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

    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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    This Wasn’t the Vibe Shift Democrats Had in Mind

    Gail Collins: Bret, as you know, I always try to avoid discussing foreign affairs — never been my specialty — but I do want to ask you about the British, um, situation.Bret Stephens: You mean the country that seems to have switched places with Silvio Berlusconi’s Italy, politically speaking, and Cristina Fernández de Kirchner’s Argentina, economically speaking, and Groucho Marx’s Freedonia, comically speaking? Go on.Gail: The Tory prime minister, Liz Truss, set a record for failure before she slunk out of office last week. She came into 10 Downing Street promising to cut taxes on the rich, and she did, and she … nose-dived.Any message there for the rest of us?Bret: When Margaret Thatcher was pressed on whether she would switch course on her free-market policies, she famously said, “The lady’s not for turning.” She went on to be one of the longest-serving prime ministers in British history. Truss turned against her own policies almost immediately and wound up being turned out of office almost immediately.So the first lesson is that if you announce a policy, have the guts to stick to it or face political destruction.Gail: Well, in this case I think we’d have seen political destruction either way. The tax cut idea was disastrous.Bret: I’d say it was the execution, not the idea: Tax cuts usually stimulate a sluggish economy. The second lesson is that Britain’s economic mess isn’t the result of a month and a half of Truss but 12 years of big-government Toryism under David Cameron, Theresa May and Boris Johnson. Britain just isn’t an attractive country to live or invest in anymore, particularly after it made the foolish decision to leave the European Union.Bottom line: Have the courage of your convictions and the wit to defend them. Your take?Gail: That cutting taxes on the rich isn’t the magic answer to economic problems. I believe in a lot of what you’d call big government, but sooner or later, you’ve gotta pay for stuff.Bret: Gail Collins, fiscal conservative …Gail: Speaking of debt, President Biden’s plan to start his program of canceling student loans to poor and middle-class borrowers is facing a slew of Republican court challenges.I’m rooting for him to win the fight — a matter on which I believe we disagree.Bret: Totally against loan forgiveness. We’ve increased the national debt from $20 trillion to $31 trillion in barely five years and now higher interest rates are going to make it more expensive to service that debt. And we are supposed to write off $400 billion in college loans — including to couples making up to $250,000 — without even giving Congress an opportunity to weigh in? It’s bad policy and worse politics.Gail: Let me quickly point out that many of the folks who are spending their lives paying off big student loans signed up for the deal when they were little more than kids, some not ready for the programs they were recruited into, and some who were assured that their major in medieval history would lead to high-income jobs that would make it easy to pay off the debt. The system did not work.Bret: I probably shouldn’t say this, but anyone who thought, at any age, that a degree in medieval history would lead to a life of riches needs stupidity forgiveness, not loan forgiveness.I guess we’ll find out soon enough if the courts even allow the plan to go through, though I did find it interesting that Amy Coney Barrett effectively sided with the administration on this issue. Nice to see a Trump nominee show some independence.Gail: Agreed. Meanwhile, I’ve been wanting to ask you about the Senate races. The whole world is watching! Or at least the politically obsessed part of America. Anything grabbing your interest?Bret: The most interesting Senate race is in Ohio. I really don’t see Tim Ryan beating J.D. Vance, but the fact that he’s even competitive in a state Trump won in 2020 by eight points suggests he’s found a formula for how Democrats win back white, working-class votes from the Republicans. Mainly that means running as far away as possible from Joe Biden, Nancy Pelosi and the progressive wing of his party.How about you?Gail: Since Cincinnati is my hometown, I’ve been watching Ohio pretty intently. I think Ryan has a chance — he’s in a pretty red state, but one that’s elected Democrats before. Including the state’s other senator, Sherrod Brown, who’s considered liberal.Bret: True. And just by outperforming expectations Ryan is forcing Republicans to pour a ton of money in the race just to hold the seat.Gail: Plus Ryan is running against a truly terrible candidate. Vance seems to have an unending supply of mini-scandals about his financial dealings.Bret: I thought Vance did fine in the debate last week. What bothers me about him aren’t his financial dealings. It’s the crass opportunism it took for him to flip almost overnight from Never Trumper to MAGA Republican. And the fact that he represents the isolationist wing of the conservative movement. Hard to overstate how dangerous that is in the face of the new axis of evil in Moscow, Tehran and Beijing.Gail: Also interested in New Hampshire, where the Democratic incumbent, Maggie Hassan, seemed doomed in a Republican-leaning year, given that she won her last election by only about 1,000 votes.But her opponent, the retired general Don Bolduc, has been another awful candidate — all over the map, trying to be a right-wing stalwart in the primaries and now metamorphosing into a moderate who wants to raise Social Security taxes on the wealthy.Who would you vote for there?Bret: Hassan, no question. She’s a good senator, willing to work across the aisle. I would have supported the Republican governor, Chris Sununu, if he’d decided to run, but apparently the sanity gene runs too strongly in his family so he stayed out of the race. And Bolduc isn’t just an election denier or even an election-denier denier — in that he retracted his denialism after he won the primary. It’s that he subsequently denied that he denied being a denier. Which means he should be denied the election.Gail: Bret, either you are the most fair-minded commentator in the country or this is yet another marker for how far the Republican Party has sunk. Even its defenders can’t defend many of this year’s candidates.I’m inclined to say both are true, by the way.Bret: Thanks! Can we switch to some of the races for governor? In New York the Republican candidate, Lee Zeldin, seems to be zooming up in the polls.Gail: Aauugh. If this was a New York