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    How hardline anti-immigrant policies are threatening the right to education

    As Donald Trump mounts escalating attacks on immigrants in the US in the first weeks of his second term, schools are increasingly in the crosshairs.He has already revoked protective status for schools and churches, so that immigration authorities can make arrests on school grounds, sending teachers scrambling to figure out ways to protect their students.Now, hardline anti-immigrant stances are being used to attack public education itself. In January, Oklahoma’s board of education voted to require citizenship information from parents enrolling children in school. The move threatens a longstanding constitutional right to public education for all children, regardless of their immigration status, established in 1982 by the US supreme court.Legal and policy experts say that while the rule is likely to be struck down in the courts as unconstitutional, the threat alone will cause damage and cause terrified parents to keep their children out of schools, which undermines a fundamental democratic institution: the right to education.“The purpose of our schools is to educate children, and to educate all our children,” said Wendy Cervantes, director of immigration and immigrant families at the Center for Law and Social Policy (Clasp). “Immigration enforcement of any kind should stay out of our schools, period.”Requiring proof of citizenship for public school enrollment would severely disadvantage American immigrant families, including those with legal status, experts say. The impact would be vast: approximately one in four children (nearly 18 million in total) have at least one foreign-born parent.Most immediately, the rule will scare immigrant parents – especially those without documentation or whose cases may be pending – to the point that they keep their kids out of school entirely. This phenomenon, in which immigrant families turn inward and avoid critical resources when they perceive restrictions are tightening, is known in immigration policy circles as the “chilling effect”, and it is widely documented.“This is exactly the kind of thing that causes parents, very rationally, to hold their kids back and not send them to school,” said Jon Valant, director of the Brown Center on Education Policy at the Brookings Institution, emphasizing that the chilling effect will descend whether the rule is adopted or not. “There is harm done just in talking about this,” he said.View image in fullscreenEfrén C Olivares, director of strategic litigation and advocacy at the Southern Poverty Law Center, said that the fear component was deliberate, and would disproportionately affect those whose status is in question. “By being put in the position of having to respond to this question, somebody who may not have regular status is going to really be threatened and be in a vulnerable position,” he said.For those children who are kept home out of fear, the effect is detrimental, experts say. Those children may opt to join the workforce. And if a child is not old enough for legal employment, or is not eligible for a work permit, they are more likely to be exploited or to work in an unsafe job, explained Melissa Adamson, an attorney at the National Center for Youth Law.The result is that their entire lives get sidetracked, and their potential – which schools are designed to nurture – quashed. “It cuts off their entire ability to succeed,” Adamson said.Restricting access to education would also deepen social divisions and negatively affect the entire American economy by exacerbating marginalization and impoverishment, explained Kristina Lovato, director of the Center on Immigration and Child Welfare at the University of California at Berkeley. “Educational access empowers our children with the tools to lead productive lives and contribute to the economy and overall wellbeing of our communities, and every child in the US deserves this chance to reach their full potential,” she said.According to Cervantes, it is for these reasons that states have such stringent truancy laws in place.“A basic K-12 education is essential to preventing the creation of a permanent underclass,” she said. “It is in the best interest of not only children, but all of society, for children to be productive and learning.”The Oklahoma effort is spearheaded by Ryan Walters, the Republican state superintendent who has railed against the presence of “woke ideology” in schools, believes that the Bible should be required learning and has claimed that the 1921 Tulsa massacre – in which 300 Black people were murdered by their white neighbors – was not motivated by race.While the proposal is singular in its content, the rule sits squarely within the far-right playbook.Mixed messaging surrounding the measure’s aims contribute to confusion, which experts cite as a core strategy of Trump’s approach to immigration. The text of the Oklahoma rule claims parents’ citizenship information will be used to inform how resources can be better allocated to serve students’ tutoring, language and transportation needs. But Walters has publicly stated that Oklahoma schools would give federal agencies the information so that “families can be deported together”.View image in fullscreen“I don’t see how knowing that a student’s parent holds a passport from a different country helps the state understand that student’s needs in the classroom,” said Adamson, decrying the rationale as nonsensical. “We live in a very diverse world. A parent’s nationality doesn’t necessarily tell you anything about their child’s educational needs.”The measure also politicizes schools, which are already at the frontline of culture wars. “I’m also not surprised that we are seeing some more culture-war battles penetrating schools as they relate to immigration,” said Valant.Perhaps most critically, the proposal represents a tolerance for the undermining of long-held democratic institutions and values – namely, the free and equal right to public education.For Olivares, the crux of the matter lies in the fact that the measure would also deny that right to millions of US-citizen children whose parents are foreign-born. That, he says, reveals the rule’s racist underpinnings. “They’re going to be the children of US immigrants whose skin is a certain shade of dark,” he said. “They were born in this country. What does that say? What values does that reflect about a society?”What’s more, it puts the right to education itself on a slippery slope. Valant said there was no reason to think that students with disabilities or transgender kids wouldn’t become future targets.“Who do we pull out of the community next?” he asked.From a legal standpoint, the feasibility of asking parents for citizenship information remains murky, most notably because the 1982 Plyler v Doe case enshrining the right to education for all children regardless of citizenship creates a substantial constitutional hurdle. For that reason, most legal and policy experts anticipate the Oklahoma measure to be struck down if passed into state law.“It was unwise public policy then to adopt policies that may harm children’s access to schooling, and that has not changed,” said Debu Gandhi, senior director of immigration policy at the Center for American Progress.They also caution against putting too much faith in the constitution, especially given the track record of this supreme court. Although Plyler has been settled law for nearly 43 years, the court has overturned other cases with even longer legacies, such as Roe v Wade, the 1973 landmark case protecting the constitutional right to abortion, Olivares explained.Regardless of whether this particular measure takes effect, the situation unfolding in Oklahoma is probably a preview of similar efforts that will be undertaken in school districts around the nation, warned Valant.“This is a particularly aggressive move when it comes to immigration enforcement in schools, but I don’t think it’ll be the last,” he said. More

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    Victims of ‘kids-for-cash’ judge outraged by Biden pardon: ‘What about all of us?’

