Biden administration

Subterms

    More stories

    • 138 Shares169 Views

      in US Politics

      Biden proposes Medicare and Medicaid cover weight-loss drugs for 7.4m people

      by

      The Biden administration is proposing to make “miracle” weight loss drugs free for low-income people and retirees, in a move aimed at tackling America’s chronic obesity problem but which throws down a gauntlet to the incoming president, Donald Trump.The proposal, unveiled on Tuesday, would see expensive drugs such as Ozempic, Wegovy and Zepbound covered by Medicaid and Medicare, the federal government programs for the poor and the elderly.It would come at a hefty cost to the public purse. The drugs would be covered for anyone qualifying as obese, a definition that currently fits 40% of the US population. Currently, coverage is only given when patients have other conditions that is caused by obesity, such as diabetes, heart disease and cancer.Xavier Becerra, the US health and human services secretary, called the move a “game changer”.“It helps us recognize that obesity is with us,” he told the Washington Post. “It’s severe. It’s damaging our country’s health. It’s damaging our economy.”But the proposed reform amounted to a challenge to Trump’s incoming administration, which would have to decide whether to implement the change a few days after taking office in January. Trump has sworn to slash the federal budget.It also paved the way for a likely conflict between two of Trump’s health sector nominees: Robert F Kennedy Jr, who has been proposed as the health and human services secretary, and Mehmet Oz, the celebrity physician who has been nominated to run Medicare and Medicaid.Kennedy has vowed to promote healthy eating and improve fitness in the battle against obesity, and has fiercely criticised weight loss drugs, blaming them for obscuring the causes of ill health.He recently claimed to Fox News that covering a drug like Ozempic for every overweight American would cost $3tn a year.“If we spend about one-fifth of that, giving good food, three meals a day, to every man, woman and child in our country, we could solve the obesity and diabetes epidemic overnight for a tiny fraction of the cost,” he said.“There’s a huge push to sell this to the American public. They’re counting on selling to Americans because we’re so stupid and so addicted to drugs.”Oz has taken a different tack, praising Ozempic on social media last year. “[F]or those who want to lose a few pounds, Ozempic and other semaglutide medications can be a big help,” he wrote. “We need to make it as easy as possible for people to meet their health goals, period.”Beccera estimated that 3.4 million people on Medicare and 4 million on Medicaid would become eligible for the drugs under the new rule.But other research suggests that far more people may qualify. The Centers for Medicare and Medicaid Services (CMS), the agency Oz has been nominated to head, has estimated that 28 million recipients suffer from obesity.A recent Congressional Budget Office analysis estimated that federal spending would rise by $35bn between 2026 and 2034 by allowing Medicare alone to cover weight-loss medications.People can lose between 15% and 25% of their body weight thanks to the drugs, which imitate the hormones that regulate appetites. A month’s supply can cost around $1,000. More

    • 125 Shares189 Views

      in US Politics

      Biden will attend Trump’s inauguration in January, says White House

      by

      President Joe Biden and first lady Jill Biden will attend Donald Trump’s inauguration in January, a White House spokesperson said on Monday.“The president promised that he would attend the inauguration of whomever won the election,” said Andrew Bates, senior deputy press secretary at the White House, Reuters reported.“He and the First Lady are going to honor that promise and attend the inauguration.”The president-elect did not attend Biden’s inauguration in January 2021, which came days after the January 6 attack on the US Capitol.Earlier this month, the US president welcomed Trump back to the White House – another tradition Trump eschewed after losing the 2020 election- with Biden promising a transfer of power that is “as smooth as it can get”.“We’re looking forward to having, like we said, a smooth transition. We’ll do everything we can to make sure you’re accommodated, what you need, and we’re going to get a chance to talk about some of that today,” Biden said earlier this month. “Welcome back.”skip past newsletter promotionafter newsletter promotionTrump’s decision to skip Biden’s inauguration was not without precedent, but he was the first president to skip his successor’s inauguration in more than 150 years and his then outgoing administration was represented by then outgoing vice-president Mike Pence. More

