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    How Robert F. Kennedy Jr. Could Destroy One of Civilization’s Best Achievements

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    Even among the chaos generated by Donald Trump’s recent cabinet picks, one stands out for the extensive suffering and lasting institutional damage it may cause: his choice of Robert F. Kennedy Jr. to lead the Health and Human Services Department.Modern public health is one of civilization’s great achievements. In 1900, up to 30 percent of infants in some U.S. cities never made it to their first birthday. Since that time, vaccines, sanitation and effective medications have eliminated many previously commonplace illnesses and consigned others to extreme rarity. It’s easy to take much of that for granted, especially as those days have receded from living memory, but those achievements are fragile and can be lost.The danger isn’t merely that Kennedy — who has almost no experience in government or large-scale administration, and who has shown a sometimes breathtakingly loose connection to the truth — would be incompetent or misleading. At the helm of a department with over 80,000 employees and a $3 trillion budget, one that oversees key agencies such as the Centers for Disease Control and Prevention, the Food and Drug Administration and the National Institutes of Health, he would have control over the nation’s medicines, food safety, vaccines and medical research. With that power he could inflict significant harm to the public health system — and to the public trust that would be needed to rebuild it once he’s gone.Kennedy has brought attention to some worthwhile public health concerns, such as the downsides of ultraprocessed foods and the value of exercise. But beyond those reasonable issues, he has filled the internet and the airwaves with views on vaccines, food safety, medicines and supplements that are a mix of grave misrepresentations and far-fetched conspiracies.His opposition to vaccines has attracted the most attention. He doesn’t say just that they merit closer scrutiny, as some “vaccine skeptics” claim. Last year he told a podcaster that “there’s no vaccine that is, you know, safe and effective.” When it later became expedient, he denied that he had ever said such a thing. The truth is that he has long promoted the lie that vaccines cause autism, and the extravagantly false claim that “researchers have done very little to study the health” of children after they get shots for once-common diseases.Outside of the medical community, few people still know about all the diseases whose safe and effective vaccines he is lying about, so let me remind you about one of them: diphtheria. Once known as “the strangling angel of children,” it causes its young victims to slowly and painfully suffocate, turn blue and gasp as a thick film fills their throat. They lie dying for many agonizing days. The disease has been all but wiped out, but in Spain a few years ago, it cost the life of an unvaccinated boy of 6. His distraught antivax parents promptly vaccinated their surviving child.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Why Your Covid Symptoms Could Feel Different This Time

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      Cases are rising across the United States. Here’s what to know about how symptoms of an infection can shift.By this point in the Covid-19 pandemic, most people have had at least one brush with the virus. Those of us who have been infected again (and again) may think we know the drill.But symptoms can vary from one infection to the next. The virus has felt like an entirely different illness each time I’ve tested positive: The first go-round, a fever flattened me. Once, I had barely any symptoms. The worst infection left me wrung-out on my couch, so exhausted I had to strain to pay attention to a podcast.“No two Covid infections really have behaved the same,” said Dr. Joseph Khabbaza, a pulmonary and critical care doctor at Cleveland Clinic.Generally speaking, the more immunity people build up from vaccination or infections, the milder symptoms of subsequent infections tend to be. But for an individual, there is no guarantee that a second infection will be less severe than the first.That’s partly because the virus has changed, developing into new variants. If you’re reinfected, that means the virus has evolved enough to slip past your immune defenses, said Dr. Davey Smith, an infectious disease specialist at the University of California, San Diego.Many Covid symptoms have stayed the same since 2020: fever, sore throat, coughing. But some have shifted. It used to be common for people to lose their sense of taste and smell when they got sick, for example, but that now seems to happen less frequently. Early in the pandemic, Dr. Khabbaza said, patients would tell him that their Covid infections felt like nothing they had experienced before. Now, he said, people often think they have a cold, and are shocked when they test positive.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      New Report Underscores the Seriousness of Long Covid

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      The National Academies said the condition could involve up to 200 symptoms, make it difficult for people to work and last for months or years.One of the nation’s premier medical advisory organizations has weighed in on long Covid with a 265-page report that recognizes the seriousness and persistence of the condition for millions of Americans.More than four years since the start of the coronavirus pandemic, long Covid continues to damage many people’s ability to function, according to the National Academies of Sciences, Engineering and Medicine, a nongovernmental institution that advises federal agencies on science and medicine.“Long Covid can impact people across the life span, from children to older adults, as well as across sex, gender, racial, ethnic and other demographic groups,” it said, concluding that “long Covid is associated with a wide range of new or worsening health conditions and encompasses more than 200 symptoms involving nearly every organ system.”Here are some of the National Academies’ findings, drafted by a committee of 14 doctors and researchers:How many people have long Covid?The report cited data from 2022 suggesting that nearly 18 million adults and nearly a million children in the United States have had long Covid at some point. At the time of that survey, about 8.9 million adults and 362,000 children had the condition.Surveys showed that the prevalence of long Covid decreased in 2023 but, for unclear reasons, has risen this year. As of January, data showed nearly 7 percent of adults in the United States had long Covid.Diagnosis and consequencesThere is still no standardized way to diagnose the condition and no definitive treatments to cure it. “There is no one-size-fits-all approach to rehabilitation, and each individual will need a program tailored to their complex needs,” the National Academies said, advising that doctors should not require patients to have a positive coronavirus test to be diagnosed with long Covid.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      A Campaign Tactic by Democrats: Smart? Risky? Unethical?