Republican like your old fave George Pataki, I’d be unshocked — Gov. Kathy Hochul hasn’t exactly set the world on fire. But Zeldin is terrible! If you want to get a really good feel for this contest, read our editorial board’s very powerful Hochul endorsement.Bret: Zeldin is doing well because New Yorkers are doing badly. We have the highest overall tax burden in the country if you count income, property, sales and excise taxes, but we are very far from having the best school districts, the best infrastructure or the safest streets. The only area in which we lead the country is in losing people to other states. And one-party rule is bad for governance. There are things I don’t like about Zeldin, starting with his proximity to Donald Trump, but I’ll vote for him next month.Gail: Looking elsewhere — how about Arizona? The race pits Katie Hobbs, the Democratic secretary of state, against Kari Lake, a Republican TV personality. I certainly think Hobbs would make the better governor. But if Lake wins I could see her turning into a possible vice-presidential candidate on a Trump ticket.Bret: Our news-side colleague Jack Healy wrote a devastating report about Hobbs, whose personal strengths apparently don’t include campaigning. She refuses to debate her opponent on the grounds that Lake is an election denier, which seems to me like an especially good reason to debate. My bet is that the governorship stays in Republican hands — and that it might push Blake Masters to victory in his Senate race against the incumbent Democrat, Mark Kelly.Gail: It was a great piece, which did note that Lake refuses to answer any questions from the state’s major newspaper.Bret: Bigger picture, Gail, I suspect it’s going to be a pretty good November for Republicans, despite all of the lousy candidates they’ve put forward. Do you see this as just part of a natural cycle in which the incumbent party usually does badly in midterms? Or would you put some blame on the way Biden has handled the presidency so far?Gail: In a world full of war, energy shortages, health crises and political polarization, our president is doing a decent job of keeping things calm. Wish he had a more electric personality, but we’ve certainly learned there are worse things than a chief executive who isn’t great on camera.It is true that the incumbent party usually does poorly during the midterms. Fortunately, the Republicans under Trump have nominated so many terrible candidates that there’s a chance the results won’t be quite as dire for Biden’s side.What do you think? And more important, which side are you rooting for?Bret: I’m rooting for Biden to succeed because we can’t allow Trump to come back, Vladimir Putin to win or the country to come even more unglued and unhinged than it already is.Of course my way of rooting for success is to scold Biden nonstop whenever I think he’s screwing up. It’s a formula my mom has been using with me for nearly 49 years. She’s confident that in a few years more, she might even succeed.The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow The New York Times Opinion section on Facebook, Twitter (@NYTopinion) and Instagram. More

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    The Three Blunders of Joe Biden

    If the Democrats end up losing both the House and the Senate, an outcome that looks more likely than it did a month ago, there will be nothing particularly shocking about the result. The incumbent president’s party almost always suffers losses in the midterms, the Democrats entered 2022 with thin majorities and a not-that-favorable Senate map, and the Western world is dealing with a war-driven energy crunch that’s generally rough on incumbent parties, both liberal and conservative. (Just ask poor Liz Truss.)But as an exculpating narrative for the Biden administration, this goes only so far. Some races will inevitably be settled on the margins, control of the Senate may be as well, and on the margins there’s always something a president could have done differently to yield a better political result.President Biden’s case is no exception: The burdens of the midterms have been heavier for Democrats than they needed to be because of three notable failures, three specific courses that his White House set.The first fateful course began, as Matthew Continetti noted recently in The Washington Free Beacon, in the initial days of the administration, when Biden made critical decisions on energy and immigration that his party’s activists demanded: for environmentalists, a moratorium on new oil-and-gas leases on public lands and, for immigration advocates, a partial rollback of key Trump administration border policies.What followed, in both arenas, was a crisis: first a surge of migration to the southern border, then the surge in gas prices driven by Vladimir Putin’s invasion of Ukraine.There is endless debate about how much the initial Biden policy shifts contributed to the twin crises; a reasonable bet is that his immigration moves did help inspire the migration surge, while his oil-lease policy will affect the price of gas in 2024 but didn’t change much in the current crunch.But crucially, both policy shifts framed these crises, however unintentionally, as things the Biden administration sought — more illegal immigration and higher gas prices, just what liberals always want! And then instead of a dramatic attempt at reframing, prioritizing domestic energy and border enforcement, the Biden White House fiddled with optics and looked for temporary fixes: handing Kamala Harris the border portfolio, turning the dials on the strategic petroleum reserve and generally confirming the public’s existing bias that if you want a party to take immigration enforcement and oil production seriously, you should vote Republican.The second key failure also belongs to the administration’s early days. In February 2021, when congressional Democrats were preparing a $1.9 trillion stimulus, a group of Republican senators counteroffered with a roughly $600 billion proposal. Flush with overconfidence, the White House spurned the offer and pushed three times as much money into the economy on a party-line vote.What followed was what a few dissenting center-left economists, led by Larry Summers, had predicted: the worst acceleration of inflation in decades, almost certainly exacerbated by the sheer scale of the relief bill. Whereas had Biden taken the Republicans up on their proposal or even simply counteroffered and begun negotiations, he could have started his administration off on the bipartisan footing his campaign had promised while‌ hedging against the inflationary dangers that ultimately arrived.The third failure