    Victims of a former Pennsylvania judge convicted in the so-called kids-for-cash scandal are outraged by Joe Biden’s decision to grant him clemency.In 2011, Michael Conahan was sentenced to more than 17 years in prison after he and another judge, Mark Ciavarella, were found guilty of accepting $2.8m in illegal payments in exchange for sending more than 2,300 children – including some as young as eight years old – to private juvenile detention centers.Conahan was released from prison in 2020 due to Covid-19 and placed on house arrest, which had been scheduled to end in 2026.Conahan’s sentence was one of about 1,500 the US president commuted – or shortened – on Thursday while also pardoning 39 Americans who had been convicted of non-violent crimes.In response to Conahan’s pardon, the mother of a boy sent to jail at age 17 before later dying by suicide told the Citizens’ Voice: “I am shocked and I am hurt.”“Conahan’s actions destroyed families, including mine, and my son’s death is a tragic reminder of the consequences of his abuse of power,” Sandy Fonzo said to the outlet. “This pardon feels like an injustice for all of us who still suffer. Right now I am processing and doing the best I can to cope with the pain that this has brought back.”Similarly, Amanda Lorah, who at age 14 was wrongfully imprisoned as part of the scheme, told WBRE: “It’s a big slap in the face for us once again.“We had … time taken away from us. We had no one to talk to, but now we’re talking about the president of the United States to do this. What about all of us?”The Pennsylvania governor, Josh Shapiro, also condemned Biden’s decision, telling reporters that his fellow Democrat “got it absolutely wrong”, the Pennsylvania Capital-Star reported.“I’ll offer these thoughts as an outsider, not privy to all the information he looked at, but I do feel strongly that President Biden got it absolutely wrong and created a lot of pain here in north-eastern Pennsylvania,” Shapiro said.Biden’s actions Thursday marked the largest instance of presidential clemency carried out in a single day.Describing the move, the White House said: “The president is commuting the sentences of close to 1,500 individuals who were placed on home confinement during the Covid-19 pandemic and who have successfully reintegrated into their families and communities.”Attempts to contact Conahan were not immediately successful. More

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    Republicans take aim at subsidies that help tens of millions of women

    As they prepare to take control of the White House and Congress next month, conservatives are eyeing cutbacks to federal programs that help tens of millions of women pay for healthcare, food, housing and transportation.Slashing or overhauling social support programs, long a goal of Republican lawmakers, could be catastrophic for women experiencing poverty. Supporters contend the social safety-net programs are already grossly underfunded.“With this new administration that is coming in … I really am concerned about the lives of women. We are seeing so many policies, so many budget cuts,” said Christian Nunes, president of the National Organization for Women.Republicans say they want to keep campaign promises to cut government spending, and three major programs make easy targets: Medicaid, the joint state/federal health insurance program for people with lower incomes; Temporary Assistance for Needy Families (TANF), a cash-allowance program that replaced welfare; and the Supplemental Nutrition Assistance Program (Snap), widely known as food stamps.While conservatives frame cuts as making government more efficient and even restoring freedom, advocates for and experts on families with little or no income say reducing these programs will throw more people – especially women and children – further into poverty.“It is going to fall heavily on women,” said Elaine Waxman, a senior fellow in the Income and Benefits Policy Center at the Urban Institute, a non-profit research organization.Predicting precisely what Republicans in Congress and the Trump administration will do is difficult. Congressional leaders are close-mouthed about negotiations, and the president-elect has not finished putting together his advisory team. None of the spokespeople contacted for this story returned calls or e-mails.But organizations known to advise top leaders in Congress and the previous Trump administration have laid out fairly detailed roadmaps.Project 2025, the conservative Heritage Foundation’s blueprint for the incoming administration, denies its proposed changes will harm women, saying instead that marriage and “family values” will improve their economic situations. “Marriage, healthy family formation, and delaying sex to prevent pregnancy are virtually ignored in terms of priorities, yet these goals can reverse the cycle of poverty in meaningful ways,” reads the section on proposed changes to TANF and Snap.Numerous other groups that have studied the problem say forcing or even encouraging marriage will not make poverty disappear. And a recent study by a team at the University of South Carolina found that when state laws make it harder for pregnant women to get divorced, they’re more likely to be killed by their partners.Trump has promised not to attack the two most expensive and popular government programs: social security and Medicare. But he and Congress are up against a deadline to extend his 2017 tax reforms, which raised the federal deficit. They’ll have to cut something, and social spending programs, especially the $805bn Medicaid program, are low-hanging fruit for conservatives.Trump repeatedly tried to slash Snap during his last tenure in office: his 2021 budget proposal would have cut the program by more than $180bn – nearly 30% – over 10 years. Conservatives in Congress have continued these efforts and, with majorities in the House and Senate, they may be able to get them through next year.The Republican Study Committee, whose members include about three-quarters of the House Republican caucus, recommends more work requirements for Snap and TANF.“SNAP and our welfare system should embrace that work conveys dignity and self-sustainment and encourage individuals to find gainful employment, not reward them for staying at home,” their plan, released in March, reads.A large body of research questions whether widening work requirements does anything other than force people off benefits without helping them find employment. “I think there is a misperception that people in need of help are not working,” said Mei Powers, chief development and communications officer at Martha’s Table, a non-profit aid organization in Washington DC. “People are a paycheck, a crisis, a broken-down car away from needing services.”Snap currently helps 41 million people buy groceries and other necessities every month. Women accounted for more than 55% of people under 65 receiving Snap benefits in 2022, according to the National Women’s Law Center, a gender justice advocacy group. About one-third of them were women of color, the NWLC said.Among other things, cutting these programs will trap women in dangerous situations, the NWLC said: “SNAP helps survivors of domestic violence and sexual assault establish basic economic security.”TANF, which provides cash assistance, overwhelmingly benefits women. In 2022, 370,000 TANF adult recipients were female and 69,000 were male, according to the Department of Health and Human Services.Perhaps Medicaid is the most tempting target for conservatives because they can use it to undermine the Affordable Care Act, also known as Obamacare. The GOP has been gunning for the ACA since it was signed into law without a single Republican vote in 2010.The federal government shares the cost of Medicaid with states. The ACA aimed to make Medicaid cover more people by offering to pay for virtually all the extra costs. Many Republican-led states resisted for years, but as of November, all but 10 states had expanded coverage to an extra 21 million people, or about a quarter of all Medicaid recipients.Medicaid pays for more than 40% of births in the US, plus it covers new mothers for post-pregnancy-related issues for 60 days. It also pays for medical care for 60% of all nursing home residents, more than 70% of whom are women.According to the health research organization KFF, expanding Medicaid helped improve care for women before and during pregnancy and after they gave birth.But most Republicans in Congress have never approved of this federal spending. Proposed cuts to Medicaid funding, which would save hundreds of billions of dollars, are laid out by the Paragon Health Institute, a conservative health thinktank headed by Brian Blase, a top health adviser to the first Trump administration.Experts predict states would be unable or unwilling to make up the difference. “Facing such drastic reductions in federal Medicaid funding, states will have no choice but to institute truly draconian cuts to eligibility, benefits and provider reimbursement rates,” Edwin Park, research professor at Georgetown University, wrote in an analysis.That would mean women, children, older adults and people with disabilities would lose coverage as facilities closed and providers stopped seeing patients.The effects, says the National Organization for Women, “will be widespread, devastating, and long-lasting”.This story is published in partnership with the Fuller Project, a non-profit newsroom dedicated to the coverage of women’s issues around the world. 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    How did transgender children in the US become so politicized? | Moira Donegan