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      More from our inbox:Covid Priorities, in the Schools and BeyondThe Needs of Ukraine’s StudentsThe Kansas Abortion Vote Trent Bozeman for The New York TimesTo the Editor:Re “A Cynical Low for the Democratic Party” (editorial, Aug. 4):Cynical, indeed! As a moderate Democrat, I find it appalling that Democratic campaign organizations are contributing money to finance the primary campaigns of ultra-right, pro-Trump supporters and election deniers.Money contributed to these Democratic organizations should go to candidates promoting free and fair elections, and who work to combat lies, racism and antisemitism. I want campaign dollars to support and guarantee that women have the right to make decisions about their own health and welfare.To learn now that our campaign dollars are going to promote extreme right-wingers and Trumpers makes me wonder: Why would I ever consider making contributions again to Democratic groups if they give money to the campaigns of the very people I wish to see defeated?Robert D. GreenbergBethesda, Md.To the Editor:I would beg to differ with the editorial board’s view that the Democratic Party’s support for Trump Republican proponents of the Big Lie is a “cynical low.” Your argument is that Democrats, who claim to stand up for the truth, should not be supporting the deniers of truth, and, furthermore, that theirs is a “repugnant and risky strategy.”But can it also be considered a deft political strategy and worth the risk? It is not an illegal action, and it is probably not immoral, but just plain smart politics.Raymond ComeauBelmont, Mass.To the Editor:While Democrats’ efforts to promote far-right candidates, whom they perceive to be easier targets in the general election, may succeed in swaying a few Republican primary voters, they pose the greater risk of alienating large swaths of independent voters like me who simply want politicians to act with a modicum of honesty and integrity.Especially in battleground states like Michigan, where independents have the power to decide races with far-reaching consequences, Democrats would be wise to build the moral high ground on election integrity rather than actively undermining it.John ZaineaAnn Arbor, Mich.To the Editor:Let’s be cleareyed. There no longer is such a thing as a moderate Republican politician. I, too, detest Democratic donations going to nominate election deniers. But Republicans who didn’t get Donald Trump’s endorsement by and large deny climate change, support abortion bans and favor a tax system that tilts toward corporations and the wealthy.Don’t shift the political landscape even farther in that direction by describing those right-wing Republicans as “moderate.” They aren’t.Ken EudyRaleigh, N.C.The writer is a retired senior adviser to Gov. Roy Cooper.Covid Priorities, in the Schools and Beyond Jonathan Kirn/Getty ImagesTo the Editor:Re “A Proposal for School Covid Policies This Year,” by Joseph G. Allen (Opinion guest essay, Aug. 6):While I appreciate the critical thought and expertise that Dr. Allen brought to the discourse on Covid policies in our education system, I’m concerned that the scope too frequently narrowed on children’s resilience.Children may be far less likely to be hospitalized or experience severe symptoms, but they are just as likely to pass symptoms to adult family members who could be at high risk.The guidelines from Britain’s education system referred to in the article suggest that children go to school unmasked if symptoms are only minor (a runny nose, a slight cough, etc). Those children may easily pass those minor symptoms to their classmates, who may just as easily pass them to an adult (a family member or staff at the school) who experiences Covid more seriously.Yes, the alternative is damaging: children missing school. But our educators and families could pay a larger price if we let children pass it among themselves and to adults.Alexandra DavisBrooklynTo the Editor:Joseph G. Allen says he is writing in these capacities: “As a public health scientist. As someone who has spent nearly 20 years doing risk assessments of indoor environmental hazards. As a dad of three school-age kids, and an uncle to 15.”But Covid policy in schools affects people schoolchildren interact with outside school. This includes the old and immunocomromised adults who cannot take Paxlovid because it interacts with their other medicines.Writing as an old person, a liberal and a bioethicist, I wonder why a public health expert thinks “the overriding goal for the next school year should be to maximize time in the classroom and make school look and feel much like it did before the pandemic started,” rather than recognizing that the overriding goal of any Covid policy should be to save lives.Felicia Nimue AckermanProvidence, R.I.The Needs of Ukraine’s Students Emile Ducke for The New York TimesTo the Editor:Re “For Children of War, a Time for Play” (news article and photo essay, Aug. 8):As children, their families and teachers get excited about the new school year throughout the world, it is imperative to continue to publicize the dire education needs of Ukrainian children.In addition to the physical destruction of school infrastructure, there are shortages of supplies from laptops to textbooks. Some teachers have had to physically defend their schools as Russian invaders entered.Professors have been giving lectures from the front lines. Others have been teaching in person from shelters, where air-raid sirens wail. The dedication of the teachers in wartime is heroic.Students are the future of any country. The education of students in Ukraine, as had been taking place before the invasion in February, is essential to the rebuilding of the country. They deserve our support. As do their teachers.Anna NagurneyAmherst, Mass.The writer is the Eugene M. Isenberg chair in integrative studies, University of Massachusetts Amherst, and co-chair of the board of directors of the Kyiv School of Economics.The Kansas Abortion VoteIn its most recent term, in addition to overturning Roe v. Wade, the Supreme Court expanded gun rights, limited the Environmental Protection Agency’s ability to address climate change and expanded the role of religion in public life.T.J. Kirkpatrick for The New York TimesTo the Editor:Re “Defying the Supreme Court,” by David Leonhardt (The Morning newsletter, Aug. 4):Those, like me, rejoicing over the overwhelming rejection in Kansas of a measure to allow banning abortion there ought to curb their enthusiasm. The outcome of that referendum could exemplify the adage “Be careful what you ask for; you might get it.”That Kansas voters refused to permit their legislature to roll back women’s reproductive rights plays into the narrative of the Supreme Court’s rationale in the Dobbs v. Jackson Women’s Health Organization case, in which the justices reasoned that decisions on women’s control over their own bodies should be left to each of the states.By demonstrating that this tenet can work to protect individual rights, the Kansas vote could bolster the states’ rights argument underlying the Dobbs decision. It may be invoked to justify the inclination of the supermajority radicals on the court to reconsider decisions involving contraception and same-sex marriage, among other matters, as advocated in the Dobbs case by Justice Clarence Thomas.Marshall H. TanickMinneapolisThe writer is a lawyer. More