is likewise a failure to hedge and triangulate, but this time on culture rather than economic policy. Part of Biden’s appeal as a candidate was his longstanding record as a social moderate — an old-school, center-left Catholic rather than a zealous progressive.His presidency has offered multiple opportunities to actually inhabit the moderate persona. On transgender issues, for instance, the increasing qualms of European countries about puberty blockers offered potential cover for Biden to call for greater caution around the use of medical interventions for gender-dysphoric teenagers. Instead, his White House has chosen to effectively deny that any real debate exists, positioning the administration to the left of Sweden.Then there is the Dobbs decision, whose unpopularity turned abortion into a likely political winner for Democrats — provided, that is, that they could cast themselves as moderates and Republicans as zealots.Biden could have led that effort, presenting positions he himself held in the past — support for Roe v. Wade but also for late-term restrictions and the Hyde Amendment — as the natural national consensus, against the pro-life absolutism of first-trimester bans. Instead, he’s receded and left Democratic candidates carrying the activist line that absolutely no restrictions are permissible, an unpopular position perfectly designed to squander the party’s post-Roe advantage.The question in the last case, and to some extent with all these issues, is whether a more moderate or triangulating Biden could have held his coalition together.But this question too often becomes an excuse for taking polarization and 50-50 politics for granted. A strong president, by definition, should be able to pull his party toward the center when politics demands it. So if Biden feels he can’t do that, it suggests that he’s internalized his own weakness and accepted in advance what probably awaits the Democrats next month: defeat.The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow The New York Times Opinion section on Facebook, Twitter (@NYTOpinion) and Instagram. More

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    Super PAC Aligned with Senate G.O.P. Cuts Off New Hampshire TV Ads

    In a sign that New Hampshire is at risk of falling off the map of Senate battleground states, the main super PAC aligned with Senate Republicans said on Friday that it was canceling $5.6 million in television ads that it had reserved in the state for the final two weeks of the race.Republicans in New Hampshire, which was once seen as one of the party’s top chances to pick up a seat in 2022, nominated Don Bolduc, a Trump-style retired Army general, to run against Senator Maggie Hassan, a Democrat. Mr. Bolduc has sparred with the state’s popular governor, Chris Sununu, a Republican who tagged Mr. Bolduc in turn as a “conspiracy-theory extremist.”National Republicans had spent money late in the race to prevent Mr. Bolduc’s nomination, but he won the primary in September anyway. Mr. Bolduc has promoted hard-right views, suggesting he would consider abolishing the F.B.I. and asserting that the 2020 election was stolen from former President Donald J. Trump — before reversing himself immediately after the primary, and then seeming to backtrack from that reversal. Mr. Bolduc has also been adamant that if he wins, he will not support Senator Mitch McConnell of Kentucky as the party leader. “As the cycle comes to a close, we are shifting resources to where they can be most effective to achieve our ultimate goal: winning the majority,” said Steven Law, the president of the super PAC, the Senate Leadership Fund, which is aligned with Mr. McConnell.The State of the 2022 Midterm ElectionsBoth parties are making their final pitches ahead of the Nov. 8 election.Where the Election Stands: As Republicans appear to be gaining an edge with swing voters in the final weeks of the contest for control of Congress, here’s a look at the state of the races for the House and Senate.Biden’s Low Profile: President Biden’s decision not to attend big campaign rallies reflects a low approval rating that makes him unwelcome in some congressional districts and states.What Young Voters Think: Twelve Americans under 30, all living in swing states, told The Times about their political priorities, ranging from the highly personal to the universal.In Minnesota: The race for attorney general in the light-blue state offers a pure test of which issue is likely to be more politically decisive: abortion rights or crime.A spokeswoman for Mr. Bolduc said he would continue to meet voters “one by one” in town halls, in defiance of the national group’s vote of no confidence.“General Bolduc has defied the naysayers from the beginning and that’s the same approach he is going to take through the finish line to victory,” the spokeswoman, Kate Constantini, said in a statement.Asked if the Bolduc campaign considered the withdrawal of support to be payback for Mr. Bolduc’s rejection of Mr. McConnell as party leader, Rick Wiley, a senior adviser to Mr. Bolduc, said, “You would have to ask them.”The move by the Senate Leadership Fund comes two weeks after the National Republican Senatorial Committee canceled its television reservations in the state.At the time, Chris Hartline, the communications director for the N.R.S.C., said, “We’re glad to see Republican outside forces showing up in a big way in New Hampshire, with millions in spending pledged to take down Maggie Hassan in the final stretch.”Now those outside forces are retreating, as well.Mr. Hartline said on Friday that “our most recent polling has the race inside the margin of error.”“Don Bolduc is working his tail off and has turned it into a tossup,” he said. “There’s no reason to think he can’t win this race.”The decision puzzled some Republicans. Tom Rath, a longtime Republican activist and leader in New Hampshire, wrote on Twitter of the ad cancellation, “Seems odd given recent polling showing race within the margin.”Matt Schlapp, the chair of the American Conservative Union, called the move “odd” as well, saying the race was “almost tied.”Of Mr. Bolduc, Mr. Schlapp wrote on Twitter while misspelling his name: “If he does pull it out without Senate help he will become their worst nightmare. Keep your eyes on NH.”An internal poll released on Thursday by the Bolduc campaign showed Ms. Hassan leading Mr. Bolduc by 49 percent to 47 percent among likely voters, within the margin of error.Ms. Hassan entered October with $4.8 million. Mr. Bolduc had less than $800,000. More

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    Can Tim Ryan Pull Off the Biggest Upset of the Midterms in Ohio?