    • 125 Shares199 Views

      in US Politics

      Lame duck Biden pardons Thanksgiving turkeys as the world burns

      by

      This is the way Biden world ends. Not with a bang but a gobble.Joe Biden, 82, once the defender of democracy and saviour of America’s soul, is heading for the door, about to trade the nuclear codes for golf clubs and beach loungers. Power is as fickle as fame.But on a crisp, sunny Monday he pulled off one last win over old rival Donald Trump by drawing surely the biggest crowd ever seen at the annual Thanksgiving turkey pardoning. And he knows how obsessed Trump is with crowd sizes.“They tell me there’s 2,500 people here today,” said Biden, standing at the presidential lectern on the south lawn and quipping, “looking for a pardon.”He laughed and so did the crowd. When a downbeat Trump held this event at the end of his own presidency in 2020, there were shouted questions such as “Mr President, will you be issuing a pardon for yourself?” Biden has ruled out a last-minute pardon for his son, Hunter, convicted on federal gun charges.But a mischief-maker with a dark sense of humour might have named this year’s turkeys Nancy and Barack, after the two Democrats who hastened the president’s exit from the election race after his disastrous TV debate against Trump.Instead the two white-plumed birds, raised in Minnesota, were called Peach and Blossom, named after the official state flower of Biden’s home state, Delaware.Wearing his trademark aviator sunglasses, Biden, marking his final holiday season at the White House, could not resist remarking: “And by the way, Delaware has a long history of growing peaches. In fact, the peach pie in our state is one of my favorite. It’s a state dessert!”He added: “Peach blossom flower also symbolises resilience, which is, quite frankly, fitting for today.”It was ostensibly a comment about the turkeys’ resourcefulness in avoiding the Thanksgiving dinner table. Some might also have detected a poignant acknowledgement that, even Biden talked turkey, a man his allies branded a fascist is down at Mar-a-Lago preparing to hammer America’s democratic institutions all over again.George HW Bush made it an annual tradition to formally pardon a Thanksgiving turkey, though tales of the birds being spared from dinner tables go back to Abraham Lincoln’s presidency. Biden recalled that, in the past four years, he has continued the tradition by pardoning Peanut Butter and Jelly, Chocolate and Chip and Liberty and Bell. “And today, Peach and Blossom will join the free birds of the United States of America.”As he continued, Peach could be heard gobbling. “Yeah, I hear you,” Biden said, as the crowd laughed. “Peach wants to speak a little bit here.”Peach weighs 41lbs, loves to eat tater-tot-topped hotdish, enjoys cross-country skiing, dreams of seeing the Northern Lights and lives by the motto, “Keep calm and gobble on”, the president quipped. Blossom weighs 40lbs, loves to eat cheese curds and watch boxing, dreams of visiting each of Minnesota’s 10,000 lakes and lives by the motto: “No fowl play, just Minnesota nice”.The turkeys had travelled 1,100 miles over 16 and a half hours, listening to their favourite music, including the song Living on a Prayer. Biden added: “Well, fellas, your prayer is going to be answered today. Based on your temperament and commitment to being productive members of society, I hereby pardon Peach and Blossom.”And so the lame duck pardoned the turkeys.As is customary, Biden then promised to close on a more serious note. He acknowledged that this would be his last time speaking here as president during this season. “So, let me say to you: It’s been the honour of my life. I’m forever grateful.”There were characteristic reflections on those who have lost loved ones, the importance of family and how America is the greatest country on earth. “And that’s not hyperbole,” he added, as if anticipating dissenters. “We are.“No matter what, in America, we never give up. We keep going. We keep the faith. We just have to remember who we are. We’re the United States of America. There is nothing, nothing, nothing beyond our capacity when we do it together.”It is a line that Biden uses often at the end of his speeches. But on Monday it sounded like a plea from a man whose legacy is imperilled. With Trump’s promise of mass deportations, gutting of the federal bureaucracy and “America first” isolationism, a presidency that once seemed so consequential is at risk of fading fast.Despite the big crowd, Biden’s turkey farewell felt more muted than that of Barack Obama who, despite the knowledge that Trump was looming, managed to remain cheerful fire off a “a corny-copia of dad jokes about turkeys”. Obama that day seemed demob happy; Biden like a man in denial.Peach and Blossom will now head to an agricultural centre in Minnesota to help promote the state and educate future farmers. Biden, riding off into a sunset of his own, may find retirement brings far less peace. More

    • 163 Shares169 Views

      in US Politics

      Biden must Trump-proof US democracy, activists say: ‘There is a sense of urgency’

