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      Fetterman’s Debate Challenges: Selling Policies and Proving He’s Fit to Serve

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      WASHINGTON — When John Fetterman, the Democratic candidate for Senate in Pennsylvania, faces his Republican opponent in a high-stakes debate on Tuesday night, he will face twin challenges: making the case for his policies while convincing voters he is healthy enough to serve.The debate, the first and only in a race that could determine whether Democrats keep control of the Senate, will look different than any other. Two 70-inch monitors above the heads of the moderators — scrolling the text of their questions, as well as transcribing the answers, attacks and ripostes of the Republican, Dr. Mehmet Oz — will be visible to TV watchers whenever a camera pans to the moderators.Mr. Fetterman, Pennsylvania’s lieutenant governor, needs the accommodations because the stroke he had in May left him with an auditory processing disorder, a condition that affects the brain’s ability to filter and interpret sounds, his primary care doctor said last week. He uses closed captioning to follow conversations. Sometimes his speech is halting. Sometimes he stumbles over his words. But he has “no work restrictions,” the doctor said.Democrats say this makes him seem relatable. Disability rights activists say Mr. Fetterman has been a victim of prejudice from Republicans and reporters who focus more on his health than the issues. But Mr. Fetterman — who also has a heart condition that his cardiologist says was exacerbated by his failure to seek care and take medicine — was cagey about answering health questions in the early months of his campaign, which has left him open to bipartisan criticism about a lack of transparency.“He handled the issue badly at first because he was evasive for months, and that’s changed,” said Shanin Specter, a politically active Philadelphia lawyer (and the son of former Senator Arlen Specter of Pennsylvania), who said he is not supporting either candidate. “He should be more worried about the electorate’s concerns about his evasion than about his capacity.”The race pits Mr. Fetterman, a tall, tattooed figure who favors hoodies and shorts and casts himself as a working man, against Dr. Oz, a former TV celebrity — and newcomer to Pennsylvania residency — who was scolded by senators in 2014 for using his TV show to promote foods and dietary supplements that falsely promised weight loss. Dr. Oz has been endorsed by former President Donald J. Trump, who has said his long television run was proof of his political viability.The general election contest has tightened in recent days, as once-skeptical Republican voters fall in line with Dr. Oz. Polls show Mr. Fetterman’s solid lead has nearly vanished this month.Dr. Mehmet Oz’s campaign spent months taunting and openly mocking Mr. Fetterman as mentally unfit to hold office.Laurence Kesterson/Associated PressThe Oz campaign spent months taunting and openly mocking Mr. Fetterman as mentally unfit to hold office. But now, amid a social media backlash from some voters as well as disability rights activists, Dr. Oz and his allies are shifting course. They have insisted the debate will be about policies, not health.“I don’t think that viewers are tuning into this debate to learn about John Fetterman’s health status,” said Barney Keller, a senior strategist for Dr. Oz. “I think they’ll tune into the debate to learn about the contrast between the candidates on the issues.”The State of the 2022 Midterm ElectionsBoth parties are making their final pitches ahead of the Nov. 8 election.A G.O.P. Advantage: Republicans appear to be gaining an edge in the final weeks of the contest for control of Congress. Nate Cohn, The Times’s chief political analyst, explains why the mood of the electorate has shifted.Ohio Senate Race: Tim Ryan, the Democrat who is challenging J.D. Vance, has turned the state into perhaps the country’s unlikeliest Senate battleground.Losing Faith in the System: As democracy erodes in Wisconsin, many of the state’s citizens feel powerless. But Republicans and Democrats see different culprits and different risks.Secretary of State Races: Facing G.O.P. candidates who spread lies about the 2020 election, Democrats are outspending them 57-to-1 on TV ads for their secretary of state candidates. It still may not be enough.Mr. Fetterman has long sought to turn the Oz campaign’s attacks on his health to his advantage. “Recovering from a stroke in public isn’t easy,” he recently wrote on Twitter. “But in January, I’m going to be much better — and Dr. Oz will still be a fraud.”Still, Democrats worry that any off-key moment by Mr. Fetterman could go viral and affect the outcome of the race.