    The politicization of transgender children in the US is one of the most astounding coups of propaganda and organized animus in recent history. Rarely has so much attention and rage been directed at such a minuscule number of people, and more rarely, still, have those people been the most vulnerable and blameless among us: kids and teens.The first state to pass a ban on transition-related care for minors was Arkansas, in April 2021; less than four years later, more than half of states have such a ban on the books. In 2016, North Carolina lost an estimated $3.76bn in revenue following boycotts after they passed a law banning trans people, including transgender students, from using appropriate restrooms in public facilities; now, 14 states have such bathroom bans on the books, and the boycotts have receded.These changes in public attitudes towards trans youth – from a broad if imperfect sentiment of tolerance to a widespread and politically weaponized attitude of hostility toward a small minority of kids – did not emerge by accident. It was the product of a deliberate, conscious effort to radicalize large swaths of the United States, and significant chunks of state policy, into a hostility towards a few children.That effort seems set to bear fruit now, at the US supreme court, in US v Skrmetti, a lawsuit brought by the ACLU and the Biden Department of Justice challenging Tennessee’s HB1, a sweeping ban on transition-related care for minors that was passed in 2023. The law prohibits any puberty blockers or hormones from being prescribed for the purposes of gender transition, but it does not prohibit these medications from being prescribed for any non-transition-related purpose. A minor can be prescribed puberty blockers, for instance, if their doctor believes they are experiencing early onset, or “precocious”, puberty; they cannot be prescribed puberty blockers to delay the onset of a puberty that may change their bodies in ways they do not desire for gender identity-related reasons.That means, too, that a child assigned male at birth could access, say, testosterone treatment, but a child assigned female at birth could not. In oral arguments on Wednesday, solicitor general Elizabeth Prelogar and Chase Strangio of the ACLU – the first trans attorney to argue before the supreme court – explained that this was a straightforward case of sex discrimination, and hence needed to be subjected to a heightened standard of judicial review under the 14th amendment’s equal protection clause.It will not be. A majority of the court’s conservatives seemed poised to uphold the ban on transgender healthcare, though for a variety of different reasons. Brett Kavanaugh made his usual mealy-mouthed paean to states’ rights, an argument he always makes in questions of federally guaranteed equality provisions, but not before extolling the hypothetical suffering of teenagers who may access gender-affirming care but then later come to regret it. (One wonders if there are any choices from his own adolescence that Brett Kavanaugh has come to regret.) Clarence Thomas and chief justice John Roberts, meanwhile, both advanced the idea that the physiological differences between male and female bodies could moot the equal protection clause’s reach, giving states broad leeway to regulate medicine in ways that would uphold gender hierarchy.For his part, Samuel Alito also seemed interested in the idea that states might have a right to effect gender discrimination via their regulation of medicine. He repeatedly cited the 1974 case Geduldig v Aiello, in which the supreme court ruled that states could discriminate on the basis of pregnancy, and that pregnancy discrimination was not sex discrimination – because even though only female people become pregnant, not all of them are pregnant all of the time. (At the time, Congress found the outcome in Geduldig so egregious that it passed a law clarifying that pregnancy discrimination does count as sex discrimination for the purposes of federal civil rights law, and the precedent was largely mooted, but Alito’s controlling opinion in Dobbs has revived it.)But Alito, true to form, did not confine his opining to the notion that discrimination against trans people does not count as sex-based discrimination: he went on to suggest that trans people are not quite real, peppering Strangio, in a scene that seemed intended to humiliate the trans attorney, with questions about whether trans identity was truly an “immutable” characteristic. For his part, Strangio responded with a dignity and respect that Alito’s line of questioning did not merit.It was not the only low moment. James Matthew Rice, the Tennessee solicitor general who defended the ban in court, repeatedly compared gender affirming care with suicide, as well as to lobotomies and eugenics. During his time, justices Ketanji Brown Jackson and Sonia Sotomayor, with occasional assists from Elena Kagan, tried to chase Rice down on the inconsistencies in his own argument.Tennessee claimed, after all, that the law did not discriminate on the basis of patients’ sex, but rather on the basis of the purpose of their treatment; when the liberal justices pointed out that this was a distinction without a difference, because the purpose of the treatment was dependent on the patients’ sex, Rice simply repeated his assertion that there was a difference, there, somewhere. Jackson, in particular, worked to get Rice to explain his position for some time. He declined to.To call the Tennessee ban sex-neutral is laughable, almost insulting. The statute itself makes gender conformity its explicit justification in its text, saying that it aims to prohibit “sex inconsistent treatment”, or anything that “might encourage minors to become disdainful of their sex”. The law has long included sex role stereotyping within the purview of sex discrimination; Tennessee has sought to enforce sex roles, and sexed embodiment, with the force of the state. There is no good faith reading of the law that would allow it to withstand the scrutiny that the 14th amendment requires. But luckily for Tennessee, this is not a good faith court.