    ZANESVILLE, Ohio — Tim Ryan is a “crazy, lying fraud.” That’s how J.D. Vance, the best-selling memoirist turned Republican Senate candidate from Ohio, opened his remarks at his September rally alongside Donald Trump in the middle of the congressional district Mr. Ryan has represented for two decades.Mr. Ryan seems like an unlikely object of such caustic rhetoric. A 49-year-old former college-football quarterback, he is the paragon of affability, a genial Everyman whose introductory campaign video is so innocuous that it might easily be mistaken for an insurance commercial. His great passion, outside of politics, is yoga and mindfulness practice.“We have to love each other, we have to care about each other, we have to see the best in each other, we have to forgive each other,” he declared when he won the Democratic Senate primary in May.He isn’t just preaching kindness and forgiveness. For years, he has warned his fellow Democrats that their embrace of free trade and globalization would cost them districts like the one he represents in the Mahoning River Valley — and lobbied them to prioritize domestic manufacturing, which, he argued, could repair some of the damage.His efforts went nowhere. Mr. Ryan failed in his bid to replace Nancy Pelosi as House minority leader in 2016. His presidential run in 2020 ended with barely a trace. And his opponent, Mr. Vance, was expected to coast to victory this year in a state that Mr. Trump carried twice by eight points.But things haven’t gone as predicted. Mr. Ryan is running close enough in the polls that a political action committee aligned with Mitch McConnell, the Republican Senate leader, has had to commit $28 million to keep the seat (now held by Rob Portman, who is retiring), and Mr. Vance has had to ratchet up his rhetorical attacks against this “weak, fake congressman.”After years of being overlooked, Tim Ryan is pointing his party toward a path to recovery in the Midwest. On the campaign trail, he has embraced a unifying tone that stands out from the crassness and divisiveness that Mr. Trump and his imitators have wrought. A significant number of what he calls the “exhausted majority” of voters have responded gratefully.And his core message — a demand for more aggressive government intervention to arrest regional decline — is not only resonating with voters but, crucially, breaking through with the Democratic leaders who presided over that decline for years. The Democrats have passed a burst of legislation that will pave the way for two new Intel chip plants in the Columbus exurbs, spur investment in new electric vehicle ventures in Mr. Ryan’s district, and benefit solar-panel factories around Toledo, giving him, at long last, concrete examples to cite of his party rebuilding the manufacturing base in which the region took such pride.In short, the party is doing much more of what Mr. Ryan has long said would save its political fortunes in the Midwest. The problem for him — and also for them — is that it may have come too late.Mr. Ryan is a genial Everyman who says, “We have to see the best in each other, we have to forgive each other.”Gaelen Morse for The New York TimesTim Ryan was not always so alone in Congress. Manufacturing regions of the Northeast and Midwest used to produce many other Democrats like him, often with white-ethnic Catholic, working-class backgrounds and strong ties to organized labor. (Mr. Ryan’s family is Irish and Italian, and both his grandfather and great-grandfather worked in the steel mills.) One particularly notorious example of the type was James Traficant, who represented the Mahoning Valley in highly eccentric fashion and served seven years in prison after a 2002 conviction on charges that included soliciting bribes and racketeering. That left his young former staff member — Tim Ryan — to win the seat at age 29.A few stalwarts remain: Marcy Kaptur, whose mother was a union organizer at a sparkplug plant, will likely hold her Toledo-area House seat after her MAGA opponent lied about his military record. And Sherrod Brown, whose upbringing in hard-hit Mansfield and generally disheveled affect has lent authenticity to his own progressive populism (never mind the fact that he’s a doctor’s son and has a Yale degree), has survived two Senate re-elections thanks to his personal appeal and weak opponents.But nearly all the rest have vanished. Many of them fell victim to the Democratic wipeout in 2010. Others succumbed to the extreme Republican gerrymandering that followed. But central to their disappearance was the economic decline of the communities they represented, which was on a scale that remains hard for many in more prosperous pockets of the country to grasp.In the first decade of this century, after Bill Clinton signed NAFTA in 1993 and ushered China into the World Trade Organization in 2000, so many manufacturing businesses closed in Ohio — about 3,500, nearly a fifth of the total — that its industrial electricity consumption fell by more than a quarter. Mr. Ryan’s district was among the most ravaged. By 2010, the population of Youngstown had fallen 60 percent from its 1930 peak and it ranked among the poorest cities in the country.For the Democrats representing these devastated areas, the fallout was enormous. “We were always supposed to be the party of working people, and so those rank-and-file union members kept getting crushed, and jobs kept leaving, and their unions and the Democrats weren’t able to do anything for them,” said Mr. Ryan, when I met with him in August, after an event he held at a substance abuse treatment program in Zanesville. Democratic candidates were also putting their attention elsewhere, on social issues, and voters noticed.Mr. Ryan is determined not to make the same mistake. “You want culture wars?” he asks in one TV ad, while throwing darts in a bar. “I’m not your guy. You want a fighter for Ohio? I’m all in.”In the 2000s, as Mr. Ryan saw his band of like-minded Democrats dwindle, he started looking for answers, and he found some of them at the Coalition for a Prosperous America, a small advocacy group founded in 2007 to promote American manufacturing and agriculture.The group’s theory is fairly straightforward: The “free trade” that has been so ruinous to manufacturing regions like the Mahoning Valley has been anything but free, given all the various forms of support that other nations provide their own industries. The group has been lobbying members of both parties to consider explicit support for U.S. producers, whether in the form of tariffs or subsidies, even if it means brushing up against World Trade Organization rules.For years, the Coalition for a Prosperous America and its allies in Congress ran up against free-trade orthodoxy. But growing alarm over climate change, the breakdown of global supply chains during the pandemic and Russia’s war against Ukraine have brought a stunning turnaround. The Inflation Reduction Act includes many of the kinds of policies that Mr. Ryan and C.P.A. have championed, including refundable tax credits for solar-panel production, a 15 percent alternative minimum tax for corporations, and requirements that electric vehicles have North American-made parts to qualify for consumer tax credits. This month, the Biden administration announced major new tech-export controls aimed at China, with the U.S. trade representative, Katherine Tai, declaring that free trade “cannot come at the cost of further weakening our supply chains.”It’s a vindication for Mr. Ryan and his former House allies, such as Tom Perriello, who represented south-central Virginia between 2009 and 2011.Megan Jelinger for The New York Times“The elite echo chamber assumed away all the human costs” of globalization, said Mr. Perriello, instead of realizing industries needed to be helped to save middle-class jobs.Still, the shift has come only after tremendous economic losses for places like the Mahoning Valley and political losses for the Democrats. In the 2020 presidential election, Democrats lost white voters without college degrees by 26 percentage points nationwide, and their margins among working-class Black and Hispanic voters shrank, too. They lost Mahoning County, once a Democratic stronghold, for the first time since 1972.