      by

      The skies above the White House were cold and grey. Joe Biden greeted the championship winning Boston Celtics basketball team, quipping about his Irish ancestry and tossing a basketball into the crowd. But the US president could not resist drawing a wider lesson.“When we get knocked down, we get back up,” he said. “As my dad would say, ‘Just get up, Joe. Get up.’ Character to keep going and keep the faith, that’s the Celtic way of life. That’s sports. And that’s America.”Such events continue to be among the ceremonial duties of a “lame duck” president with waning influence. Biden has cut a diminished figure in recent months, first surrendering his chance to seek re-election, then finding himself sidelined by the doomed presidential campaign of his vice-president, Kamala Harris.But with his legacy imperiled by Donald Trump, the president is facing calls to mitigate the oncoming storm. Advocacy groups say Biden, who turned 82 this week, can still take actions during his final two months in office to accelerate spending on climate and healthcare, secure civil liberties, and Trump-proof at least some fundamentals of US democracy.Trump’s signature campaign promise was a draconian crackdown on illegal immigration. He has nominated officials including Tom Homan and Stephen Miller, architects of family separations at the southern border during his first term, and vowed to use the US military to carry out mass deportations of undocumented immigrants.The plans include mandatory detention, potentially trapping immigrants in inhumane conditions for years as they fight deportation. The American Civil Liberties Union (ACLU) is leading an opposition effort, urging Biden to halt the current expansion of Immigration and Customs Enforcement (Ice) detention facilities, especially those with records of human rights abuses.Eunice Cho, a senior staff attorney with the ACLU national prison project, said Ice detention facilities “characterised by abusive conditions, pervasive neglect and utter disregard for the dignity of people in their custody” are key to Trump’s logistical plan.Dozens of people have died in Ice detention facilities – mostly owned or operated by private prison corporations – over the past four years, according to the ACLU, and 95% were likely preventable if appropriate medical care had been provided. Yet the Biden administration has backed new Ice detention facilities in states where they did not existed before, such as Kansas, Wyoming and Missouri.“We are calling on the Biden administration to take action now, in the final days of the administration, to halt any efforts to expand immigration detention and to shut down specifically abusive facilities once and for all,” Cho told reporters on a Zoom call this week. “We don’t need to put down runway for the Trump administration to put in place these mass detention and deportation machines.”She warned: “We know that the anti-immigrant policies of a second administration are going to be far more aggressive than what we saw in the first term, and mass arrest and detention is going to become perhaps the norm to create and carry out these deportation operations unless we can do all we can to put a halt to them.”View image in fullscreenAnother crucial area for Biden to make a last stand is criminal justice. In his first term, Trump oversaw the execution of more people than the previous 10 presidents combined. Biden’s attorney general, Merrick Garland, then imposed a moratorium on federal executions in 2021.Trump has indicated his intention to resume such executions and even expand the death penalty. His nominee for attorney general, Pam Bondi, issued a public apology in 2013 while serving as Florida’s top law enforcement officer after she sought to delay the execution of a convicted killer because it conflicted with a fundraiser for her re-election campaign.Cassandra Stubbs, director of the ACLU’s capital punishment project, told reporters via Zoom that Trump said “he will work to expand the death penalty. He’s going to try to expand it to people who do not even commit killings. He’s called for expanding the death penalty to his political opponents.“But perhaps most dangerously in Project 2025 [a policy blueprint from the Heritage Foundation thinktank] – and we believe every word of it is this – he promised to try to kill everyone on death row, and the reason why we have to believe this and take it so seriously is the record that Donald Trump left where he, in a span of six months, carried out 13 executions.”The ACLU and other groups are therefore pressing Biden to commute the sentences of all individuals on federal death row to life in prison, fulfilling a campaign promise and preventing potential executions under Trump. Commuting “is really the thing that Biden can do to make it harder for Trump to restart executions”, Stubbs added.Pastor Brandi Slaughter, a board member of the pressure group Death Penalty Action, told reporters this week: “We know what the next president plans to do if any prisoners are left under a sentence of death under the Biden administration. We’ve been there, we’ve done that.”Biden has also received 8,000 petitions for clemency from federal prisoners serving non-death penalty sentences that he could either reduce or pardon. The former senator