“We are prepared for Oz’s allies and right-wing media to circulate malicious viral videos after the debate that try to paint John in a negative light because of awkward pauses, missing some words, and mushing other words together,” Rebecca Katz, Mr. Fetterman’s senior communications adviser, and Brendan McPhillips, his campaign manager, wrote in a memo on Monday.Although Mr. Fetterman has sat for one-on-one interviews with news outlets using closed captioning, the debate will move much faster — with cross-talk and interruptions — and it is unclear how the technology that Mr. Fetterman relies on will keep up, and how he will respond.His auditory processing issues mean that he typically avoids situations when voices and noise come from multiple directions. He has held no free-for-all meetings with voters or a gaggle of reporters..css-1v2n82w{max-width:600px;width:calc(100% – 40px);margin-top:20px;margin-bottom:25px;height:auto;margin-left:auto;margin-right:auto;font-family:nyt-franklin;color:var(–color-content-secondary,#363636);}@media only screen and (max-width:480px){.css-1v2n82w{margin-left:20px;margin-right:20px;}}@media only screen and (min-width:1024px){.css-1v2n82w{width:600px;}}.css-161d8zr{width:40px;margin-bottom:18px;text-align:left;margin-left:0;color:var(–color-content-primary,#121212);border:1px solid var(–color-content-primary,#121212);}@media only screen and (max-width:480px){.css-161d8zr{width:30px;margin-bottom:15px;}}.css-tjtq43{line-height:25px;}@media only screen and (max-width:480px){.css-tjtq43{line-height:24px;}}.css-x1k33h{font-family:nyt-cheltenham;font-size:19px;font-weight:700;line-height:25px;}.css-1hvpcve{font-size:17px;font-weight:300;line-height:25px;}.css-1hvpcve em{font-style:italic;}.css-1hvpcve strong{font-weight:bold;}.css-1hvpcve a{font-weight:500;color:var(–color-content-secondary,#363636);}.css-1c013uz{margin-top:18px;margin-bottom:22px;}@media only screen and (max-width:480px){.css-1c013uz{font-size:14px;margin-top:15px;margin-bottom:20px;}}.css-1c013uz a{color:var(–color-signal-editorial,#326891);-webkit-text-decoration:underline;text-decoration:underline;font-weight:500;font-size:16px;}@media only screen and (max-width:480px){.css-1c013uz a{font-size:13px;}}.css-1c013uz a:hover{-webkit-text-decoration:none;text-decoration:none;}How Times reporters cover politics. We rely on our journalists to be independent observers. So while Times staff members may vote, they are not allowed to endorse or campaign for candidates or political causes. This includes participating in marches or rallies in support of a movement or giving money to, or raising money for, any political candidate or election cause.Learn more about our process.Ahead of the debate, the Fetterman campaign sought to lower expectations. “John is five months post-stroke and Oz has spent the last two decades literally in a TV studio; if there’s a home-field advantage, it’s definitely his,’’ said Ms. Katz, who is overseeing his debate preparations.In an earlier debate during the Democratic primary race that predated Mr. Fetterman’s stroke, he was considered the least verbally dexterous of the three candidates, though he went on to win the nomination easily.“Please remember that John did not get where he is by winning debates, or being a polished speaker,” Ms. Katz said. “He got here because he connects with Pennsylvanians.”Mr. Fetterman, who had a stroke days before the Democratic primary in May, later had a pacemaker and defibrillator implanted to address atrial fibrillation — an irregular heart rhythm — which was the underlying cause of the stroke. In June, the campaign released a statement from Mr. Fetterman’s cardiologist, Dr. Ramesh R. Chandra, that said the candidate also has cardiomyopathy, a weakened heart muscle.In a letter released last week, Mr. Fetterman’s primary care doctor, Dr. Clifford Chen, said he is “recovering well” from his stroke. He is continuing to get speech therapy, which experts say is standard treatment for an auditory processing disorder. Experts also say such disorders often improve with time, and do not render a person unable to hold public office.Research shows that people who have had strokes improve more rapidly in the beginning, said Dr. Clinton Wright, director of the division of clinical research at the National Institute of Neurological Disorders and Stroke. But Mr. Wright said the data show that patients can continue to improve a year after the stroke.“This is a teachable moment,” said Jean Hall, director of the Institute for Health and Disability Policy Studies at the University of Kansas. “My question would be, What if his stroke had resulted in him being deaf and he needed a sign language interpreter?”Medical experts say that is an apt comparison, though auditory processing disorders have nothing to do with hearing. Rather, people with such disorders have a hard time processing small sound differences in words, because their brains don’t hear sounds in the usual way. Closed captioning makes conversations easier to follow.