“For the most part, people lost jobs here and Washington wasn’t doing anything for them,” said David Betras, the former chairman of the Mahoning County Democratic Party. “And then Trump came along and he said, ‘Hey, they screwed you.’ People thought, ‘At least he sees me. He’s giving me water.’” It might be contaminated water, as Mr. Betras noted, “but at least it’s water.”Mr. Ryan’s attempt to point his party in a different direction in the Midwest is still running up against resistance, even as he has drawn close to Mr. Vance in the polls. The first ad released by Mr. Ryan’s campaign, in April, is Exhibit A.Wearing an untucked shirt, he delivers a barrage against the threat presented by China: “It is us versus China and instead of taking them on, Washington’s wasting our time on stupid fights … China is out-manufacturing us left and right … America can never be dependent on Communist China … It is time for us to fight back … We need to build things in Ohio by Ohio workers.”By the standards of the Ohio Senate race of 2022, it was pretty mild stuff. At an April rally with Mr. Trump, after completing his extreme pivot from Trump critic to acolyte, Mr. Vance lashed out at “corrupt scumbags who take their marching orders from the Communist Chinese.” But the Ryan ad nonetheless got opprobrium from Asian Americans, who said it risked fueling anti-Asian sentiment.Irene Lin, a Democratic strategist based in Ohio, found that remarkable. “It’s so weird that he runs an ad attacking China, and people say, ‘You sound like Trump.’ Tim’s been attacking China for decades! Trump co-opted it from us and we need to take it back, because Trump is a complete fraud on this.”Still, the episode underscored Mr. Ryan’s conundrum: how to match Mr. Trump and Mr. Vance when it comes to the decline of Ohio manufacturing without offending allies within the liberal Democratic coalition.When I asked Mr. Ryan in Zanesville how he would distinguish his own views from those of Mr. Vance, he insisted it would not be difficult. For one thing, he noted, Mr. Vance has attacked a core element of the industrial policy that Mr. Ryan sees as key to reviving Ohio: electric vehicle subsidies. At the Mahoning rallies, Mr. Vance denounced them as giveaways for the elites, which, as Mr. Ryan sees it, overlooks the hundreds of workers who now have jobs at the old Lordstown General Motors plant in the Mahoning Valley, building electric cars, trucks and tractors as part of a new venture led by the Taiwanese company Foxconn, and at a large battery plant across the street.“He’s worried about losing the internal-combustion auto jobs — dude, where’ve you been?” Mr. Ryan asked. “Those jobs are going. That factory was empty.”Mr. Ryan, left, at a debate with his Republican opponent, J.D. Vance. Mr. Ryan says his focus on economic issues will resonate with the “exhausted majority” of voters.Gaelen Morse for The New York TimesLess than two months after Mr. Ryan’s anti-culture war ad, the Supreme Court issued its Dobbs ruling on abortion, bolstering Democrats’ prospects with moderate voters of the sort who help decide elections in places like suburban Columbus — and making it harder for Mr. Ryan to avoid hot-button social issues. He calls the ruling “the largest governmental overreach into personal lives in my lifetime,” but his continued focus on economic issues shows that he believes that’s not enough to win an election. Recent polls suggest he may be right.Mr. Ryan was in the Columbus suburbs on the evening after we spoke in Zanesville, but he was there to discuss the China ad, not abortion. At an event hosted by local Asian American associations, a few women told Mr. Ryan how hurtful they had found the ad. He answered in a conciliatory tone, but did not apologize.The ad, he said, was directed at the Chinese government, not Asian or Asian American people, and the things in it needed saying. “I got nothing but love in my heart. I have no hate in my heart,” he said, but the United States needed to rise to meet China’s aggressive trade policies. In Youngstown, Chinese “steel would land on our shore so subsidized, that it was the same price as the raw material cost for an American company before they even turn the lights on. That is what they have been doing.”“That is not in your ad,” said one of the women. “You need to put those things in your ad.”“I just want to make a point,” Mr. Ryan said. “One is, I love you. Two is, I will always defend you and never let anyone try to hurt you, never. Not on my watch. But we have got to absolutely and decisively defeat China economically. And if we don’t do that, you’re going to have these countries dictating the rules of the road for the entire world and continuing to try to displace and weaken the United States.”Watching Mr. Ryan, I was struck by what a delicate balancing act he was trying to pull off. He was, on the one hand, the last of a breed, a son of steel country with two public college degrees (Bowling Green State University and the University of New Hampshire) in a party increasingly dominated by professionals with elite degrees.But he was trying to adapt to today’s liberal coalition, too, with his soft-edged rhetoric and, yes, the mindfulness stuff, which Mr. Vance has lampooned. (“You know Tim Ryan has not one but two books on yoga and meditation?” he said at the September rally with Mr. Trump.)There were other models on the ballot this fall for how Democrats might seek to win in the Midwest: Gov. Gretchen Whitmer of Michigan running for re-election on abortion rights, John Fetterman running for Senate in Pennsylvania on his unique brand of postindustrial authenticity, Mandela Barnes running for Senate in Wisconsin as an avatar of youthful diversity.But Mr. Ryan’s bid may have the most riding on it, because it is based on substantive disagreements within the party about how to rebuild the middle class and the middle of the country. For years, too many leading Democrats stood by as the wrenching transformation of the economy devastated communities, while accruing benefits to a small set of highly prosperous cities, mostly on the coasts, that became the party’s gravitational center. It was so easy to disregard far-off desolation — or to take only passing note of it, counting the dollar stores as one happened to traverse areas of decline — until