has long been criticised for his role in drawing up a 1994 crime law that led to the incarceration of thousands of Black men and women for drug offences.This week, members of Congress including Ayanna Pressley and James Clyburn led 64 colleagues in sending a letter to Biden urging him to use his clemency power “to reunite families, address longstanding injustices in our legal system and set our nation on the path toward ending mass incarceration”.They were joined at a press conference on Capitol Hill by Maria Garza, 50, from Illinois, a prison reform advocate who spent 12 years in a state prison. She said in an interview: “There is a sense of urgency because a lot of the people that are sitting waiting for clemency are people that have de facto life sentences that will die in prison if they don’t [receive clemency]. A lot of their unjust sentencing was because of the 1994 crime bill that he was the founding father of.”skip past newsletter promotionafter newsletter promotionMitzi Wall, whose 29-year-old son Jonathan is incarcerated on a seven-and-a-half-year federal cannabis charge, called on Biden to keep a campaign promise to grant clemency to more than 4,000 people in federal prison for nonviolent cannabis crimes.“We voted for President Biden,” she said. “He gave us hope and we’re asking him to do nothing more than keep his promise.”Wall, 63, from Maryland, added: “President Biden was partly responsible for writing the 1994 crime bill that thrust families into abject poverty and pain. I know he feels bad about that and he can right that wrong with the power of the pen. I’m appealing to him as a father whose son [Hunter] could very possibly be going to prison.”In other efforts to protect civil liberties, the ACLU is recommending a moratorium on all federal government purchases of Americans’ personal data without a warrant. It is also asking Congress to pass the Fourth Amendment Is Not for Sale Act to prevent potential abuse of surveillance technologies under the Trump administration.Meanwhile, Trump has pledged to rescind unspent funds in Biden’s landmark climate and healthcare law and stop clean-energy development projects. White House officials are working against the clock to dole out billions of dollars in grants for existing programmes to minimise Trump’s ability to rescind or redirect these funds. Earlier this month, the transportation secretary, Pete Buttigieg, announced more than $3.4bn in grants for infrastructure projects across the country.Wendy Schiller, a political science professor at Brown University in Providence, Rhode Island, notes that Trump will have the power of impoundment to stall the money flowing out of the government and can order rescissions to programmes funded by Congress.“The singular thing that Joe Biden can do is expedite the flow of federal dollars in all the programmes,” Schiller said.“Any money that is supposed to leave the treasury to go to schools, food safety, environmental protection – anything that is not yet distributed needs to get distributed. It’s like emptying literally the piggy bank before you go on a trip. President Biden needs to be literally getting as much money out the door in the hands of state, local and community organisations as he can.”Another priority for the White House is getting Senate confirmation of as many federal judges as possible, given the potential impact of the judiciary in challenging Trump administration policies. The Marshall Project, a non-profit news organisation, noted: “Federal judges restricted hundreds of Trump administration policies during his first term, and will likely play a significant role in determining the trajectory of his second.”Senate Republicans forced numerous procedural votes and late-night sessions this week in attempt to stall confirmations. Eventually a deal was struck that will bring Biden within striking distance of the 234 judicial confirmations that occurred in Trump’s first term – but four of Biden’s appellate court nominees will not be considered.The outgoing president could also engage with Democratic-led states and localities to bolster protections and establish “firewalls” against Trump’s agenda, particularly in areas such as immigration. These collaborations could involve reinforcing sanctuary city policies and providing resources to states that are likely to face pressure from the Trump administration.Chris Scott, former coalitions director for Harris, said: “What will be interesting is how or what can President Biden to work with states, especially where we have Democratic leadership in place, to be able to brace themselves and arm themselves with more protection. We already have places like a Michigan or Illinois where you have governors vowing to make sure that they have protections – even in the Trump presidency.”As Barack Obama discovered before handing Trump the keys to the Oval Office in 2017, however, lame duck presidents can only do so much. Trump will come into office with a flurry of executive orders, a supportive Congress and fewer guardrails than the first time around.Bill Galston, a former adviser in the Bill Clinton administration, said: “On January 20 Donald Trump will control all the instruments of government and, at that point, it’ll be up to the courts – and public opinion – to restrain him.” More