    Moira Donegan is a Guardian US columnist More

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    Is it safe to have a child? Americans rethink family planning ahead of Trump’s return

    Chris Peterson wasn’t surprised that Donald Trump won the 2024 presidential election. But he was surprised by how quickly he and his wife started asking one another: should we try to have another baby before a possible nationwide abortion ban takes effect? Or should we give up on having a second child?Peterson and his wife, who live in North Carolina, are thousands of dollars in debt because their first child needed to spend weeks in the hospital after being born prematurely. They had wanted to pay off that debt and wait a few years before having a second baby. But now, reproductive rights are again in the balance – Trump has said he would veto a nationwide abortion ban, but his allies are emboldened to push through more restrictions.Peterson is terrified of what is to come, and that his wife might not be able to get the medical care she needs if they decide to conceive again. “We should be happy thinking about expanding our family,” said Peterson, who is, like his wife, in his late 30s. “We shouldn’t be worried that we’re going to have medical complications and I might end up being a single father.”Peterson is not the only American who, in the weeks after the US election, is rethinking plans around having children. On 6 November, the number of people booking vasectomy appointments at Planned Parenthood health centers spiked by 1,200%, IUD appointments by more than 760% and birth control implant appointments by 350%, according to a statement provided to the Guardian by Planned Parenthood. Traffic to Planned Parenthood’s webpages on tubal ligation, vasectomies and IUDs has also surged by more than 1,000% for each.After the election, the Guardian heard from dozens of people in the US reconsidering whether to have children. Most pointed to fears over the future of reproductive healthcare, the economy and the climate in explaining their concerns.“I hesitate to bring more children into a world with an uncertain ecological future, assuming that the incoming administration pulls out of the Paris climate accord and ceases to support green energy transition,” a 34-year-old Minnesota mother of one wrote to the Guardian in response to a callout inviting readers to share their thoughts about post-election family planning. Trump pulled the US out of the historic agreement during his first administration; doing so again – which Trump has promised to do – could “cripple” the it, according to the UN secretary general.“We have two children and I have desperately wanted a third – but now I am fearful of being able to get adequate care if I get pregnant,” wrote another woman who lives in Louisiana. “I can’t risk leaving my two children behind if [I] die because I can’t get adequate care here. It feels like a dystopian novel, and yet here we are.”These worries are not necessarily new. In 2023, a Pew Research Center survey found that 47% of 18- to 49-year-old US adults say they are unlikely to ever have kids – a steep jump from 2018, when 37% said the same. Of the people who are unlikely to have kids, 38% said “concerns about the state of the world” were a major part of their decision-making. Roughly a quarter pointed to fears about the environment.Working in disaster relief, Catherine regularly sees the effects of the climate crisis up close. “I’m in Washington DC right now and flowers are blooming. It’s November. This should not be happening,” she said in an interview. “While I have always wanted kids, that choice has become tinged with a level of despair and anger that I didn’t have two years ago.”She continued: “Why would I bring a child into this world that is dying?”Earlier this year, Catherine got a copper IUD, which can block pregnancy for more than a decade.Like developed countries around the world, the United States is in the midst of a fertility slump. In 2023, the US fertility rate fell by 3% and reached a historic low.But this decline is not evenly distributed across the political spectrum. After Trump won the presidency in 2016, births in Republican-leaning counties rose sharply compared to those that leaned Democratic. Today, Democrats are likelier than Republicans to be childfree – a trend that, the Washington Post has hypothesized, is likely also related to the rightward drift of big-family white Protestants.That the outcome of the 2024 election has spurred such fear and hesitation around having children is apt – not only are US political parties on diverging paths when it comes to babies, but the election itself was in many ways a referendum on families and fertility. While Kamala Harris made support for abortion rights a key plank in her platform, Donald Trump promised “baby booms” and pledged to give people “baby bonuses”. Trump’s vice-president-elect, JD Vance, has built his political brand on pronatalism, a movement that urges people to have babies to benefit the greater good. Vance has a track record of deriding “childless cat ladies” and raising the alarm about the US fertility rate.“We want more babies because children are good,” Vance once said. “And we believe children are good, because we are not sociopaths.”M, a Texan mother of three who asked to go by her first initial because she feels stigmatized for voting for Trump, hopes that Trump’s victory will improve the economy to the point that she and her husband can afford to have a fourth child.“I still have a child in childcare now – like daycare – and just seeing those costs rise year after year since 2020, it’s been really hard for our family to consider having another baby,” M said. “The possibility of that being alleviated through better economic policy or even just those costs being taken away somewhere else – whether it’s groceries or utilities to whatever it is – that really makes it possible for us to consider having another kid.”M, who opposes abortion, feels confident that she would be able to get adequate care if she had a miscarriage. (Since Roe v Wade fell, at least three women have died in Texas after doctors reportedly delayed treating them for miscarriages or gave them inadequate miscarriage care.) The climate crisis worries M less than making sure her kids have access to clean water and healthy, chemical-free food.Not everyone reconsidering having kids has totally ruled it out. N, a 26-year-old from New York, is for now only delaying her plans to have kids until after Trump leaves office. (She asked to go by her first initial because she previously had an abortion.) Ruth, who has a newborn at home and is married to an undocumented person, fears abortion bans and her husband being deported – but still wants to keep the conversation about having a second kid alive.“We want to be able to dream of having a family the way we want to, on our terms,” said Ruth, who lives in Florida and asked to be identified by her middle name due to her husband’s immigration status. “My husband being an immigrant – we feel that it shouldn’t foreclose our options to build a family. We have just as much of a right to build a family on our terms as anyone else.” More