Mr. Trump’s victory brought it to the fore.With its belated embrace of the industrial policy advocated by Mr. Ryan, the Democratic Party seems finally to be reckoning with this failure. It means grappling with regional decline, because not everyone can relocate to prosperous hubs, and even if they did, it wouldn’t necessarily help the Democrats in a political system that favors the geographic dispersal of party voters.It means recognizing the emotional power of made-in-America patriotism, which can serve to neuter the uglier aspects of the opposition’s anti-immigrant appeals. And it means transcending the culture-war incitements offered up by the likes of Mr. Trump and Gov. Ron DeSantis of Florida.The approach may well fall short this time in Ohio, because Mr. Ryan’s party has let so much terrain slip out of its hands. But even so, it showed what might have been, all along, and might yet be again, if a region can begin to recover, and the resentment can begin to recede.Alec MacGillis (@AlecMacGillis) is a reporter for ProPublica, an editor at large for The Baltimore Banner, and the author, most recently, of “Fulfillment: America in the Shadow of Amazon.”The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow The New York Times Opinion section on Facebook, Twitter (@NYTopinion) and Instagram. More

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    Biden Promotes Infrastructure Law in Pennsylvania Swing With Fetterman

    PITTSBURGH — President Biden returned to his home state of Pennsylvania on Thursday to promote the fruits of the infrastructure law that he enacted this year and to make a final push to help Democrats maintain their slim control of the Senate.In traveling to Pennsylvania, Mr. Biden injected himself into one of the most hotly contested elections in the country, the fate of which could determine the prospects of his legislative agenda for the next two years. The backdrop represented a shift in Mr. Biden’s rhetorical approach to the midterm elections, which have focused in recent weeks on preserving abortion rights, Social Security and Medicare.“Instead of infrastructure week, which was a punchline under my predecessor, it’s infrastructure decade,” Mr. Biden said, standing in front of a crane situated next to the partially rebuilt Fern Hollow Bridge, which collapsed in January after years of neglect.Although the event was purported to be about the economy, politics was clearly in the air. Mr. Biden was greeted at the airport by John Fetterman, the lieutenant governor, who is locked in a tight race with Dr. Mehmet Oz, a Republican, to become the state’s next senator.The president opened his remarks by thanking Mr. Fetterman for running and acknowledging his wife.“Gisele, you’re going to be a great, great lady in the Senate,” Mr. Biden said, predicting that Mr. Fetterman would prevail.The State of the 2022 Midterm ElectionsBoth parties are making their final pitches ahead of the Nov. 8 election.Where the Election Stands: As Republicans appear to be gaining an edge with swing voters in the final weeks of the contest for control of Congress, here’s a look at the state of the races for the House and Senate.Biden’s Low Profile: President Biden’s decision not to attend big campaign rallies reflects a low approval rating that makes him unwelcome in some congressional districts and states.What Young Voters Think: Twelve Americans under 30, all living in swing states, told The Times about their political priorities, ranging from the highly personal to the universal.Debates Dwindle: Direct political engagement with voters is waning as candidates surround themselves with their supporters. Nowhere is the trend clearer than on the shrinking debate stage.The Pennsylvania Senate race has grown increasingly contentious during the final stretch. Mr. Fetterman, who suffered a stroke earlier this year, has faced questions from Republicans including his opponent, about his capacity to serve because of lingering health effects. During his recovery, Mr. Fetterman has at times struggled to articulate his thoughts on the campaign trail and has had to read questions on a screen during interviews.At the event with Mr. Biden in Pittsburgh on Thursday, Mr. Fetterman made no public remarks.The Fern Hollow Bridge, where Mr. Biden spoke on Thursday, is symbolic of the creaky state of American infrastructure that the president wants to rehabilitate. As Mr. Biden was preparing to visit the city in January, the thoroughfare crumbled and fell into the ravine below.Funding from the infrastructure law did not go directly to rebuilding the bridge, but Mr. Biden noted that the money allowed the state to fix it more quickly because Pennsylvania’s Transportation Department did not have to divert resources from other projects. The bridge is on track to be rebuilt in less than a year, which is far faster than the two to five years that similar projects might take.“I’m coming back to walk over this sucker,” Mr. Biden said.The president laid out the other ways he said the infrastructure law is helping Pennsylvania, pointing to investments in broadband, electric car chargers and lead pipe replacement. He said that much of the work would be completed using union labor.Mr. Biden, who is expected to return to Pennsylvania next week, acknowledged that he continues to gravitate to the state and to Pittsburgh, where he started his 2020 presidential campaign.“I’m a proud Delawarean, but Pennsylvania is my native state — it’s in my heart,” Mr. Biden said. “I can’t tell you how much it means to be part of rebuilding this beautiful state.”Mr. Biden, who has maintained a low profile on the campaign trail this fall, is also attending a fund-raising reception with Mr. Fetterman in Philadelphia on Thursday evening. They traveled together on Air Force One, along with Senator Bob Casey, a Pennsylvania Democrat, to make the journey across the state.Before leaving Pittsburgh, Mr. Biden stopped at Primanti Brothers, a local sandwich shop, and ordered the Pitts-burger sandwich, which comes with the French fries on the beef patty. The White House said Mr. Biden left a $40 tip.Speaking with reporters at the sandwich shop, Mr. Biden said that he felt “good” about the upcoming elections and expressed optimism that Democrats could retain control of the Senate.But at the fund-raiser in Philadelphia, Mr. Biden clearly laid out what he believes is at stake next month.“If we do not maintain the Senate and the House in this next election, a lot is going to change,” Mr. Biden said, lacing into “MAGA Republicans” who he warned would get rid of Medicare and Social Security.For his part, Mr. Fetterman said that he wants to be the 51st vote in the Senate and to give Democrats the power to eliminate the filibuster, raise the minimum wage and protect abortion rights that were lost when the Supreme Court overturned Roe v. Wade in June.Mr. Fetterman also addressed his health, accusing Dr. Oz of rooting against his recovery from the stroke and mocking him for moving from New Jersey to Pennsylvania to run for office.“In January I’ll be feeling much better, but Dr. Oz will still be a fraud,” Mr. Fetterman said. More

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    Walker Says His Mental Illness Is Healed. Experts Say It’s Not So Simple.