“Auditory processing has nothing to do with a person’s intelligence or the ideas in their head or their thoughts,” said Dr. Peter Turkeltaub, a neurologist and director of the Cognitive Recovery Lab at Georgetown University Medical Center. “It’s just the input and output: Can you connect those ideas to the words you are hearing, and then can you take the ideas and connect them to your own words?”People with disabilities have long held public office. Franklin D. Roosevelt used a wheelchair, although he tried to hide it from the public. Gov. Greg Abbott of Texas, Senator Tammy Duckworth of Illinois and Representative Jim Langevin of Rhode Island also use wheelchairs.But visible physical limitations are easier to explain to voters, said Lisa Iezzoni, a professor at Harvard Medical School who researches health disparities on people with disabilities. Because voters can’t clearly see Mr. Fetterman’s disability, however, he must fight “this perception that his mind was altered in some way.”In Mr. Fetterman’s first live television interview since his stroke, which was broadcast on Oct. 11 by NBC News, the reporter Dasha Burns told viewers that before the formal interview, Mr. Fetterman seemed not to follow her attempts at small talk without his monitor.“Quite frankly, it really infuriated me,” said Judy Heumann, a longtime leader in the disability rights movement, who helped pass the Americans With Disabilities Act in 1990 and later served in both the Clinton and Obama administrations. “Voters should be looking at what he’s doing and what he’s saying, and not whether he uses a communications device.”Over the weekend, Dr. Oz steered the conversation away from Mr. Fetterman’s health toward his policies. “I just want him to show up on Tuesday so we can talk to Pennsylvania about our policies, and let them see how extreme his positions have been,” he told Fox News.The Fetterman campaign believes that Dr. Oz and his allies in the right-wing news media went too far in calling attention for months to Mr. Fetterman’s sometimes halting speech and fumbling for words. They say it might work to Mr. Fetterman’s advantage, by lowering expectations for his performance.“Even if he stumbles on a few words here and there, I don’t think it’s a big deal to voters,” said Mike Mikus, a Democratic strategist. “There’s a lot more opportunity than risk for John Fetterman in this debate.”Dr. Iezzoni, the Harvard professor, said the debate would be a referendum on voters as well. The World Health Organization, she said, has described having a disability as a “universal human experience.” Seeing Mr. Fetterman use closed captioning — and answer questions in a halting, not necessarily fluent way — will test the public’s tolerance for differences, she said.“It will be interesting to know whether the public has empathy for human frailty, which we all experience in some way or another,” she said. “Will they be willing to look past it or do they demand perfection?”Katie Glueck More

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      Our Assumptions About the Maternal Instinct

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      More from our inbox:The ‘No Labels’ Plan for a Centrist AlternativeSupport Us at WorkBaseball, FasterA Billionaire’s Giveaway Csilla KlenyánszkiTo the Editor:Re “The Pernicious Myth of Maternal Instinct,” by Chelsea Conaboy (Opinion guest essay, Aug. 28):My husband and I are two dads who raised a boy and a girl from birth to adulthood in small-town America.As gay dads, we got to pull back the curtain of the assumptions about maternal instinct. I showed up at the Mommy and Me music classes, the P.T.A. meetings and the informal klatches waiting at school for the kids at 3 p.m.When our kids came to us as newborns, I worried that we, as two men, might not be as naturally nurturing or “motherly” as a woman would be. But observing the many moms in action, I was disabused of that fear.The range of parenting was huge. Quite a few moms were not particularly “maternal” at all. Even though most were good parents, many were impatient, cold, sharp-edged. Several clearly had never wanted children.Would I say that, on average, the moms were more “nurturing” than the dads? Yes, and I won’t wade into the debate over how much of this is hormonal rather than cultural. But the bell curve was huge, as with all gender assumptions, and quite a few dads were more nurturing than the average mom.I also recall feeling, when I held my newborn daughter against my naked chest, capsules of fierce, inexplicable parental love bursting in my bloodstream in a way I’d never experienced. I later read a study of gay men whose oxytocin levels soared to levels similar to that of nursing moms when they held infant babies to their bosom. Perhaps we should start calling it “parental instinct.”Ken DorphSag Harbor, N.Y.To the Editor:Oh, hurray, another gloomy take on mothering in 2022. “To become a parent is to be deluged” … “brutal” … “a rock at the ocean’s edge, battered by waves and tides and sun and wind.” Come on, really?Maybe the reason that today’s writing on motherhood so often describes it in terms of various degrees of torture is that many young mums, to their great credit, and having read chapter and verse on the subject, try to do the job perfectly. Then they torment themselves when they