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    ‘The science of fluoride is starting to evolve’: behind the risks and benefits of the mineral

    A national conversation about fluoride’s health benefits exploded this fall after a federal toxicology report, court ruling and independent scientific review all called for updated risk-benefit analysis.Fluoride, a naturally occurring mineral in some regions, has been added to community water supplies since the mid-20th century when studies found exposure dramatically reduced tooth decay.The controversy, heightened by description of the mineral as “industrial waste” by Robert F Kennedy Jr, Donald Trump’s pick to lead the US health department, highlights questions some towns are now wrestling with: should the mineral’s well-established protective effects against tooth decay be prioritized lest Americans, and especially children, be subject to unnecessary pain and shame from an unhealthy smile? Or should the possibility of neurodevelopment effects be prioritized, even as studies continue?“Fluoride is the perfect example of helping people without them even having to do anything,” said Dr Sreenivas Koka, the former dean of the University of Mississippi Medical Center’s school of dentistry. The state is a “dental desert”, where there is only one dentist for every 2,120 residents. “Fluoride in the water – all you have to do is drink water and you’ll get the benefit.”Fluoride is added to about 72% of community water supplies in the US, according to the Centers for Disease Control and Prevention (CDC). The CDC again endorsed the practice in a scientific statement this May, saying it found no “convincing scientific evidence linking community water fluoridation with any potential adverse health effect or systemic disorder such as an increased risk for cancer, Down syndrome, heart disease, osteoporosis and bone fracture, immune disorders, low intelligence, renal disorders, Alzheimer disease, or allergic reactions”.Still, controversy over water fluoridation recently made headlines after two high-profile reports and a federal court ruling. The US National Toxicology Program set off a firestorm in August when it published a systematic review that found with “moderate confidence” that children exposed to fluoride levels twice those recommended for drinking water (1.5mg per liter versus the recommended 0.7mg per liter) “are consistently associated with lower IQ in children”.Then, in October, a new Cochrane Review lowered the estimated impact of fluoride, citing the widespread use of fluoride in toothpaste beginning in 1975.“Studies conducted in 1975 or earlier showed a clear and important effect on prevention of tooth decay in children,” Cochrane Review researchers wrote. “However, due to the increased availability of fluoride in toothpaste since 1975, it is unlikely that we will see this effect in all populations today.”The public debate comes as the National Institutes of Health (NIH), the world’s largest publicly funded research agency, is both a key funder of research advancing society’s understanding of fluoride’s non-dental health effects and an agency squarely in Trump’s crosshairs.The agency is one of the top targets for cuts and restructuring. Paradoxically, that could mean that critics such as Kennedy cut research on fluoride, even as the NIH funds research into potential detriments. The incoming administration has not made proposals on how to improve oral health in the US.Fluoride’s health benefits were investigated in the early 20th century, when a Colorado Springs dentist questioned why town residents had brown, mottled and decay-resistant teeth – now known as fluorosis.It was later found that fluoride naturally occurred at high levels in Colorado Springs, causing the cosmetic defects. Its decay-resistant properties were confirmed in a landmark 1945 study in Grand Rapids, Michigan, which found children in Grand Rapids were 60% less likely to develop dental caries (better known as cavities) with fluoride added to water.By 1999, the CDC hailed water fluoridation as one of public health’s greatest victories, alongside seat belts and vaccination. That view was buttressed by a 2015 Cochrane Review, considered the gold standard, that found fluoridating water at 0.7mg per liter led to a nearly 26% reduction in tooth decay, a figure still cited by the American Dental Association (ADA) and American Academy of Pediatrics (AAP) today.The need for preventive oral health solutions is profound in the US – more than 68 million people lack dental insurance and about one in four adults said in a survey they have avoided the dentist because of cost.In addition, school children lose an estimated average of 34m school hours each year due to unexpected dental visits; 2 million Americans visit the emergency room each year because of tooth pain; half a million travel abroad for cheaper care and one in five American seniors lack a single natural tooth. Lack of dental access is so common in some areas, doctors in prison frequently have patients who have never seen one.“One of the things I routinely ask young people in juvenile jail is: ‘Do you have a doctor? Do you have a dentist?’” said Dr Fred Rottnek, former medical director of St Louis county jails in Missouri and now a professor of community medicine at Saint Louis University School of Medicine. “A lot of them have never reported going to the dentist.”Modern inquiry into fluoride’s non-dental health effects began to pick up pace in 2015, when the National Toxicology Program (NTP) requested a systematic review on fluoride’s impact on neurodevelopment. By 2019, toxicology researcher Bruce Lanphear, of Simon Fraser University in Canada, co-authored a study finding fluoride exposure was associated with decreased IQ, which would later be incorporated into the NTP’s systematic review.“That gives you an indication that the science of fluoride is starting to evolve – it wasn’t set in stone 70 years ago,” he said.Lanphear, and a small group of like-minded toxicology researchers, argue now is the time for us to “pause and have an independent scientific committee look at all this new evidence” as “we have a lot of new science specifically about fluoride and the developing brain,” he said.Critics were buttressed again when a federal court ruled in September that the Environmental Protection Agency (EPA) needed to evaluate fluoride under the Toxic Substances Control Act.But physicians, dentists and mainstream professional associations from the American Dental Association to the American Academy of Pediatrics stand by recommendations for fluoridated water.While some towns step away from fluoride, communities such as Buffalo, New York, are restarting programs.“This is a shame if we don’t take advantage of what we know from the science,” said Koka about the preventive effects of fluoride. “Are there challenges to doing it right? Yes, but should they be so strong they overcome trying at all? That’s a tragedy.”The CDC has also refined guidance about fluoridation in recent years. In 2015, its water fluoridation recommendations went down to 0.7mg per liter of water, from 0.7 to 1.0mg per liter dependent on climate. Later, the CDC issued a 2019 report that advised parents of children younger than two to speak with their dentist about fluoridated toothpaste, and reminded parents of children younger than three to use only a “grain of rice”-sized “smear”.As critics argue that federal agencies’ recommendation lag behind, the US government’s National Institutes of Health (NIH) has become one of the chief funders of research into fluoride’s potential impacts on IQ.“Getting funding from the NIH shows they are interested in this important question,” said Christine Till, an assistant professor at York University in Canada and a co-investigator with Lanphear, whose grant studying tooth dentin and neurodevelopment in Canada was funded by the NIH, but turned down by the Canadian government.Others, such as Ashley Malin, epidemiology professor at University of Florida, and Dana Goin, assistant professor of epidemiology at Columbia University, have also received NIH funding to research fluoride’s non-dental health effects. Malin is studying fluoride’s impact on children’s sleep and Goin is investigating reproductive health effects.“There is a lot of ongoing work in this area, particularly in the US,” said Goin. “Hopefully, the results from these studies will help determine whether EPA drinking water regulations and CDC recommendations for water fluoridation are adequately balancing improvements in dental health from fluoridation versus any potential negative effects.”Goin’s current funding builds on her previous work, which found water fluoridation was not associated with small-for-gestational age or preterm births. She is now exploring whether fluoride is associated with gestational diabetes.Malin added that it’s a sign of “progress” that the studies can be discussed: “Over a decade ago, to even ask the question of whether optimally fluoridated, or the concentration in drinking water, could be impacting neurodevelopment was quite controversial.” More