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      Warning Signs of a Future Mass Killer

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      More from our inbox:The Republican Checklist After Another ShootingNew York Mayor’s Rejection of Covid MandatesVoters, Defend DemocracyEstonia’s Tough Voice Against Russian AggressionAbortion Funds Already ExistA crowd gathered Sunday outside Tops Market for a vigil the day after the shooting in Buffalo.Joshua Rashaad McFadden for The New York TimesTo the Editor:Re “Before Attack, Solitary Teen Caused Alarm” (front page, May 16):In the days after the mass shooting in Buffalo we have witnessed a heightened focus on the mental health of adolescents. A few months ago, after the Michigan school shooting, we heard a similar concern.In each case the youths, when confronted with their potentially homicidal “behaviors,” denied them. They offered explanations that were accepted by school authorities and mental health professionals.Having worked in an emergency room where individuals were brought by the police for “behavioral issues,” I needed after assessing each of them to decide whether they should be hospitalized or discharged. These assessments frequently occurred in the middle of the night. In all cases the individuals I assessed assured me that they were fine and would harm no one. Some I hospitalized and some I allowed to leave the emergency room.One morning when my rotation was completed, I was afraid to turn on my car radio for fear I would hear of a shooting by two young men I let leave. I did not.Mass shootings are not simply a mental health problem that mental health workers can fix. They are also societal problems fueled by the availability of guns and the ubiquity of prejudice.Sidney WeissmanChicagoThe writer is a clinical professor of psychiatry and behavioral science at Northwestern University Feinberg School of Medicine.To the Editor:Re “Others Joined Chat Room With Suspect Before Attack” (news article, May 18):I’m a 70-year-old tech dinosaur. I don’t understand what an algorithm is, but I do know that we have a significant problem if a racist openly discussed in chat rooms his plans to carry out an atrocity and no one did anything to stop it.Robert SalzmanNew YorkTo the Editor:Pages and pages about the recent tragic shooting in Buffalo. And in newspapers across the country, other incidents of gun violence involving young people as shooters. In schools, churches and places where people shop. The beat goes on, and the conversation remains the same. Hate. Gun control. Political bickering. And inaction.What’s missing in all too many of these gun tragedies are parent controls. Parents asleep at the wheel or parents being complicit or enabling seems to be a common thread. But not much discussion about that, by either journalists or political leaders. Maybe there should be.George PeternelArlington Heights, Ill.The Republican Checklist After Another ShootingTo the Editor:The Republican checklist after a mass shooting:Thoughts and prayers: Check.This is not the time: Check.Let’s not politicize: Check.Guns are not the problem: Check.Just enforce the laws we have: Check.More mental health care: Check.(Repeat.)Jon MerrittLos AngelesNew York Mayor’s Rejection of Covid MandatesSuzette Burgess, 79, of Morris Heights in the Bronx, gave out free masks on Thursday as part of her own personal campaign to fight the virus.Dave Sanders for The New York TimesTo the Editor:Re “Adams Resists New Mandates as Covid Rises” (front page, May 20):We just don’t get it. Every time we “open up” and remove protective measures, Covid soars. Over a million Americans have died from the virus, depriving their loved ones of their presence. And needless hospitalization costs more than prevention and taxes the health system, already enormously overwhelmed.As physicians, we aim to prevent disease. New York City’s mayor thinks that it is better to treat Covid (with expensive drugs that don’t always work and can cause serious side effects) than to take the necessary steps to avoid it. And it may be more than just the mayor’s “tickle in my throat” if you wind up in the I.C.U. or get long Covid.Yes, the economy is vital, but more disease makes fewer people able to shop or eat out or go to work. And we don’t yet know the long-term effects on the brain and body. So prevention is key, and we need to follow the advice of public health experts who should be in control of this, not politicians.It is not a burden to get vaccinated and boosted and wear a good-quality mask. It is a responsibility to our fellow citizens and ourselves. We used to care about each other. Taking these steps would help us finally emerge from this scourge.Stephen DanzigerBrooklynThe writer, a physician, is a member of the Covid-19 Task Force of the Medical Society of the County of Kings (Brooklyn).Voters, Defend Democracy Jason Andrew for The New York TimesTo the Editor:Re “In Primaries, G.O.P. Voters Reward a Lie” (news analysis, front page, May 19):In November, voters must decide to cast their ballots either for congressional candidates who view fidelity to the rule of law as sacrosanct or for those who consider the oath to “support and defend the Constitution” a hollow pledge. The outcome may determine whether or not our constitutional republic survives.John Adams pessimistically asserted: “Democracy never lasts long. It soon wastes, exhausts, and murders itself.” If, as Adams suggested, our form of government is on a path toward suicide, then we must look to the electorate for intervention.To prove Adams wrong, the electorate must once again rise to the occasion as it did in the 2020 presidential election when it ousted Donald Trump for undermining democratic governance.Jane LarkinTampa, Fla.Estonia’s Tough Voice Against Russian AggressionPrime Minister Kaja Kallas of Estonia in Brussels just after Russia invaded Ukraine in February.Pool photo by John ThysTo the Editor:Re “Estonian Leader Warns Against Deal With Putin” (news article, May 17):As an American living in Estonia, I have watched with great admiration Prime Minister Kaja Kallas’s leadership on all issues related to Russia’s invasion of Ukraine. She has been a firm and unyielding voice urging tough measures against Russian aggression.Estonia is a small country, but it punches well above its weight in terms of its commitment to NATO, its commitment to helping Ukraine, including taking in a huge number of refugees relative to its population, and its commitment to freedom and democracy.Ms. Kallas has advocated a 21st-century strategy of “smart containment,” appropriately building on the 20th-century Cold War “containment” policy first advocated by George F. Kennan. She has insisted on Western resolve to stop Russia before Vladimir Putin’s desire to re-form the Soviet Union through