    WASHINGTON — Confronting a barrage of accusations about his personal life — including claims he threatened women and paid for an abortion despite his public opposition to the procedure — Herschel Walker has repeatedly invoked his history of mental illness in his defense.“As everyone knows, I had a real battle with mental health, even wrote a book about it,” Mr. Walker, the Republican candidate for Senate in Georgia, said in a television ad released at the height of the abortion controversy. “And by the grace of God, I’ve overcome it.”In the ad, and on the campaign trail, Mr. Walker, a former football star, does not elaborate. But in his 2008 memoir, “Breaking Free,” he revealed that he had been diagnosed with dissociative identity disorder, formerly known as multiple personality disorder. He described his 12 “alters” — distinct identities that helped him cope with the trauma of being bullied as a child. He wrote of rage and “out-of-control behavior”; he played Russian roulette with a loaded gun.Now, as he tries to steady a campaign that could determine control of the Senate, Mr. Walker often speaks of these events in religious, not medical, terms. He either denies the accusations or says he does not remember what happened. Still, he casts himself as a redemption story, saying he is a Christian “saved by grace.”But experts say Mr. Walker’s assertion that he has “overcome” the disorder is simplistic at best: Like other mental illnesses, dissociative identity disorder cannot be cured in the classic sense. Psychiatrists say that while patients can learn to manage this disorder — and even live symptom-free for extended periods — the symptoms can recur, often triggered by stress.“You can get better,” said Dr. David Spiegel, a Stanford University psychiatry professor who studies and treats dissociative identity disorder. “But it doesn’t just evaporate.”Dr. Spiegel and other experts interviewed for this article have not treated Mr. Walker and could not speak to the specifics of his case.Mr. Walker’s retelling does not account for other complicating details. Experts say the disorder does not cause violent behavior. Some of the episodes — including an ex-girlfriend’s accusation that he had threatened her — took place after Mr. Walker claimed to have his disorder under control.The Walker campaign did not respond this week to questions about his health history and has not released his medical records.Last Friday night, during a debate with his Democratic opponent, Senator Raphael Warnock, Mr. Walker said he no longer needed treatment: “I continue to get help if I need help, but I don’t need any help. I’m doing well.”The State of the 2022 Midterm ElectionsBoth parties are making their final pitches ahead of the Nov. 8 election.G.O.P. Gains Edge: Republicans enter the final weeks of the contest for control of Congress with an advantage as the economy and inflation have surged as the dominant concerns, a Times/Siena poll found.Codifying Roe: President Biden pledged that the first bill he would send to Capitol Hill next year if Democrats expand their control of Congress in the midterm elections would be legislation to enshrine abortion rights into law.Florida Senate Race: In the only debate of the contest, exchanges between Senator Marco Rubio and his Democratic challenger, Representative Val Demings, got fiery at times. Here are four takeaways.Aggressive Tactics: Right-wing leaders are calling on election activists to monitor voting in the midterm elections in search of evidence to confirm unfounded theories of election fraud.In an interview with Axios last year, Mr. Walker likened his condition to a broken leg, saying, “I put the cast on. It healed.”A supporter at a Walker campaign event. Mr. Walker casts himself as a redemption story, saying he is a Christian “saved by grace.” Nicole Craine for The New York TimesDemocrats have said Mr. Walker’s description of his mental illness does not fully explain his previous behavior. In a statement, Mr. Warnock’s campaign manager, Quentin Fulks, said only that Mr. Walker had “not given Georgians an honest accounting of his violent past.”Health issues have been front and center for other candidates this year; in Pennsylvania, John Fetterman, the Democratic candidate for Senate, is facing questions from Republicans about whether he is fit to serve after a stroke. Even Republican strategists say Mr. Walker should answer similar questions.“I think it’s fair, and Herschel obviously thinks it’s a big part of his life,” said Scott Jennings, a former adviser to Senator Mitch McConnell, the minority leader. “If I were Herschel’s campaign I would say Americans live with mental health challenges every day — we just happen to be the first campaign to talk openly about it.”Dissociative identity disorder, known by its acronym D.I.D., is a relatively rare psychiatric condition usually triggered by childhood trauma, including sexual or physical abuse, or war. Studies show it affects about 1 percent of the population, said Dr. Paul S. Appelbaum, a professor of psychiatry at Columbia University, though “many of those people may have quite mild cases and do not experience problems from it and never come to clinical attention.”It is characterized by changes in behavior that occur when a patient fails to develop a unified sense of self, and instead “disassociates” into competing “self-states” that emerge in different situations. Many patients experience amnesia.Dr. Spiegel drew a comparison to healthy people who opt to act like “a different person” in different settings. But people with dissociative identity disorder, he said, “often don’t experience having choice.”Treatment typically involves intensive therapy; Dr. Spiegel often uses hypnosis, he said. While there is no medication to treat this disorder, some patients take medicine for conditions that occur alongside it, such as depression. Patients are required during treatment to take responsibility for their behavior; Mr. Walker says he has done so.“One of the core aspects of successful treatment for D.I.D. is holding people with the disorder responsible for their behavior, even when they say they don’t remember it, or that another self-state did it,” said Dr. Richard J. Loewenstein, a professor of psychiatry at the University of Maryland and a leading expert in the disorder, which was known as multiple personality disorder until 1994, when the name was changed to reflect a more nuanced understanding of the condition.In his book, written with two ghostwriters, Mr. Walker recounts his childhood as a “daily assault of verbal and sometimes physical abuse” by classmates who thought he was stupid because he stuttered. His doctors later told him he had created other personalities to help him cope.He says his “alters” were at times a positive force, helping him to “forget most of the awful things that had happened to me.” After he understood them, he wrote, he gave them titles.The General, or Coach, oversaw the other identities. The Hero “put on the facade” of a tough guy. The Sentry served as an emotional guard who “never let anyone get really close to me.” The Warrior “loved the physical contact” of football and did not feel pain; in the book, Mr. Walker describes having his wisdom teeth extracted without anesthesia. The Indifferent Daredevil “didn’t care about what other people would think or what was right and wrong.”In a 2014 ESPN documentary. he said he thought that in high school he might join the Marines, because it would give him license to “shoot people.” Instead, he pursued a career in sports. Football became his “coping mechanism.”But after he retired