    • 175 Shares169 Views

      in US Politics

      How Trump 2.0 might affect the wildfire crisis: ‘The harms will be more lasting’

      by

      In the days that followed Donald Trump’s election win, flames roared through southern California neighborhoods. On the other side of the country, wildfire smoke clouded the skies in New York and New Jersey.They were haunting reminders of a stark reality: while Trump prepares to take office for a second term, the complicated, and escalating, wildfire crisis will be waiting.As the climate crisis unfolds, communities across the country are spending seasons under smoke-filled skies. Federal firefighters are overworked and underpaid, the cost of fire suppression has climbed, and millions of people are at risk of losing their insurance. Landscapes and homes alike have been reduced to ash as the world continues to warm.The president-elect has offered few plans to address the emergency. Instead, he’s promised to deliver a wave of deregulation, cripple climate-supporting agencies, and clear departments of logistical experts relied upon during disasters.His allies, including the authors of Project 2025, a conservative playbook for a second Trump administration, have recommended privatizing parts of the federal government that now serve the public good.In the past week, Trump’s announcements for key cabinet nominations has already shown he’s begun to solidify an anti-science agenda.“Whatever happens at a broad scale is going to affect our ability to manage risks, respond to emergencies, and plan for the future, “ said University of California climate scientist Daniel Swain. “I don’t see any way there won’t be huge effects.”Here are the challenges ahead:Setting the stakesLooking back at his first term, Trump had a poor record managing large wildfire emergencies – and he had many opportunities. After presiding over the response to destructive blazes that left a devastating toll, including the Camp fire that claimed the lives of 85 people in and around the town of Paradise, in 2020 he told a crowd in Pennsylvania that high-risk fire states such as California, and their residents, were to blame.“I said you gotta clean your floors, you gotta clean your forests – there are many, many years of leaves and broken trees and they’re like, like, so flammable, you touch them and it goes up,” he said. That year, a record 10.2m acres were charred across the US.In a signal of how politicized disaster management in the Trump era became, he added: “Maybe we’re just going to have to make them pay for it because they don’t listen to us.”Such comments raised fears among experts and officials working to protect these landscapes and the neighborhoods near them that Trump didn’t understand the magnitude of the risks US forests faced.He’s been unwilling to embrace the strategies that the scientists and landscape managers recommend to help keep catastrophic fire in check, including a delicate and tailored approach to removing vegetation in overgrown forests, protecting old-growth stands, and following those treatments with prescribed burning.The risks and challenges have only intensified since his first term.Some in the wildfire response communities are hopeful that Trump will cut red tape that’s slowed progress on important forest treatments, but others have highlighted a blunt approach could do more harm than good.Many have voiced concerns over ambitions set out in Project 2025 to curb prescribed burning in favor of increasing timber sales.Meanwhile, federal firefighters are waiting to see whether Trump and a Republican-led Congress will secure long-overdue pay raises.The US Forest Service (USFS), the largest employer of federal firefighters, has seen an exodus of emergency responders over abysmally low pay and gaps in support for the unsustainable and dangerous work they do.Federal firefighters who spend weeks at a time on the fireline and rack up thousands of hours in overtime each summer, make far less than their state- and city-employed counterparts with paychecks that rival those of fast-food employees. That exodus has hampered its ability to keep pace with the year-round firefighting needs.“Doing less with your resources makes a task like fire suppression and fuels management extremely more challenging,” said Jonathan Golden, legislative director of the advocacy group Grassroots Wildland Firefighters.Joe Biden facilitated a temporary pay raise for federal wildland firefighters, but those expire at the end of the year. With Trump promising large cuts to federal budgets and the bureaucrats who operate them, many fear the Republican leadership in Congress won’t push the legislation needed to ensure these essential emergency responders keep their raise.If the pay raises are allowed to expire, many more federal firefighters will walk out the door – right when they are needed most.“The job isn’t going to get any easier,” Golden said. “My hope is that we continue to have a well-staffed and well-funded professional workforce that can answer the call year-round – because that’s what is required.”skip past newsletter promotionafter newsletter promotionEmergencies on the riseBillion-dollar weather and climate disasters are on the rise. There was a historic number in the US in 2023 with a total of 28 – surpassing the previous record of 22 in 2022. With more than a month left, there have already been 24 this year.Trump has a history of stalling in the aftermath of natural disasters, opting instead to put a political spin on who receives aid. For wildfires during his first term, that meant threatening California and other Democratic-majority states with delayed or withheld funding to punish them for their political leanings.This time, some fear he may also reduce the amount of aid provided by Fema. Project 2025 has called for a shift in emergency spending, putting the “majority of preparedness and response costs to states and localities instead of the federal government” and either eliminating or armoring grants that fund preparedness to push Trump’s political agenda.The framework advises the next president to remove all unions from the department and only give Fema grants to states, localities and private organizations who “can show that their mission and actions support the broader homeland security mission”, including the deportation of undocumented people.These tactics could hamper both preparedness and recovery from wildfires and other disasters, especially in high-risk blue states such as California and others across the west.The administration has also been advised by Project 2025 authors to dismantle or severely hamper the National Oceanic and Atmospheric Administration, whose forecasting has been essential to warn when dangerous weather arises, and remove all mention of the climate crisis in federal rhetoric and research.Trump’s picks of a former congressman Lee Zeldin to head the Environmental Protection Agency and North Dakota governor Doug Burgum as the Department of Interior secretary – two agencies deeply connected to US climate policy – indicate his strong skepticism of the climate crisis. Zeldin and Burgum have clear directives to oversee rampant deregulation and expedite extraction on public lands.“Folks at federal agencies are already being gently advised to think about the language they use to describe things,” Swain said. He thinks the effects will be far-reaching, especially when it comes to wildfire preparedness and response. Disabling science and weather-focused agencies could reduce important intel that responders rely on, reduce nimbleness and hamper efforts to plan into the future.“A lot of people are thinking this is going to be the second coming of the first Trump administration and I don’t think it’s the right way to be thinking about it,” Swain said.“This time, it’s highly plausible that the disruption and the harms will be a lot deeper and more lasting – it will be much harder to reverse.”Big picture problemsEven before Trump retook the White House, the US was missing the mark on its ambitious climate goals. But scientists and experts have offered clear warnings about how Trump’s policies could accelerate dire outcomes.“Climate change is a huge crisis and we don’t have time to spare,” said Julia Stein, deputy director of the Emmett Institute on climate change and the environment at the UCLA School of Law.Stein pointed to the potential for many of these policies to be challenged in court, much like they were the first time around. States such as California, which is also home to one of the world’s largest economies to back it, are already preparing to challenge Trump’s policies. The directives of the first Trump administration were often legally vulnerable, Stein said, and she thinks they might be again this time around, especially if he attempts to rid the agencies of career bureaucrats and their deep knowledge of how things work.In a state where wildfires are always a risk, California is also bolstering its own approach, doubling down on landscape treatments and investing in preparation, mitigation, and response according to Stein, who noted the $10bn climate bond just passed by voters there that will go toward wildfire prevention and mitigation.Still, fires don’t recognize borders. The threats continue to push into areas that aren’t accustomed to them, and larger swaths of the country will be forced to grapple with smoke. Without partners in federal agencies that manage lands across the US, states will struggle to address the mounting challenges on their own.“Continuing to enforce those laws in California will blunt some of the impact for Californians,” she said. “The unfortunate thing – especially when it comes to climate change – there are going to be national and global consequences for inaction at the federal level.” More

