. She has toured the country to highlight the healthcare consequences of the 2022 overturning of Roe v Wade, which paved the way for more than a dozen states to ban almost all abortions.On Friday, Harris blamed the former president for Roe’s demise because Trump appointed three of the supreme court justices who overturned the landmark decision. She also also condemned Republicans for repeatedly blocking Senate bills that would have guaranteed a federal right to in vitro fertilization, a popular fertility treatment that had its future cast into doubt after Roe’s overturning.“On the one hand, these extremists want to tell women they don’t have the freedom to end an unwanted pregnancy,” Harris said. “On the other hand, these extremists are telling women and their parents they don’t have the freedom to start a family.”The raucous crowd grumbled loudly at Harris’s words. “Make it make sense!” someone shouted.Although Joe Biden won Georgia in the 2020 presidential election, becoming the first Democrat in decades to take the state, Democrats seemed unlikely to recapture it until Harris replaced Biden as nominee. Now, Georgia is once again a swing state. Lindsey Graham, the Republican senator from South Carolina and a major Trump surrogate, has said that Trump must win Georgia if he wants to win the White House. Meanwhile, Harris in August embarked on a two-day bus tour of the state and giving her first major network interview there.skip past newsletter promotionafter newsletter promotionThe deaths of the Georgia mothers, Amber Nicole Thurman and Candi Miller, were first reported earlier this week by ProPublica and occurred after Georgia enacted a six-week abortion ban. Georgia’s maternal mortality review committee looked at both women’s cases and deemed their deaths “preventable”, according to ProPublica.Although Georgia permits abortions in medical emergencies, doctors across the country have said that abortion exceptions are worded so vaguely as to be unworkable. Instead, doctors have said, they are forced to watch until patients get sick enough to legally intervene.After Thurman took abortion pills to end a pregnancy in 2022, her body failed to expel all of the fetal tissue – a rare but potentially devastating complication. Doctors delayed giving the 28-year-old a routine procedure for 20 hours, and she developed sepsis. Her heart stopped during an emergency surgery.“Under the Trump abortion ban, her doctors could have faced up to a decade in prison for providing Amber the care she needed,” Harris said on Friday. “Understand what a law like this means. Doctors have to wait until the patient is at death’s door before they take action.”Harris met with Thurman’s mother and sisters on Thursday night. “Their pain is heartbreaking,” she said.While on the campaign trail, Trump has alternated between bragging about helping to demolish Roe, complaining about how Republicans’ hardline anti-abortion stances have cost the Republican elections, and flip-flopping on his own position on the procedure.Access to abortion has become one of voters’ top issues over the last two years, and Democrats are hoping that outrage over Roe will propel them to victory at the ballot box this November. Ten states, including the key battleground states of Nevada and Arizona, are set to hold abortion-related ballot measures, which could boost turnout among Democrats’ base. More

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      ‘We are staying in this race’: behind the unraveling of Mark Robinson’s campaign in North Carolina

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      Mark Robinson, North Carolina’s tub-thumping Republican candidate for governor, had been trying to extricate himself from problems caused by his own words long before CNN dumped a truckload of dirt on him Thursday afternoon.Robinson has treated outrage over his ever-increasing litany of racist, sexist, homophobic and antisemitic offense as a badge of honor during the course of the campaign and his term as the state’s lieutenant governor. But CNN’s report tilled his pornographic internet history, unearthing comments that still managed the power to shock.CNN’s report connects Robinson’s name, email address and biographical details to the “minisoldr” persona, where Robinson described himself as a “Black NAZI!”, praised Hitler, described Martin Luther King Jr in racially offensive terms, expressed sexual interest in transgender pornography and described peeping on girls in a public shower when he was 14.