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    How millions of US children would be hurt by Trump’s mass deportation plan: ‘Deep harm is intentional’

    Donald Trump confirmed on Monday his intentions to make mass deportations a hallmark of his second term.That such measures would drastically upend the lives of the US’s immigrant communities is widely understood. But sweeping anti-immigrant policies would also be detrimental to American citizens – most notably the nearly 20 million US-born children of immigrant parents.“Mass deportations will be profoundly harmful to US citizen children,” said Andrew Craycroft, staff attorney at the Immigrant Legal Resource Center in San Francisco.In 2022, one in four US children had at least one immigrant parent, and more than 4 million US citizens under age 18 lived with an undocumented parent.“These are millions of US citizen children who were born here, who have grown up going to your elementary schools and playing on your little league baseball teams, who are facing a very real danger of losing their parents,” said Kelly Albinak Kribs, co-director of the Technical Assistance Program at the Young Center for Immigrant Children’s Rights.And while the mechanics by which the president-elect would actually execute his sweeping anti-immigrant agenda remain murky, there is little doubt that creating a climate of fear for immigrant communities is one of his administration’s top priorities – and one that will cause irreparable psychological damage to millions of US citizens.Deporting the parents of US-citizen children didn’t begin with Trump. However, past administrations took precautions to limit the trauma it caused, advocates and legal experts say.The Obama administration barred Ice raids from taking place in schools, childcare centers, hospitals and places of worship. Before that, the Bush administration required Ice to notify schools and child protective services in advance of a large-scale raid.Trump’s policies, on the other hand, appear to traumatize children by design to curb unwanted immigration. “Under Trump, previously and in the future, deep harm to children is absolutely intentional and in many ways is the entire point,” said Wendy Cervantes, director of immigration and immigrant families at the Center for Law and Social Policy.Trump’s “zero tolerance” policy at the southern border separated at least 5,000 foreign-born children and hundreds of US citizen children from their parents. He also ramped-up interior enforcement measures, such as targeted worksite raids. In 2019, Cervantes visited towns in central Mississippi where Ice agents had arrested nearly 700 undocumented poultry plant workers, many of whom had US-born children attending nearby public schools.View image in fullscreen“The kids could see their parents being marched into white vans, handcuffed, as they were leaving school,” Cervantes said. “It was like a nightmare. And those kids, to this day, are still requiring a lot of mental health support.”Come January, Americans should anticipate a return to “draconian measures” such as family separation, said Kribs. Trump has also indicated desires to go after immigrants with legal status, expand the circumstances that allow for denaturalization and pursue unlawful measures that explicitly target the US-born children of immigrants like ending birthright citizenship.But how Trump would execute his more radical ambitions, including militarized mass deportations, is unclear.Such an operation would take a high degree of coordination, both between US agencies and with foreign governments, to pull off. A country like Mexico may accommodate receiving a few hundred people, “but it’s a completely different issue to talk about hundreds of thousands of people being sent back”, said Nando Sigona, professor of international migration and forced displacement at the University of Birmingham.It would also be expensive. According to Debu Gandhi, senior director for immigration policy at the Center for American Progress, deporting workers would accelerate inflation, shrink the food supply, slow efforts to build affordable housing and squander taxpayer dollars in efforts to “deport mothers of US citizen children who [pose] no security threat”, Gandhi said.And then there’s the question of public opinion.Backlash again Trump’s 2018 family separation policies was widespread across the political spectrum, explained Lee Gelernt, an attorney at the American Civil Liberties Union who led the lawsuit against “zero tolerance”. “If a second Trump administration does extreme things, we hope and expect the public will push back,” he said. “In his first term, I think they believed they had dehumanized the immigrant population to such an extent that the public would not push back even when little babies were torn away, but there was enormous pushback across the political and ideological spectrum.”Whether or not mass deportations occur, citizen children of immigrants will be adversely impacted by living in a constant state of fear.Research shows that the threat of parental separation alone can cause PTSD and toxic stress in young children. Under the coming administration, that stress will be especially pronounced in mixed-status families, where one or more parent lacks legal status. “It’s easiest to start with people who are wholly unprotected,” said Kribs.Anti-immigrant policies can also have a chilling effect by which immigrant parents, fearing arrest and separation, keep their citizen children home from school, refrain from signing up for benefits such as food stamps or health insurance, and avoid taking their citizen children to the doctor, said Sigona.View image in fullscreenMisinformation exacerbates immigrant parents’ fears that engaging with public services could jeopardize their status or their chances of acquiring permanent residency. The repercussions can be dangerous. “There were parents telling us about how they were making decisions about whether or not to take their kids to the emergency room in the middle of the night,” Cervantes said.Other citizen children may lose contact with the US entirely. If a parent facing deportation chooses to keep their family together, a citizen child will have to leave the US and resettle elsewhere – often in an unfamiliar country that their parent fled for reasons of safety or security.Existing guidance urges Ice agents to detain the parents of citizen children near their children’s residence, arrange for visitation rights, and give them time to make childcare arrangements – but this isn’t binding. “Broadly speaking, these citizen children don’t have the right to have their parent remain with them,” Craycroft said.“Children simply don’t have the same rights as adults,” echoed Cervantes, describing the discrepancy as one of the immigrant system’s biggest flaws.Knowing this, immigrant and child welfare advocates are prepared to have all hands on deck to combat what they see as an imminent crisis for millions of citizen children.“We are facing these next four years clear-eyed and ready to meet the challenge,” said the Young Center’s Kribs. “But there’s going to be a lot of heartbreak along the way.” More

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    In Saginaw, where children are dying of gun violence, local races loom large