war is realized.The West should heed Ms. Kallas, especially her forceful argument that Russia must lose this war, and any result short of that is unacceptable. Tragically, if her policy of “smart containment” had been largely implemented before the Russian invasion, Mr. Putin would have never invaded.It’s not as if the war in Ukraine was a surprise — certainly not to those in the Baltics who through history and proximity know Russia well.Michael G. BrautigamTallinn, EstoniaAbortion Funds Already ExistTo the Editor:Re “An Abortion Fund” (letter, May 16):We appreciate Jack Funt’s interest in a national fund that would support people traveling for abortion after the Supreme Court’s decision in Dobbs v. Jackson. Mr. Funt will be delighted to learn that a network of more than 80 abortion funds already exists.Legal abortion has never meant accessible abortion. The cost of a first-trimester abortion averages $575, but can exceed $1,000. Three-quarters of abortion patients are low income. Even with Roe in effect, many Americans struggle to pay for their abortions and travel to clinics. Since before 1973, abortion funds have helped people access care that would otherwise have been out of reach.We encourage people to learn about and support the work already being done to ensure abortion access. Readers can find their local abortion fund by visiting the website of the National Network of Abortion Funds.Rhian LewisAriella MessingThe writers direct the Online Abortion Resource Squad, which connects people to high-quality information about abortion. More

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      Your Monday Briefing: Macron Wins Re-election

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      Plus an announced visit by top U.S. officials to Kyiv, while New Zealand and Japan announce closer diplomatic ties.Good morning. We’re covering President Emmanuel Macron’s victory in France, an announced visit by top U.S. officials to Kyiv and a power re-calibration in the Pacific.French President Emmanuel Macron and his wife Brigitte Macron celebrate after his victory in France’s presidential election.Thomas Coex/Agence France-Presse — Getty ImagesMacron wins re-election in FrancePresident Emmanuel Macron of France has won a second term, defeating the far-right leader Marine Le Pen in a close competition and becoming the first French president to be re-elected in 20 years.Early projections showed Macron, a centrist, gaining 58.5 percent of the vote to Le Pen’s 41.5 percent. His victory was much narrower than in 2017, when the margin was 66.1 percent to 33.9 percent for Le Pen, but wider than appeared likely two weeks ago.The contest hinged on economic issues, and Macron, distracted by his fruitless Russia diplomacy, seldom showed real concern for the financial difficulties many French have faced during the pandemic and the war.But his promise of stability and his effective stewardship over the Covid-19 crisis appear to have prevailed over the strong temptation of an extremist lurch toward nationalism.Analysis: Le Pen, the leader of an anti-immigrant movement, tried to focus on economic policy in an effort to sanitize her image without softening her xenophobic program, and brought the extreme right closer to power than at any time since 1944.Russia: The election has profound effects on the war in Ukraine. Le Pen, who owes millions to a Russian bank, is a longtime Moscow ally and heads a party hostile to NATO. European officials immediately expressed their relief after Macron’s victory.Ukrainian soldiers paused for Orthodox Easter services on the outskirts of Kyiv, Ukraine. David Guttenfelder for The New York TimesMariupol holds, commander saysUkrainian forces are still in full control of the Azovstal steel plant in Mariupol and have repelled continuous assaults by Russian infantry, a commander told The Times on Sunday.He said his forces were willing to leave the factory and evacuate the city if given guarantees of safe passage for themselves and hundreds of civilians. Satellite images appear to show a growing mass grave on the city’s outskirts, and the mayor said that “at least 15,000 elderly and those with chronic diseases may die.”Diplomatic winds blew strong in Kyiv, as President Volodymyr Zelensky prepared to meet with the U.S. secretary of state, Antony Blinken, and the defense secretary, Lloyd Austin. Details of their trip had not yet been released.Fighting continues to rage in the country’s east. Russia, which has taken more than three dozen small towns in the region, ignored calls for a cease-fire during the Orthodox Easter holiday. Its missiles struck the port city of Odesa — which has been largely spared attacks on its civilians — killing at least eight people. But Ukrainian soldiers are still fighting fiercely. Follow live updates here.Context: Weapons are flowing into Ukraine from the West, and the U.S. has pledged more military aid, including drones that explode on impact. Zelensky said Ukraine had begun to receive the sort of heavy weaponry it needed, and he promised victory. Other updates:Germany’s former chancellor, Gerhard Schröder, has become a pariah because of his work for Russian-controlled energy companies.Warsaw is bursting with refugees.Prime Minister Fumio Kishida and Prime Minister Jacinda Ardern in Tokyo on Thursday.Pool photo by Yuichi YamazakiPower shifts in the Pacific regionAs China moves to expand its influence in the Asia-Pacific region, New Zealand and Japan have announced a goal of “seamless” sharing of classified information.In the announcement, Prime Minister Jacinda Ardern of New Zealand and Prime Minister Fumio Kishida of Japan spoke of “growing strategic challenges” in the Pacific. Two days earlier, the Solomon Islands said it had reached a security agreement with China, which provoked unease among Western-aligned powers in the region.Ardern and Kishida also highlighted their opposition to “unilateral actions that seek to alter the status quo by force” in the East and South China seas, most likely a reference to Beijing’s efforts to construct artificial islands for military use and encroach on disputed territories.Analysis: Tokyo has long tried to join the “Five Eyes” intelligence partnership, through which the United States, Britain, Canada, Australia and New Zealand share intelligence. Members were concerned about the security of the Japanese intelligence community, but the country has overhauled its methods.Background: New Zealand has itself faced questions about its reliability as an intelligence partner because it is so economically dependent on China, by far the largest purchaser of its exports.THE LATEST NEWSAsia and The PacificRescuers shielded a stretcher on Sunday.Jiji Press/Agence France-Presse — Getty ImagesAt least 10 people died after a Japanese tour boat sank off the coast of Hokkaido Island. Sixteen more are missing.An explosion at a Sufi mosque in northern Afghanistan killed at least 33 people on Friday, the latest in a series of bloody attacks reminiscent of the past two decades of war.South Korea’s departing president, Moon Jae-in, urged dialogue with the U.S. in a warm farewell