    • 150 Shares99 Views

      in US Politics

      Biden heads for last meeting with Xi Jinping before Trump takes office

      by

      Joe Biden will meet with Xi Jinping Saturday afternoon in what is expected to be the last time the two leaders meet before Donald Trump assumes the US presidency in January.The two leaders are attending the annual Asia-Pacific Economic Cooperation (Apec) summit in Peru and are expected to have a meeting on the sidelines of the summit.The White House said that Biden will communicate that the two countries need to maintain “stability, clarity and predictability through this transition”.“Transitions are uniquely consequential moments in geopolitics. They’re a time when competitors and adversaries can see possible opportunity,” Jake Sullivan, the national security adviser, said earlier this week.Biden is expected to talk with the Chinese president about increasing Chinese efforts to halt North Korea’s escalating role in the conflict between Russia and Ukraine. In recent weeks, the Pentagon and Nato confirmed that about 10,000 North Korean troops were sent to help Russia’s offense in Ukraine.Biden met on Friday with Yoon Suk Yeol, the South Korean president, and Shigeru Ishiba, the Japanese prime minister, and affirmed the alliance among the three countries. The three leaders agreed that “it should not be in Beijing’s interest to have this kind of destabilizing cooperation take place in the region”, a senior administration official said in a briefing on background.Trump’s imminent return to the White House casts a dark shadow over the conversation as it remains unclear what his second term will mean for the relationship between the US and China.On the campaign trail, Trump touted a hawkish approach to China, promising to increase tariffs to 60% on Chinese imports, which could be as much as $500bn worth of goods. Trump has also promised to end Russia’s war in Ukraine “in 24 hours”, which some fear means decreasing the flow of military aid to Ukraine or pushing the country to lose territory to Russia. A general backing away from the conflict could give room for China to step up as an intermediary, increasing its presence on the global stage.Among Trump’s blitz of cabinet nominee announcements was the appointments of Florida senator Marco Rubio as secretary of state and Republican representative Mike Waltz as national security adviser, both of whom have have voiced hawkish views on China.Xi congratulated Trump on his election win earlier this month, saying that their two countries must “get along with each other in the new era”, in a statement.“A stable, healthy and sustainable China-US relationship is in the common interest of both countries and is in line with the expectations of the international community,” Xi said.But in prepared remarks at Apec earlier in the week, Xi took on a more foreboding tone, saying that the world has “entered a new period of turbulence and transformation” and proffered vague warnings of “spreading unilateralism and protectionism”.Adding more uncertainty to the relationship between the two countries, US officials have been on edge in recent weeks about an FBI investigation showing that the Chinese government tried to hack into US telecommunications networks to try to steal the information of American government workers and politicians. Officials said last month that operations linked to China targeted the phone of Trump and running mate JD Vance, along with staff of Kamala Harris. More

    • 150 Shares119 Views

      in US Politics

      US overdose deaths decreased in 2023 – will Trump continue this trend?