    Tiffany Owens stood before the city council in Saginaw, Michigan, struggling to contain her anguish.“I hate this city because this city took away something that was so precious and dear to me. I’ve been living here all my life and I had to bury two of my kids. They out in Forest Lawn cemetery,” she said, her voice shaking with grief.“We just need y’all to do something. I don’t want another mother to have to stand here where I’m standing. It’s not fair that we all are here but I do not want another parent to have to go through this trauma, go through this pain.”Owens’ eldest son, Tamaris, was 12 years old when he was killed by a stray bullet from a drive-by shooting. Her 26-year-old daughter, Tamarea, met a similar fate nine years later in 2021. Owens fears for the wellbeing of her remaining son.The family tragedy does not stop there. Owens’ niece, Tonquinisha McKinley, was killed outside her home during a family celebration before Tamarea’s high school prom in 2013.Behind Owens, other mothers held photographs of children murdered in one of the most dangerous cities in the US. Saginaw has at times had the highest crime rate of any city in Michigan during recent years, surpassing Detroit, with which it shares many of the same problems of industrial decline, deepening poverty and diminishing population over decades.More than 180 people have been murdered in the city of Saginaw over the past decade, most of them with guns, alongside hundreds of non-fatal shootings. About 20 people have been murdered so far this year.The bereaved mothers were pleading for action from Saginaw’s city council at its last meeting before local elections alongside the presidential ballot on Tuesday. For some, the local race is the more important of the two as they look to reverse their city’s decline while the Saginaw council stands accused of dithering and focusing on the wrong priorities. Others see Saginaw’s fate, and the safety of its families, as also inextricably tied to who gets into the White House.Tamara Tucker also spoke at the council meeting. She was still in high school when her 17-year-old brother was shot dead. Not long afterwards, she joined the support group Parents of Murdered Children to help her mother through a terrible time.Tucker remained a member when a few years later she, too, came to experience the grief of being a parent losing a child after her daughter was murdered.“I thought, my God, how can this be? Not again,” she told the Guardian.View image in fullscreenTucker’s daughter, MoeNeisha Simmons-Ross, was trying to prevent her boyfriend from leaving her Saginaw apartment with a gun. He shot her with it. She was pregnant with their child. The boyfriend was convicted of murder.That wasn’t the end. A few months later, Tucker’s younger sister was killed in Florida, and then her nephew in Saginaw.Tucker blames “selfishness” for the violence and the city’s failure to curb it.“It’s going to take the whole community to turn this around. I keep saying it, and I will say it until I’m blue in the face, it’s going to take the community caring. Apparently, there’s not enough children being murdered for them to actually say we got to do something about this,” she said.Barbara Clark went to college to get a degree in criminal justice in an effort to understand the causes of the violence in Saginaw and what to do about it after her son, Tommie Ford, was murdered at 17 years old by another teenager jealous of Ford talking to his former girlfriend.“I wanted to learn as much about the criminal justice system because I need to be able to talk to them in their language so I can know what you’re talking about when they tell me what you can and can’t do,” she said.Clark said that politicians, the police and people in other parts of Saginaw county were too often willing to blame parenting and gang culture for the killings so as to sidestep the part played by poverty, which runs at about 34% of the city’s population, and lack of resources.She ties the rise in murders, shootings and other crimes to Saginaw’s economic decline as more than a dozen car factories closed since the 1990s and the population fell sharply to about 45,000 today. Abandoned houses and bulldozed lots dot many streets on the lower-income east side of the city. Schools have been closed and consolidated. With a dwindling tax base, the city government cut back on services including recreational facilities.“Everything that was there to help those young people, to go to recreation centres, to do anything, has been shut down, decimated. All the schools here are gone. The schools are now placed on the other side of town so you gotta be commuted to it,” she said.