letter to Kim Jong-un, North Korea’s dictator. Kim replied in an exchange the North described as “an expression of their deep trust.”Prime Minister Narendra Modi focused on economic growth, rather than restive politics, when he dedicated a solar plant in northern India on Sunday.World NewsA landmark new law from the European Union would force internet service companies to combat misinformation and restrict certain online ads. Similar efforts in the U.S. have stalled.On Friday, more skirmishes flared up at the Aqsa Mosque compound in Jerusalem, a holy site known to Jews as the Temple Mount.A judicial inquiry in South Africa found that corruption at its tax agency was because of “collusion” between Bain & Company and the country’s former president, Jacob Zuma.The world is falling far short of the goal to vaccinate 70 percent of every country’s population by June.A Morning ReadHo Kew Lee, 85, seated, is part of the older generation trying to find new leaders to keep civic organizations afloat.Jingyu Lin for The New York TimesIn New York City, Chinatown’s civic groups have long used their coveted real estate portfolio to hold back encroaching gentrification. But the pandemic introduced new costs, which could force the graying owners to sell and dramatically upend the neighborhood’s delicate balance.ARTS AND IDEASCentral Park, Manhattan.Ruth Fremson/The New York TimesOlmstead’s visionDetroit’s Belle Island. Boston’s Emerald Necklace. Stanford University. Central Park. And, of course, the U.S. Capitol.These iconic public spaces, and others, came from the vision of the landscape architect Frederick Law Olmsted, born 200 years ago on April 26. His creations are more essential to American life than ever, Audra D. S. Burch writes in The Times.Olmsted saw parks as an oasis, a haven for fresh air and safety. “The park should, as far as possible, complement the town,” he wrote. “Openness is the one thing you cannot get in buildings.” During the pandemic, Audra writes, “his parks helped sustain Americans’ mental and physical health and social connections.”Some of his parks also became the staging grounds for social justice protests. “Olmsted understood the promise of the park as a social force that would become an amenity in city life over the decades,” Audra writes. He saw parks as sites of healing, “literal common grounds forging communities, unstratified by race or class or faith.”“The young nation that Olmsted served might be unrecognizable to him today,” Audra continues, “except for the rituals preserved and encouraged by his own creations:Restoration and recreation.Wonder and discovery.Solitude and community.And sometimes, simply — sitting still.”I highly encourage you to take a trip through Olmstead’s creations, and view more of Ruth Fremson’s stunning photos, here.PLAY, WATCH, EATWhat to CookBobbi Lin for The New York TimesIce cream and a spring of tarragon round out these grape dumplings, a popular recipe among Indigenous nations of the American Southeast.What to WatchStream these five action movies, including an Indonesian fight flick interrogating toxic masculinity, a Punjabi family mob drama and a muscular South Korean gangland film.WellnessCan your diet help prevent dementia?Now Time to PlayPlay today’s Mini Crossword, and a clue: Head pests (four letters).Here are today’s Wordle and today’s Spelling Bee.You can find all our puzzles here.That’s it for today’s briefing. See you next time. — AmeliaP.S. Eduardo Medina, a Times fellow, will join the Express desk as a general assignment reporter.The latest episode of “The Daily” is on the French election.You can reach Amelia and the team at briefing@nytimes.com. More

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      ‘Magic’ Weight-Loss Pills and Covid Cures: Dr. Oz Under the Microscope

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      The celebrity physician, a candidate in Pennsylvania’s Republican primary for Senate, has a long history of dispensing dubious medical advice on his daytime show and on Fox News.A wealth of evidence now shows that the malaria drugs hydroxychloroquine and chloroquine were not effective at treating Covid-19 and carried potential risks.But in the early months of the pandemic, Dr. Mehmet Oz, the celebrity physician with a daytime TV show, positioned himself as one of the chief promoters of the drugs on Fox News. In the same be-the-best-you tone that he used to promote miracle weight-loss cures on “The Dr. Oz Show,” he elevated limited studies that he said showed wondrous promise.His “jaw dropped,” he said, while reviewing one tiny study from France, calling it “a game changer.” In all, Dr. Oz promoted chloroquine and hydroxychloroquine in more than 25 appearances on Fox in March and April 2020.When a Veterans Affairs study showed that Covid-19 patients treated with hydroxychloroquine were more likely to die than untreated patients, that advocacy came to an abrupt halt.“We are better off waiting for the randomized trials” that Dr. Anthony S. Fauci, the nation’s leading infectious disease expert, had been asking for, Dr. Oz told Fox viewers.As Dr. Oz jumped last month into the Republican primary for Senate in Pennsylvania, where his celebrity gives him an important advantage in a crucial race, he tied his candidacy to the politics of the pandemic. He appealed to conservatives’ anger at mandates and shutdowns, and at the “people in charge” who, he said, “took away our freedom.”But the entry into the race of the Cleveland-born heart surgeon, a son of Turkish immigrants who has been the host of “The Dr. Oz Show” since 2009, also brought renewed scrutiny to the blemishes on his record as one of America’s most famous doctors: his long history of dispensing dubious medical advice.In ebullient language, he has often made sweeping claims based on thin evidence, which in multiple cases, like that of hydroxychloroquine, unraveled when studies he relied on were shown to be flawed.Over the years, Dr. Oz, 61, has faced a bipartisan scolding before a Senate committee over claims he made about weight-loss pills, as well as the opposition of some of his physician peers, including a group of 10 doctors who sought his firing from Columbia University’s medical faculty in 2015, arguing that he had “repeatedly shown disdain for science and for evidence-based medicine.” Dr. Oz questioned his critics’ motives and Columbia took no action, saying it did not regulate faculty members’ participation in public discourse.He has warned parents that apple juice contained unsafe levels of arsenic, advice that the Food and Drug Administration called “irresponsible and misleading.” In 2013, he warned women that carrying cellphones in their bras could cause breast cancer, a claim without scientific merit. In 2014, the British Medical Journal analyzed 80 recommendations on Dr. Oz’s show, and concluded that fewer than half were supported by evidence.Two researchers who worked on “The Dr. Oz Show” for a year during a break from medical school in the 2010s said in interviews that the show’s producers had originated most of its topics, often getting their ideas from the internet. But the researchers, whose job was to vet medical claims on the show, said that they had little power to push back, and that they regularly questioned the show’s ethics to one another and discussed quitting in protest.