      by

      The Biden administration saw unprecedented levels of US opioid overdose fatalities, but those deaths are now declining faster than they have in decades – progress a second Trump administration could continue or threaten, experts say.The number of overdose deaths in the US declined for the first time in five years in 2023, and have continued to decline more rapidly this year, according to provisional data.Some of the decline may have resulted from Biden administration efforts to expand access to harm-reduction services, especially the overdose-reversal drug naloxone, which received over-the-counter approval for the first time last year. Public health experts worry that the second Trump administration will gut access to healthcare, including addiction treatment.The president-elect’s legacy on opioids is complicated. When Trump first took office, he inherited a rapidly escalating overdose crisis. Opioid overdose deaths more than doubled during the Obama administration,according to data from the Centers for Disease Control and Prevention. The three most recent presidential administrations have all failed to quell escalating opioid overdose deaths, which nearly doubled again during the Trump and Biden administrations, dipping slightly in 2018 but overall jumping by 62% during Trump’s first term in 2020. Under Biden, deaths increased by 19% from 2020 to 2022, to 81,806, before declining by 2% last year.At times, the Trump administration seemed to work against itself when it came to the crisis. For example, Trump repeatedly attempted to gut funding for the Office of National Drug Control Policy, although Congress blocked his efforts. Similarly, Trump was frequently in disputes with Congress over attempts to repeal elements of the Affordable Care Act and its expansions to Medicaid, which funds treatment for 40% of adults with opioid use disorder.Still, experts contacted by the Guardian within and outside the first Trump administration credit the president-elect for putting unprecedented focus on the crisis.Trump signed an executive order in 2017 forming the Presidential Commission on Combating Drug Addiction and the Opioid Crisis. Bertha Madras, a professor in Harvard’s psychiatry department who served on the commission, said it wasn’t until Trump “established the commission that a significant integrated national response materialized”.Adm Brett Giroir, who served as an assistant secretary in Trump’s Department of Health and Human Services, says that he was given the authority to head up an unofficial “opioids cabinet … which met every week at the White House under Kellyanne Conway to make sure every department was working on this crisis”.Others praise Trump for supporting harm-reduction efforts, despite past opposition from his party.“President Trump publicly supported syringe services programs, a first for a Republican president,” said Jerome Adams, who served as surgeon general under Trump. Indeed, the Trump administration in some ways paved the way for the Biden administration’s response to the crisis. Access to naloxone expanded significantly under Trump, and even more under Biden.But despite these efforts, the number of US overdose deaths climbed for the majority of Trump’s first term. Giroir and Madras both attribute the huge overdose spike in 2020 to the Covid-19 pandemic, which overwhelmed the healthcare system and increased depression and suicide.Andrew Kolodny, medical director for the Opioid Policy Research Collaborative at Brandeis University, says the administration should have done more.“The first time around, President Trump did an excellent job of calling attention to the opioid crisis and designating it as a public health emergency,” he conceded, but he also said the then president failed to take sufficient action or establish a long-term plan.While the Trump administration allocated unprecedented amounts of funding to combat the crisis, Kolodny said the impact was limited, because states were usually given funds in the form of one- or two-year grants.“That’s not really adequate for building out a treatment system that doesn’t exist yet,” Kolodny said. “If you were to hire a whole bunch of staff, what would you do if you don’t get that appropriation the next year? Do you lay everybody off?”skip past newsletter promotionafter newsletter promotionExperts disagree on whether the administration spent too much of that funding on law and border enforcement, rather than treatment. Giroir supported harm-reduction and treatment expansion during his time under Trump, and is proud of his efforts to remove red tape and increase access to the opioid-cessation drug buprenorphine. Still, he says, “enforcement has to dominate the discussion”, because treatment is less effective than preventing addiction in the first place.Other experts say that criminalization only exacerbates the crisis.“Under Trump’s previous administration, they federally criminalized all fentanyl-related substances in 2018 – and overdose deaths increased from 67,367 that year to 70,630 and 93,331 in 2019 and 2020 respectively,” said Kassandra Frederique, executive director of the Drug Policy Alliance.Kolodny didn’t necessarily agree that criminalization drove the overdose increases, but he did say “the balance should be different” when it comes to prioritizing treatment over law enforcement. He said the best way to immediately reduce the overdose death count would be to make treatment “basically free” and overall easier to access than fentanyl.“[People with opioid use disorder] are not out there using fentanyl because it’s so much fun. If they don’t use, they’re gonna be very, very sick … People can really feel like they’re gonna die,” he said.It’s hard to predict how Trump will tackle the overdose crisis the second time around. He avoided the topic during his recent presidential campaign, and instead focused on inaccurate talking points about immigrants trafficking drugs across the border. He also falsely claimed he had never wanted to repeal the Affordable Care Act. But a Republican-controlled Congress could cut ACA subsidies and Medicaid.Frederique worries that Trump will continue prioritizing drug arrests during his second term, but said during his first term “he also dedicated billions of dollars toward research, education, prevention and treatment. We are committed to supporting the Trump administration’s previous efforts to advocate for health approaches such as increasing access to treatment and naloxone.” More

    • 250 Shares129 Views

      in US Politics

      Biden now has his best opening to end Israel’s war on Gaza – and won’t use it | Mohamad Bazzi