“A lot of people want to say the parents ain’t doing their job. That may be true in some cases but not in all. There are some parents, for instance us, we are doing the best that we can do. But when you have limited funds, there’s only so much you can do. You’re looking at a poverty level of people in the inner city that things are happening to the family. What needs to happen is for the city of Saginaw to bring things back in for these young people to do, give them a chance.”There was plenty of sympathy for the mothers from city council members. One expressed condolences for the family of the latest victim, 14-year-old Keyvon Bentley, who was killed at the end of October.Council member Michael Flores, who is not running for re-election, read the names of some of those killed.View image in fullscreen“The thing that hurts me the most as a public official is that we lose Saginaw’s future constantly throughout every year that I’ve been here,” he said. “And a lot of the murder victims that I just listed off were 15, 16, 17, 18, 19 … It’s the saddest thing that I’ve experienced on council.”But there was little commitment to specific change even from those members up for re-election.Criticism of the council has focused on how it is spending $52m in grants under Joe Biden’s American Rescue Plan Act (Arpa). The council used half of the funds to fill a budget shortfall.The council’s plan for the rest of the money includes $10m to support “community centres, childcare and youth development”. But how that will be spent is still unresolved, to the frustration of campaigners.Flores told the Guardian the city “lacks either the imagination or the ability” to provide opportunities for young people, including initiatives to help those who are otherwise drawn into “a life of crime to be able to produce money for their families”.He said the council was too focused on allocating money to develop upscale housing, in the hope of drawing higher-income residents to the city, at the expense of affordable homes that would improve the lives of lower-income families. He pointed to a recent case where the council spent $3m to upgrade a building only to sell it to a developer for $1,000 to convert it to relatively upscale condos while rejecting a higher offer that would have brought more affordable housing.“The council always has the opportunity to be on the side of the people or be on the side of outside developers that want to come in and get tax abatement or tax credits for developing. We never tend to give it to the people that really need the help,” he said.Carly Hammond is a union organiser running for a seat on the council who is campaigning for more Arpa money to be spent on facilities for young people.“There is a lot that the city council can do to combat youth violence and create youth opportunities. Back in the 1960s, there used to be much more robust after-school youth education programmes, community centres, funded by the city,” she said.View image in fullscreen“A lot of these organisms and concepts were strategically dismantled. Rebuilding them takes a whole lot. Youth development means investing in neighbourhoods.”Hammond accuses the council of hiding behind its own bureaucracy to explain why it is not doing more on affordable housing and support for community organisations. She also accuses the council of leaving some federal money on the table from the community development block grant because it failed to put together the proper documentation.“The lack of investment overall in the community is felt most by the children. They just feel like there’s no future. If you hear parents and young people talk about this, they’re asking for direct action. They’re not asking for sympathy,” she said.The council also heard from Matthew Carpus, president of the Saginaw police union. He said officers on the force long ago lost confidence in the city’s police chief and council to address crime.“Most victims in this city don’t speak out. Either they move out of the city or they suffer in silence. Very few come to these meetings because, like officers, they feel you’re not going to do anything,” he said.“Not only isn’t it being solved, it’s not getting better, it’s trending in the wrong direction. We need to try something different.”Flores wants to see more of the Arpa money spent on policing.“I have done many ride-alongs with police officers. For the amount of area that they have to cover, they’re drastically understaffed,” he said. “There were calls, some of them domestic violence calls and the like, that just weren’t able to be picked up because there were more pressing issues in the moment.”The city has brought in the state police to patrol parts of Saginaw but Clark said that had resulted in little more than racially profiled stop-and-searches of cars.“It’s not helping. Instead of them doing what they were brought in to do, which is community service, they’re targeting. If these young men are blessed to have a nice car with nice rims and dress nice, you’re definitely targeted. If your car is dressed, made up a certain type of way, they’re definitely going to pull you over,” she said.Clark is looking to the new council to change the trajectory. But she said the presidential election would be decisive because while Biden has directed financial support to lower-income communities, she expects Trump to do just the opposite.“Who’s in the White House does affect us because it, I won’t say it trickles down, it starts down and works it way up. They come for our programmes before they do anybody else’s programme. They will cancel our programme before they cancel anybody else’s programmes,” she said. More