“Our jobs seemed to be endless fighting with producers and being overruled,” said one of the former researchers, both of whom are now physicians and insisted on anonymity because they said they feared that publicly criticizing him could jeopardize their careers.According to the former researchers, the show’s producers conjured an imaginary, typical viewer named “Shirley,” a woman whose children were grown and who had time to focus on herself. The standard advice for many ailments covered on the show — obesity, sluggishness, back pain — was exercise, the researchers said. But there was a quota on how often exercise could be mentioned.Shirley watched daytime TV and didn’t want to exercise, the researchers said they were told.Dr. Oz’s on-air medical advice on both his show and Fox News has taken on greater significance as he enters the political realm. His promotion of hydroxychloroquine grabbed President Donald J. Trump’s attention and contributed to early misinformation about the virus on the right.“Information can harm — that’s the key thing we need to appreciate here,” said Harald Schmidt, an assistant professor of medical ethics and health policy at the University of Pennsylvania. “His track record is pretty concerning. What we’ve seen so far does not instill confidence that this will help reasonable politics.”Dr. Oz, kneeling, rose to fame as a medical expert on Oprah Winfrey’s show.Jemal Countess/ Getty ImagesDr. Oz declined to to be interviewed for this article. His campaign manager, Casey Contres, said in a statement that the doctor had always put patients first and fought the “established grain” in medicine.“Dr. Oz believes it was truly unfortunate that Covid-19 became political and an excuse for the government and many in the corporate media to control the means of communication to suspend debate,” Mr. Contres added. “From the start, therapeutics meant to help with Covid-19 were regularly discounted by the medical establishment, and many great ideas were squashed and discredited.”Over the years, when pressed about offering unproven medical advice, Dr. Oz said his goal was to “empower” Americans to take control of their health. Grilled by senators in 2014 about false claims he made for weight-loss products, he said, “My job on the show, I feel, is to be a cheerleader for the audience.”He also said it was his right to use unscientific language. “When I feel as a host of a show that I can’t use words that are flowery,” he told the senators, “I feel like I’ve been disenfranchised, like my power’s been taken away.”In using the politics of the pandemic to shape his campaign for an open seat — one pivotal to Senate control in the midterms — Dr. Oz may be in tune with primary voters in Pennsylvania. The race has drawn candidates echoing Mr. Trump’s lie that the 2020 election was stolen, including Jeff Bartos, a developer, and Carla Sands, a former ambassador. David McCormick, a hedge-fund executive married to a former Trump administration official, is expected to join the field soon.The criticism Dr. Oz has received over the years for spreading misinformation has done little to tarnish his celebrity, as measured by his long-running TV program, whose distributor announced that the show would end in January when its host departs.Still, misinformation about the coronavirus emanating from the Trump White House and conservative news sites helped politicize the nation’s response to the pandemic, with deadly consequences in many Republican areas of the country.Although Dr. Oz spoke strongly in favor of masks and vaccines on Fox, his championing of unproven treatments early on sharply contradicted infectious-disease experts like Dr. Fauci who urged caution.In Pennsylvania, as around the country, counties that voted by large margins for Mr. Trump in 2020 have had lower vaccination rates and higher death rates from Covid than counties that voted heavily for President Biden.Yet at one point early in the pandemic, he said that reopening schools was an “appetizing opportunity” that might cause the deaths of “only” 2 to 3 percent of the population. He later walked back the statement.“I can’t believe he took the same oath that I did when we graduated,” said Dr. Val Arkoosh, an anesthesiologist and county official in the Philadelphia suburbs who is running in the Democratic primary for Senate. “That oath is about first doing no harm and always putting your patients first. I just think he’s a quack, to be honest.”In reply to Dr. Arkoosh, Mr. Contres said that Dr. Oz had performed thousands of heart surgeries and had “helped countless patients live a better life.”Dr. Oz testifying before the Senate subcommittee on consumer protection in 2014, when senators pressed him on claims he had made about weight-loss pills.Tom Williams/CQ Roll CallIn Dr. Oz’s 2014 appearance before the Senate subcommittee on consumer protection, Claire McCaskill, then a Democratic senator from Missouri, quoted a bit of his TV sales patter back to him: “You may think magic is make-believe, but this little bean has scientists saying they’ve found the magic weight-loss cure for every body type — it’s green coffee extract.”Dr. Oz admitted to the senators that his claims often “don’t have the scientific muster to present as fact.” A study he had cited about green-coffee bean extract was later retracted and described by federal regulators as “hopelessly flawed.” The supplier of the extract paid $3.5 million to settle charges by the Federal Trade Commission.Dr. David Gorski, a surgery professor at Wayne State University and longtime critic of alternative medicine, said Dr. Oz’s emergence as a Fox News authority on the coronavirus was no surprise him.“He could have gone the route of trying to be more reasonable and careful, vetting information, trying to reassure people where the science was still unsettled,” Dr. Gorski said. “But of course, that wouldn’t be Dr. Oz’s brand.”Early in the pandemic, on March 20, 2020, Dr. Oz appeared on several Fox News shows trumpeting what he called “massive, massive news” — a small study by a divisive French researcher, Dr. Didier Raoult, who claimed a 100 percent cure rate after treating coronavirus patients with hydroxychloroquine and azithromycin, or Z-Pak. At the time, with Covid-19 cases and deaths rising rapidly, hydroxychloroquine, an anti-malarial treatment, was being studied in multiple countries and adopted by hospitals without much evidence. Mr. Trump hyped it repeatedly at White House news conferences as part of his effort to minimize the crisis. Dr. Oz communicated with Trump advisers about speeding the drug’s approval to treat Covid. On March 28, the F.D.A. authorized its emergency use. On Fox, Dr. Oz noted that the Raoult study, with just 36 participants, was not a clinical trial, but his enthusiasm overran his caution. The study was the “most impressive bit of news on this entire pandemic front,” he gushed. On April 