can’t.The good news is that there is no such thing as perfect mothering, just good enough mothering, and that is manageable by most. Welcome to the ranks, moms. Rest assured you are doing a good job. Bless you all, and, dare I say it, have fun.Margaret McGirrGreenwich, Conn.To the Editor:Chelsea Conaboy seems to dismiss the “myth” of maternal instinct because it has been misused by some to limit the role of women in society. Nonsense! Because it has been misused is no reason to reject the importance of this most wondrous of emotions.Who cannot be awed and deeply respectful of the mother elephant, tenderly using her trunk to help her newborn stand, or of the mother dog or cat as she tends to her newborn pups after birth, licking off the birth membranes and carefully positioning them for nursing. Has anyone seen a father do that? And yet, I doubt that there has been a cabal of animal fathers scheming to assign this task to the mothers. Why should humans be any different?Thank God for maternal instinct.Robert H. PalmerNew YorkThe ‘No Labels’ Plan for a Centrist Alternative Samuel Corum for The New York TimesTo the Editor:Re “If an Alternative Candidate Is Needed in 2024, These Folks Will Be Ready,” by David Brooks (column, Sept. 5):To the Editor:David Brooks tells us that a new political group called No Labels may offer a way out of our political crisis. He writes, “If ever the country was ripe for something completely different, it’s now.”He did not ask the simplest and most important question: Where does its money come from? If we are truly ready for something new, then the first principle is transparency about sources of funding. Much of No Labels’ money comes through super PACs, which means that donors can give very large amounts, shape the group’s goals and preserve their anonymity.To accept the worst of American political abuses — ones brought to us by Citizens United — is, by definition, not to make a clean new start.Steven FeiermanPhiladelphiaTo the Editor:The idea of a No Labels presidential candidate is destined to fail. A better challenge would be for all candidates to commit themselves to choosing a vice president from the other party. Now that, in David Brooks’s own words, would be “something completely different.”Lawrence RosenBar Harbor, MaineSupport Us at Work Lily PadulaTo the Editor:Re “So You Wanted to Get Work Done at the Office?” (Business, Sept. 12):While there is more discussion about what makes a productive work environment, this isn’t a new issue for many of us who are neurodivergent, disabled, burned out or healing from trauma.We have been acutely aware of how difficult it can be to operate in a workplace that doesn’t support personal sensory needs — lights, sounds, temperature, positioning, etc.Unsupportive work environments can affect employees’ focus, job satisfaction and productivity. We must normalize communication about sensory experiences in the workplace, and that can also promote inclusion and equity for all.Let’s go beyond thinking that this is just a pandemic-related issue. This problem has been present and it will continue because we all have sensory, emotional and cognitive needs. The workplace is just one important setting where we notice them.Nicole VillegasPortland, Ore.The writer is an occupational therapist and a teaching professional at Boston University.Baseball, Faster John Minchillo/Associated PressTo the Editor:Re “M.L.B. Bans Shift, Adds Pitch Clock and Enlarges the Bases” (Sports, Sept. 10):So, just like that, Major League Baseball has decided to join the fast-paced and restless world in instituting, among other changes, a 15- or 20-second timer between pitches. The thinking goes that this will yield a more action-packed and less stagnant game.That’s a shame. Don’t get me wrong: I work in the technology start-up sector and am well accustomed to the incessant movement, constant productivity and “go go go” mind-set of our modern world.But I’m also a psychiatrist who understands the restorative power of mindfulness and meditative experience. And baseball, with all its beautiful pauses and inherent stillness, has provided me with just that from a very young age.David Y. HarariBurlington, Vt.A Billionaire’s GiveawayYvon Chouinard founded Patagonia in 1973.Natalie Behring for The New York TimesTo the Editor:Re “Billionaire Gives Away His Company to Fight Climate Change” (Business, Sept. 15), about the founder of Patagonia transferring ownership of his company to a trust and a nonprofit organization:Billionaires should be a very rare thing! But even as we rightly congratulate Yvon Chouinard for reducing their number by one with his visionary benevolence, let’s not forget that his money will be doing the job our own government should be doing, if only it were allowed to operate as intended by taxing the wealthy and redistributing the funds for the benefit of all.Elisa AdamsNew Hyde Park, N.Y. More

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      Arkansas violated the Voting Rights Act by limiting help to voters, a judge rules.