      by

      When the histories of his administration are written, it will be clear that Joe Biden held on to his callous disregard for Palestinians until the end of his presidency. How else to explain why Biden would refuse a final chance to stop Israel’s brutal war on Gaza and save Palestinian lives, when he has nothing to lose?On Tuesday, the Biden administration quietly ignored its own deadline for Israel to increase the minuscule amount of humanitarian aid it allows to enter Gaza. The US secretary of state, Antony Blinken, and defense secretary, Lloyd Austin, imposed the 30-day deadline in a letter sent to Israeli officials on 13 October, which warned that they must take “concrete measures” to ensure that Palestinian civilians in northern Gaza have access to food, medicine and other necessities. The administration said it could suspend US military support to Israel if conditions did not improve. Despite the US ultimatum, the amount of aid reaching the besieged territory in October had dropped to its lowest level in 11 months.As the deadline passed, the Biden administration did what it has done for more than a year: it caved and continued sending weapons to the government of the Israeli prime minister, Benjamin Netanyahu, despite the devastation and famine Israel has inflicted on Gaza. And Washington sheepishly told the world that it would not impose any consequences on Israel, even though the US is legally bound to stop arming an ally that blocks humanitarian aid in a conflict zone.It’s the latest in a long series of decisions by Biden over the past 13 months that show his disdain for Palestinian lives. But his lack of action this week is especially egregious because Biden is politically unrestrained: the presidential election is over, and Donald Trump won. Biden can do whatever he wants without incurring a political cost. He doesn’t even have to worry about a transition to his fellow Democrat and vice-president, Kamala Harris. If there was ever a time for Biden to use his considerable power to save Palestinians, this was it. Yet he squandered this final opportunity to make the right and moral choice – and help end the Gaza war before leaving office.Biden’s decision to keep supplying weapons to Israel reinforces his legacy as the primary enabler of the slaughter in Gaza, and Netanyahu’s campaign to expand the war into Lebanon. While Biden and his allies have done a lot of hand-wringing about Trump’s disregard for the rule of law, the Biden administration failed to uphold US law and its own policies – and it has undermined US credibility around the world even before Trump takes office once again.Biden has been fully complicit in Israel’s destruction of Gaza, in which more than 43,000 Palestinians have been killed, although the true figure is probably much higher. One estimate published by researchers in the Lancet, a medical journal, found that the death toll could eventually reach 186,000. That accounts for “indirect casualties” of war, such as widespread hunger, a cholera epidemic, unsanitary conditions and the destruction of Gaza’s health system.Following a relentless Israeli military assault that started after the Hamas attacks of 7 October 2023, nearly all of Gaza’s 2.1 million people have been displaced at least once, and are now living in makeshift tents or in the ruins of bombed-out buildings. Last week, a UN-affiliated group of experts warned that famine is imminent, or may already be unfolding, in northern Gaza – and that the enclave’s entire population faces acute food insecurity, which is one step below a full-blown famine.Days after Biden decided to continue arming Israel into the twilight of his presidency, Human Rights Watch (HRW) released a devastating 154-page report that contradicted most US and Israeli assurances that Israel is not violating international law. The report, issued on Thursday, concluded: “Israeli authorities have caused the massive, deliberate forced displacement of Palestinian civilians in Gaza since October 2023 and are responsible for war crimes and crimes against humanity.” HRW urged western governments to impose sanctions and suspend their arms shipments to Israel.The US has provided Israel with nearly $18bn in weapons and other military assistance since October 2023, according to a report released last month by Brown University. Washington spent another $4.8bn on its own military activities in the Middle East due to the conflict. Overall, the Biden administration spent at least $22.7bn in US taxpayer funds to enable Netanyahu and his government to prolong the Gaza war.But the US administration did not have to become so deeply complicit in Israel’s war crimes. Biden and his aides had the leverage, policy tools and legal mechanisms to restrain Israel, end the conflict, and save thousands of Palestinian lives. For months, Biden, along with his secretary of state, squandered any influence they could have exerted over Netanyahu by refusing to enforce US law and their own administration’s policies on weapons transfers.In February, as Biden faced pressure from a handful of Democrats in Congress critical of his unwavering support for Israel, he issued a new national security memo which required the state department to certify that recipients of US weapons would allow the delivery of humanitarian aid during active conflicts and abide by international law. Biden’s memo did not set new policies for arms transfers to foreign countries, but instead used provisions of existing US laws, especially under the 1961 Foreign Assistance Act.skip past newsletter promotionafter newsletter promotionWashington can suspend shipments if it suspects that a foreign military will use US weapons to carry out violations of international law, or to countries that block the delivery of humanitarian aid – as Israel has done throughout its war in Gaza. By May, the state department sent a 46-page report to Congress full of bureaucratic double-speak to justify Biden’s decision to flout US and international laws to protect Netanyahu.Long before the administration’s report, the UN and human rights groups had amply documented that Israel was using starvation as a weapon of war – a violation of international law – and deliberately blocking food and other supplies from entering Gaza.Yet the report avoided concluding that the Israeli military had obstructed humanitarian aid, or violated international law while using US weapons. Such findings would have forced Biden to suspend most weapons shipments to Israel under the policies outlined in his own national security memo. But instead of upholding US law and using the suspension of military support to force Netanyahu to accept a ceasefire, Biden sat by and enabled Israel to kill thousands of Palestinians since May.Back then, Biden was still running for re-election and could have feared political repercussions for breaking with Netanyahu. But this week, the US president was as free from politics as he’s ever been in his entire career. He simply decided that Palestinians don’t matter – and sealed his legacy as the enabler of Israel’s war crimes.

      Mohamad Bazzi is director of the Hagop Kevorkian center for Near Eastern studies, and a journalism professor at New York University More