1, as Dr. Oz called on Gov. Andrew M. Cuomo of New York to lift restrictions on hydroxychloroquine, a public health expert, Dr. Ashish Jha of Brown University, cautioned Fox viewers that “the facts are just not in” on the drug.There was much confusion in the early days of the crisis about how the virus spread and how to slow it, with some expert views reversed by new information. The Raoult study quickly fell apart. Only six patients had received the two-drug combination, all with mild or early infections. One who was reported “virologically cured” on Day 6 was found to have the virus two days later. Six other patients treated only with hydroxychloroquine were omitted from the final results, including one who died and three others who were transferred to intensive care.On April 3, the board of the research journal that initially published the study said it did not meet the “expected standard.” In June 2020, the F.D.A. revoked emergency authorization of hydroxychloroquine to treat Covid-19. That November, the National Institutes of Health concluded that the drug held no benefit in treating Covid-19.By then, Dr. Oz’s once-daily appearances on Fox had tapered off. He was rarely seen on the network this year. But he returned to Sean Hannity’s show on Nov. 30 to announce his candidacy, seizing the opportunity to push back at critics of his medical career.“Doctors are about solutions,” he said. “But instead, people with good ideas are shamed, they’re silenced, they’re bullied, they’re canceled.”Susan C. Beachy More

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      As New York City Reopens, Its Recovery Will Hinge on the Next Mayor

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      The Democratic candidates are making radically different bets about the mood and priorities of New Yorkers as the city moves toward reopening after the pandemic.The signs of New York City’s recovery are everywhere: Vaccinations are on the rise; restaurant and bar curfews are ending; occupancy restrictions are easing in offices, ballparks and gyms. By July 1, Mayor Bill de Blasio says the city should be “fully reopened.”After more than a year of death and economic devastation, New York is lurching into a new and uncertain phase of recovery — and the candidates vying to be the city’s next mayor are making radically different bets about the mood and priorities of New Yorkers, and how best to coax the city back to life.As the mayoral candidates barrel toward the June 22 Democratic primary, sharp distinctions are emerging around how to address this immense task.Andrew Yang, the former presidential candidate and current front-runner, has positioned himself as the city’s ultimate cheerleader in the race, and he has made accelerating the reopening of the city a central plank of his messaging. Scott M. Stringer, the city comptroller, describes a series of crises facing New York and promises to be a progressive mayor who will “manage the hell out of the city.”Maya Wiley, a civil rights lawyer who is particularly focused on matters of racial justice, often urges a “reimagining” of a more equitable city following the pandemic. And Eric Adams, the Brooklyn borough president, suggests that public safety is a prerequisite for progress and speaks often of his experience as a Black former police captain who pushed for change within the system.“I don’t want to hear people say, ‘We want to have New York City be just happy again,’” Mr. Adams said at a recent campaign appearance in Queens, even as he promised brighter days ahead. “To too many New Yorkers, the city was never happy.”The matter of how the city recovers plainly resonates with New Yorkers: A recent Spectrum News NY1/Ipsos poll found that 34 percent of likely Democratic primary voters surveyed viewed reopening businesses and the economy as the top priority for the next mayor, second only to stopping the spread of Covid-19 and closely followed by crime and public safety.Eric Adams has emerged as the candidate most focused on public safety.Shannon Stapleton/ReutersThe challenge for all the candidates is to offer the right mix of experience and empathy, energy and vision, to engage a diverse electorate that experienced the coronavirus crisis and its fallout in very different ways.More than any other candidate, Mr. Yang expects that New Yorkers, after a desperately challenging year, want a hopeful mayor with a simple message about reopening the city quickly.Part of Mr. Yang’s lead in the sparse public polling available can be attributed to name recognition from his presidential campaign, but a number of veteran Democratic strategists say he has also settled on a tone that resonates with many voters eager to move on from the pandemic.“It’s the spring of 2021, not the spring of 2020, and New Yorkers are increasingly optimistic and hopeful about the future,” said Howard Wolfson, a longtime adviser to former Mayor Michael R. Bloomberg, who is neutral in the race. “So far, Andrew Yang is the person who has best captured that sentiment.”He and his competitors agree that New York must be reopened as a more vibrant and equitable place than it was when it closed, and they are putting forth a wide range of policy prescriptions and arguments around leadership skills to illustrate how they would do just that.Mr. Yang, who says he wants to be the anti-poverty mayor, has unveiled a range of policy proposals around vital city issues, many of which begin with a simple prescription: accelerate the opening of the city and cheer on New York’s promise. On Tuesday, for instance, he urged the state to loosen restrictions on bars and restaurants, saying that reopening those establishments was “mission critical.” He has also proposed a basic income program for the poorest New Yorkers, a less expansive version of the universal basic income he promoted as a presidential candidate.But a big part of his strategy also involves attending reopening events — like Opening Day at Yankee Stadium — and declaring that New York must be open for business. He has promised to host “the biggest post-Covid celebration in the world.”The test for Mr. Yang will be whether voters believe he has sufficient managerial experience and knowledge of the city to execute the complicated rebuilding efforts that he likes to applaud. And his efforts to cheer on city businesses do not always land: He recently had a disastrous appearance before a prominent L.G.B.T.Q. Democratic organization, where participants felt that he was more focused on discussing gay bars than matters of policy.