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      A federal judge ruled that Arkansas violated the Voting Rights Act with its six-voter limit for those who help people cast ballots in person, which critics had argued disenfranchised immigrants and people with disabilities.In a 39-page ruling issued on Friday, Judge Timothy L. Brooks of the U.S. District Court in Fayetteville, Ark., wrote that Congress had explicitly given voters the choice of whom they wanted to assist them at the polls, as long as it was not their employer or union representative.Arkansas United, a nonprofit group that helps immigrants, including many Latinos who are not proficient in English, filed a lawsuit in 2020 after having to deploy additional employees and volunteers to provide translation services to voters at the polls in order to avoid violating the state law, the group said. It described its work as nonpartisan.State and county election officials have said the law was intended to prevent anyone from gaining undue influence.Thomas A. Saenz is the president and general counsel of the Mexican American Legal Defense and Educational Fund, which represented Arkansas United in the case. He said in an interview on Monday that the restrictions, enacted in 2009, constituted voter suppression and that the state had failed to present evidence that anyone had gained undue influence over voters when helping them at the polls.Read More About U.S. ImmigrationA Billion-Dollar Business: Migrant smuggling on the U.S. southern border has evolved over the past 10 years into a remunerative operation controlled by organized crime.Migrant Apprehensions: Border officials already had apprehended more migrants by June than they had in the entire previous fiscal year, and are on track to exceed two million by the end of September.An Immigration Showdown: In a political move, the governors of Texas and Arizona are offering migrants free bus rides to Washington, D.C. People on the East Coast are starting to feel the effects.“You’re at the polls,” he said. “Obviously, there are poll workers are there. It would seem the most unlikely venue for undue voter influence to occur, frankly.”Mr. Saenz’s organization, known as MALDEF, filed a lawsuit this year challenging similar restrictions in Missouri. There, a person is allowed to help only one voter.In Arkansas, the secretary of state, the State Board of Election Commissioners and election officials in three counties (Washington, Benton and Sebastian) were named as defendants in the lawsuit challenging the voter-assistance restrictions. It was not immediately clear whether they planned to appeal the ruling.Daniel J. Shults, the director of the State Board of Election Commissioners, said in an email on Monday that the agency was reviewing the decision and that its normal practice was to defend Arkansas laws designed to protect election integrity. He said that voter privacy laws in Arkansas barred election officials from monitoring conversations between voters and their helpers and that this made the six-person limit an “important safeguard” against improper influence.“The purpose of the law in question is to prevent the systematic abuse of the voting assistance process,” Mr. Shults said. “Having a uniform limitation on the number of voters a third party may assist prevents a bad actor from having unlimited access to voters in the voting booth while ensuring voter’s privacy is protected.”Chris Powell, a spokesman for the secretary of state, said in an email on Monday that the office was also reviewing the decision and having discussions with the state attorney general’s office about possible next steps.Russell Anzalone, a Republican who is the election commission chairman in Benton County in northwestern Arkansas, said in an email on Monday that he was not familiar with the ruling or any changes regarding voter-assistance rules. He added, “I follow the approved State of Arkansas election laws.”The other defendants in the lawsuit did not immediately respond on Monday to requests for comment.In the ruling, Judge Brooks wrote that state and county election officials could legally keep track of the names and addresses of anyone helping voters at the polls. But they can no longer limit the number to six voters per helper, according to the ruling.Mr. Saenz described the six-voter limit as arbitrary.“I do think that there is a stigma and unfair one on those who are simply doing their part to assist those who have every right to be able to cast a ballot,” he said. More

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      Forbidden From Getting Help Returning Absentee Ballots, Disabled Voters Sue Wisconsin

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      Several disabled voters are suing Wisconsin’s Elections Commission in federal court after learning that they can no longer get help returning absentee ballots, a reversal that they argue is unconstitutional.The lawsuit, filed on Friday in United States District Court in Madison, seeks to restore a decades-old precedent that allowed people with disabilities to receive assistance from family members and caregivers with the return of absentee ballots.The accommodation was struck down by the Wisconsin Supreme Court on July 8 in a 4-to-3 ruling by the court’s conservative majority, which concluded that only voters themselves could return their absentee ballots in person. The ruling did not address the handling of ballots that are returned by mail.It also prohibited the use of most drop boxes for voting in Wisconsin.The lawsuit filed on Friday concerns only the issue of who is authorized to return absentee ballots, something that Republicans have sought to clamp down on in Wisconsin and other states, falsely claiming that Democrats engaged in fraudulent ballot harvesting during the 2020 election.Timothy Carey, 49, who has Duchenne muscular dystrophy and lives in Appleton, Wis., is one of four plaintiffs listed in the lawsuit. He said in an interview on Tuesday that he had voted absentee for 30 years, enlisting the help of a nurse or his parents to return his ballot. As someone who relies on a ventilator and cannot use his hands, he said a mandate that he return his own ballot presented a particular hardship.Key Themes From the 2022 Midterm Elections So FarCard 1 of 6The state of the midterms. More