“Slavery is not bad,” Robinson reportedly wrote. “Some people need to be slaves. I wish they would bring it [slavery] back. I would certainly buy a few.”CNN refrained from exposing the entirety of its findings because some of it was too disturbing to address in public, the news organization said.Shortly before the report came out, Robinson claimed he would remain in the race. If Robinson did not drop out before midnight, he couldn’t drop out; the deadline in North Carolina would have passed.Knowing how the left has sought the removal of supreme court justice Clarence Thomas for receiving questionable largesse from billionaires, it was characteristic of Robinson to liken his situation to Thomas’s “hi-tech lynching” 33 years ago over allegations of sexual misconduct with Anita Hill. “We’re not going to let them do that. We are staying in this race. We’re in it to win it,” Robinson said.But the bombastic candidate had already been facing a crushing defeat after a mix of resurfaced remarks and poor polling led the national Republican party, and Donald Trump, to back off from their support.Robinson’s apparent interest in transgender pornography stands in sharp contrast to his public opposition for trans rights. Calls for his resignation began in 2021 after comments surfaced in which he described education that discussed trans issues as “child abuse”, LGBTQ+ content as “filth” and suggested that trans people should be arrested for using the wrong bathroom.Robinson’s opponent, the North Carolina attorney general, Josh Stein, has needed to do little more than saturate the airwaves and social media with campaign ads drawing on Robinson’s own rhetoric, while speaking in broad positive terms about the state and his platform and reaffirming his support for reproductive rights.“As your next governor, I will veto any further restrictions on reproductive freedom,” Stein said at a rally in Greensboro for Kamala Harris.Abortion policy is at the center of Robinson’s appeal to the right and perhaps at the center of the electoral disaster unfolding for Republicans in North Carolina as well. Robinson’s pro-life politics have not just been strident but defiant and accusatory.In one recently unearthed video from a church sermon in 2022, he attacks women’s empowerment and birth control. “Why don’t you use some of that building up of your mind and building up of empowerment to move down here, to this region down here,” he said, waving his hand around his crotch. “Get this under control.”Notably, Robinson has admitted to paying for an abortion for his then girlfriend, now wife, in the 80s, something he said he regrets. It is the stridency of his anti-abortion rhetoric that has kept North Carolina’s religious right in his corner.Lorra Parker lives in McDowell county, where Republicans have a three-to-one advantage. She went to hear Robinson speak last week. Though she has a broad set of conservative political interests, abortion policy was critical to her identity as a voter, she said. Even as Trump appeared to vacillate on this issue in the debate, he doesn’t need to be the perfect candidate, just the better candidate.She applies the same logic to Robinson. Now, she’s reserving judgment while the reporting sorts itself out, she said.“Honestly, I’d need to hear it from a source other than CNN,” she said. “I think if he’s not guilty of this, then he should fight to prove that he’s not guilty of this. He’s got time to do that. But he’s been lieutenant governor for four years and they just found this out now? That’s a little suspicious to me.”Robinson’s public appearances and social media posts are a treasure trove of opposition research for Democrats painting their opponents as extremists.“The choice couldn’t be clearer,” reads one ad. “Donald Trump and Mark Robinson, their vision is one of division, violence and hate. Mark Robinson just fights job-killing culture wars … Just a few weeks ago, from of all places a church pulpit, he said ‘some folks need killing.’”On defense from all angles, Robinson went to ground shortly after winning the Republican primary earlier this year, refusing interviews with all but the most stridently conservative publications and broadcasters and largely avoiding public appearances.But a strategy of riding Trump’s coattails and counting on the state’s generally conservative lean had been collapsing as waves of negative press – about his campaign finances, the maladministration of his wife’s government-funded non-profit, and always his incendiary rhetoric – flooded the field.Robinson has not led in a poll since June; even before CNN’s revelations, the withdrawal of Joe Biden from the race in July threatened to turn a close race into a rout. The latest poll from Emerson College shows him losing to Stein by eight points.So, Robinson resurfaced a few weeks