“We need somebody who’s going to steer the ship, but not overpromise — don’t tell me we’re going to be Disneyland next week,” said Donovan Richards, the Queens borough president. He was speaking broadly about the field, but when asked which candidates were striking the right balance in tone, he pointed to Mr. Adams and Ms. Wiley. He intends to make an endorsement in the coming days.Maya Wiley, right, is particularly focused on issues of social justice.Michelle V. Agins/The New York TimesSeveral of Mr. Yang’s rivals have argued that he is ill-equipped to lead the city at a moment of staggering challenges. Many are working to draw sharper contrasts with him, an effort that may culminate in the first debate, on May 13.A number of candidates believe that the electorate — while convinced of New York’s strengths and hopeful about its future — also wants an experienced government veteran who exudes knowledge of the political system in discussing how to navigate recovery.Shaun Donovan, the former Obama administration housing secretary, is seeking to brand himself “the man with the plan,” issuing a 200-page proposal with ideas ranging from launching a skills-based training program to facilitate employment opportunities, to creating “15-minute neighborhoods” in an effort to make good schools, transit and parks more accessible. He often notes his time working with President Barack Obama and President Biden to illustrate his ability to manage high-stakes moments for the country..css-1xzcza9{list-style-type:disc;padding-inline-start:1em;}.css-3btd0c{font-family:nyt-franklin,helvetica,arial,sans-serif;font-size:1rem;line-height:1.375rem;color:#333;margin-bottom:0.78125rem;}@media (min-width:740px){.css-3btd0c{font-size:1.0625rem;line-height:1.5rem;margin-bottom:0.9375rem;}}.css-3btd0c strong{font-weight:600;}.css-3btd0c em{font-style:italic;}.css-w739ur{margin:0 auto 5px;font-family:nyt-franklin,helvetica,arial,sans-serif;font-weight:700;font-size:1.125rem;line-height:1.3125rem;color:#121212;}#NYT_BELOW_MAIN_CONTENT_REGION .css-w739ur{font-family:nyt-cheltenham,georgia,’times new roman’,times,serif;font-weight:700;font-size:1.375rem;line-height:1.625rem;}@media (min-width:740px){#NYT_BELOW_MAIN_CONTENT_REGION .css-w739ur{font-size:1.6875rem;line-height:1.875rem;}}@media (min-width:740px){.css-w739ur{font-size:1.25rem;line-height:1.4375rem;}}.css-1dg6kl4{margin-top:5px;margin-bottom:15px;}#masthead-bar-one{display:none;}#masthead-bar-one{display:none;}.css-12vbvwq{background-color:white;border:1px solid #e2e2e2;width:calc(100% – 40px);max-width:600px;margin:1.5rem auto 1.9rem;padding:15px;box-sizing:border-box;}@media (min-width:740px){.css-12vbvwq{padding:20px;width:100%;}}.css-12vbvwq:focus{outline:1px solid #e2e2e2;}#NYT_BELOW_MAIN_CONTENT_REGION .css-12vbvwq{border:none;padding:10px 0 0;border-top:2px solid #121212;}.css-12vbvwq[data-truncated] .css-rdoyk0{-webkit-transform:rotate(0deg);-ms-transform:rotate(0deg);transform:rotate(0deg);}.css-12vbvwq[data-truncated] .css-eb027h{max-height:300px;overflow:hidden;-webkit-transition:none;transition:none;}.css-12vbvwq[data-truncated] .css-5gimkt:after{content:’See more’;}.css-12vbvwq[data-truncated] .css-6mllg9{opacity:1;}.css-1rh1sk1{margin:0 auto;overflow:hidden;}.css-1rh1sk1 strong{font-weight:700;}.css-1rh1sk1 em{font-style:italic;}.css-1rh1sk1 a{color:#326891;-webkit-text-decoration:underline;text-decoration:underline;text-underline-offset:1px;-webkit-text-decoration-thickness:1px;text-decoration-thickness:1px;-webkit-text-decoration-color:#ccd9e3;text-decoration-color:#ccd9e3;}.css-1rh1sk1 a:visited{color:#333;-webkit-text-decoration-color:#ccc;text-decoration-color:#ccc;}.css-1rh1sk1 a:hover{-webkit-text-decoration:none;text-decoration:none;}Kathryn Garcia, the former sanitation commissioner, is especially focused on promoting small businesses and combating climate change. She has pushed for a single city permit for small businesses in an effort to ease bureaucratic hurdles. Ms. Garcia is a veteran of city government who exudes affection for her hometown but is blunt in her assessment of the depths of New York’s challenges.She and other longtime officials, like Mr. Stringer and Mr. Adams, argue that deep familiarity with navigating city government is vital to managing the city’s reopening.Mr. Stringer often says that the city is facing interlocking crises around the economy, social justice and health disparities. His long list of ambitions, with accompanying lengthy plans, includes a promise for “universal affordable housing.” Mr. Stringer’s ability to make his case has been complicated in recent days by an allegation of sexual assault, which he denies.Other contenders with less campaign experience argue that they bring a fresh perspective to combating the city’s biggest challenges.Ms. Wiley, a former counsel to Mayor Bill de Blasio, describes herself as an unconventional candidate with a background in advocacy around racial and economic justice. She has been highlighting “50 Ideas for NYC,” which includes a proposal to invest in caregiving, in part by paying more informal care workers, and she has proposed a $10 billion capital spending program aimed at creating jobs and improving infrastructure in communities across the city.Dianne Morales, a left-wing former nonprofit executive, is calling for a total overhaul of the city’s “system,” noting the inequality that the pandemic deepened. She supports ideas like “basic income relief for every household,” and sees matters of racial justice and public safety as core to how the city reopens and recovers. She urges far-reaching proposals like $3 billion in cuts to the New York Police Department’s budget, to be reinvested in community responses.Dianne Morales wants to cut the police budget by $3 billion.Jeenah Moon/ReutersAssessing how to discuss reopening is difficult, said Gale Brewer, the Manhattan borough president, because people have vastly different priorities depending on their circumstances.“How do you get New York City back working again and including everybody? That’s the problem,” she said. “The city’s pretty divided.”In January, Mr. Adams — who has cast himself as a candidate with a blue-collar background who is focused on combating inequality — rolled out more than 100 ideas for the city’s future. But in recent weeks he has also emerged as the candidate most clearly focused on combating gun violence. “Public safety,” he often says, is the “prerequisite to prosperity.”Raymond J. McGuire, a former Citigroup executive with a hardscrabble childhood, sometimes declares, “no jobs, no city,” as he pitches himself as the best steward of the city’s economic recovery, with a plan that he claims will bring back 500,000 jobs. And in one sign of his sense of the electorate’s mood, Mr. McGuire has released an ad that concludes, “Ray McGuire: the serious choice for mayor.”Even by 2022, the city’s future will be uncertain: Tourists may not fully return until 2025, a dynamic with significant implications for New York’s standing as a global cultural capital; many companies will adopt hybrid work strategies, blending work from home with traditional office time and threatening to permanently reshape Manhattan; and many small businesses that closed during the pandemic may never reopen.In a city shaped by deep racial and socioeconomic inequality, candidates seeking to build a broad coalition need a message and tone that connects with both white-collar workers who are overjoyed about leaving their apartments and with New Yorkers worried about evictions and unemployment.“For a large amount of people suffering in this pandemic,” said Mr. Richards, the Queens borough president, “their question is going to be, ‘Reopen the city for whom?’” More