ago. He had made tentative steps in small venues far from the scrutiny of big-market news reporters to test messaging that retained as much heat as possible without burning people: cayenne rhetoric, not Carolina Reaper.On 11 September, the day after the Harris-Trump debate, Robinson stepped into the back room of Countryside Barbecue in cherry red Marion, North Carolina, looking for friendly territory and as much of a rhetorical rebrand as he might muster under fire.His stump speech touched on gas prices and teacher salaries and state taxes – policy issues instead of the culture war molotov cocktails about abortion and guns and gay people which launched his career and won him the nomination.But time and again, his attention turned to how the press and his Democratic opponent, had been lighting him up.skip past newsletter promotionafter newsletter promotion“We’ve got a guy named Josh Stein who wants to talk about any and everything except the truth,” Robinson said. “He’s got something about me from Facebook eight or nine years ago, where he cut it off just to play about three seconds of it. He didn’t play the whole thing, something about ‘keep your skirt down.’”Robinson was referring to the wall-to-wall ads playing across the state replaying a Facebook video from 2009 in which he says abortion “is about killing the child because you weren’t responsible enough to keep your skirt down”.“He cut off the part where he said ‘or keep your pants up’,” Robinson said to the conservative crowd last week, for whom that was convincing. Then he suggested that ad and others were deceptive. He called his opponent a liar. He dared the press to report it. He also demanded a debate, which Stein has been refusing.Shades of the Robinson bluster lay under the fresh paint of respectability.He spent almost as much time haranguing the president and vice-president in the mountain towns of western North Carolina as he did his actual opponent.“The same one that was right there riding shotgun with [Biden] while he was doing it was on TV last night talking about how she was going to fix it all,” Robinson said of Harris. “She tore it up, but she can’t fix it. What policy has she ever championed since she’s been in any office that will fix the problems that we’re facing right now?”Robinson has been walking back his previous, strident calls for a total abortion ban in North Carolina. Earlier this year, he argued for a six-week “heartbeat” law limiting abortion. Earlier this week, he argued for the public to “move on” from the abortion issue.In a room packed with church-going Republicans in Marion, he said: “Everybody may have a different opinion on that.“My opinion is this: no matter where that law sits, as the governor of this state, I’m going to fight to save every single solitary life in the womb. It doesn’t matter whether it’s 12 weeks, six weeks, eight weeks, 20 weeks – we’re going to fight for life in this state.In a reference to Trump and his running mate, JD Vance, Ohio senator and author of Hillbilly Elegy, some of Robinson’s road team wore shirts printed with the words “Felon / Hillbilly”.The shirts reflect the tone of Robinson’s race. He has tied himself for good or ill to Trump’s tenor and politics. But even Trump’s team has had enough.According to the conservative Carolina Journal, the Trump campaign has been pressuring Robinson to withdraw, out of fear that North Carolina’s election-deciding swing voters will not just abandon the lieutenant governor but the entire Republican ballot.Citing anonymous campaign sources, the Carolina Journal reported that the Stein campaign leaked the material to CNN, and that the Trump campaign told Robinson that he was no longer welcome at rallies for Trump or Vance. Trump has not mentioned Robinson in the last week. Vance held his first solo rally in North Carolina on Wednesday. Robinson did not appear. His office announced that Robinson had contracted Covid-19.Trump campaign officials denied that they had been pressuring Robinson to quit the race in comments to NBC.The Stein campaign released a terse statement shortly after the CNN piece aired.“North Carolinians already know Mark Robinson is completely unfit to be Governor,” the campaign said. “Josh remains focused on winning this campaign so that together we can build a safer, stronger North Carolina for everyone.”The Harris campaign, however, has gleefully circulated videos with Trump praising Robinson. Trump referred to Robinson as “Martin Luther King Jr on steroids.”Robinson, in comments under his “minisoldr” persona, said: “I’m not in the KKK. They don’t let blacks join. If I was in the KKK I would have called him Martin Lucifer Koon!” More