from the Dallas Cowboys in 1997, Mr. Walker wrote, his life spun out of control. He had an extramarital affair. He played Russian roulette, “risking my life with a gun at my head.” (The book does not recount an episode in which his ex-wife, Cindy DeAngelis Grossman, said he put a gun to her head and threatened to “blow my brains out.” Mr. Walker has not denied the allegation, but says he does not remember doing so.)In 2001, Mr. Walker writes, things came to a head when he grew enraged at a car salesman who was late in making a delivery. He could feel “my jaw pulsing and my teeth grinding,” he wrote, as a voice prodded him to pull out his pistol and kill the man. Another voice countered: “No Herschel, that’s wrong. You can’t shoot a man down in cold blood over this.”At that point, Mr. Walker sought help from Jerry Mungadze, a therapist who gave him a diagnosis of D.I.D. and arranged for him to be treated as an outpatient at Del Amo psychiatric hospital in Torrance, Calif., where doctors confirmed the diagnosis, Mr. Walker wrote.Walker has, at times, used his campaign to urge others to speak more candidly about mental illness.Nicole Craine for The New York TimesDr. Mungadze, who wrote the introduction to Mr. Walker’s book, has since stirred controversy with his methods. Dr. Mungadze, who holds a doctorate in “counselor education,” according to his website, and is not a medical doctor, specializes in Christian counseling and employs a technique he calls brain mapping, in which he diagnoses patients by asking them to color in a map of a brain. Experts say it has no basis in science.Mr. Walker has not said whether he still sees Dr. Mungadze, who declined an interview request.Dissociative identity disorder has long been the subject of intense debate; some psychiatrists say it is vastly over-diagnosed, and others have questioned whether it exists.Americans are most likely familiar with it from popular culture: It is central to the 1957 film “Three Faces of Eve” and to the 1973 blockbuster book “Sybil,” about a woman with 16 personalities. There is now a growing D.I.D. community on TikTok.In a 2011 book, “Sybil Exposed,” the writer Debbie Nathan reported that the personalities were pressured into existence by the therapist, who was invested in the idea of having a patient with the condition so she could speak about it at professional meetings. She cites a letter in which the real “Sybil” wrote that she was “essentially lying” — only to later recant.“In my view, it’s a metaphor rather than a true condition,” said Dr. Allen J. Frances, chairman emeritus of the Department of Psychiatry at Duke University School of Medicine. “It’s a way of expressing distress in people who have an internal conflict.”In 1994, while leading a task force that revised the Diagnostic and Statistical Manual of Mental Disorders — often called “psychiatry’s Bible” — Dr. Frances sought to eliminate “multiple personality disorder” from the manual. Instead, the task force changed the name. Dr. Frances said diagnoses often surge when the disorder turns up in popular culture.Dr. Appelbaum, who is also a past president of the American Psychiatric Association, said there was a consensus in the field that D.I.D. is “a real phenomenon, a real disorder.”Admissions of mental illness were once a barrier to a career in politics. In 1972, Thomas Eagleton was forced to drop off the Democratic presidential ticket as George McGovern’s running mate after disclosures that he had been hospitalized for depression and treated with electroshock therapy. But those stigmas are easing, and some mental health experts give Mr. Walker credit for raising awareness.As he campaigns, Mr. Walker has cast himself as a “champion for mental health,” and hits back at critics by saying they are perpetrating a stigma. At Friday night’s debate, he railed against “people like Senator Warnock that demonize mental health.” (Mr. Warnock has introduced a series of bills to expand mental health services.)Then, Mr. Walker turned to the camera, as if to deliver a public service announcement, and declared, “I want to tell everyone out there, you can get help.” More

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    The State of the Midterms

    The midterm elections are less than three weeks away. We explain the state of the races for the House and Senate.Midterm elections can tell us a lot about American political life. They’re a referendum on the party in power, a chance to take the political temperature of the country and a glimpse into the anxieties and hopes of voters.But those are things we’ll know a lot more about after Election Day. For the next three weeks, all anyone really wants to know is: Who’s going to win?For Democrats, keeping their trifecta of power — the Senate, the House and the White House — would mean bucking decades of history. In Washington, it’s practically an ironclad rule that the president’s party loses seats in midterm elections.These are not conventional times, though. The country is still recovering from a pandemic and a siege on the Capitol. The Supreme Court overturned nearly a half-century of federal abortion rights, and the former president and his supporters still refuse to admit that they lost the last election. As the executive editor of The Times wrote in this newsletter last month, the two parties disagree not just on their vision for the country but also on democracy itself.The midterm race has reflected this uncertainty. In the spring, all signs pointed toward a Republican wave. The dynamic changed this summer — with the Supreme Court ruling on abortion rights, passage of Democratic legislation and falling gas prices — raising Democratic hopes of making some gains. Now, economic anxiety has deepened as gas prices ticked back up and inflation remains high. And America looks headed toward divided government.Today, I’m going to explain where the election stands, and why House races are shaping up in Republicans’ favor, while the Senate is anything but conclusive.The HouseIn the House, elections tend to rise and fall with the national tides, with individual members rarely able to combat the larger political trends. This year, that’s bad news for Democrats, who worry that their party may have peaked a few weeks too early.There’s an expectation among both parties that a new Republican majority will take office in January. (Some lobbyists are already planning for this.) To win control of the House, Republicans need to pick up five seats on net. They might gain three from redistricting alone, according to some estimates.Democrats are also defending a greater number of vulnerable seats. Republicans have a good chance of flipping nine Democratic seats, according to the nonpartisan Cook Political Report. Only two Republican seats are expected to change into Democratic hands. And two-thirds of the races Cook considers “tossups” — that is, too close to safely predict — are in districts held by Democrats.A Republican win would be in line with recent history. In 2006, George W. Bush described the 31-seat Democratic wave in the House as a “thumping.” Four years later, Barack Obama experienced a “shellacking” with a 63-seat Republican gain. In 2018, during Donald Trump’s presidency, Democrats picked up 41 seats.While President Biden’s approval rating has risen in recent months, it’s still below 50 percent, and in many states he’s less popular than his party’s candidates. Perhaps because of that, Biden has not held a campaign rally since before Labor Day.The SenateUnlike House races, Senate contests can rise and fall much more on personality — or as Mitch McConnell, the chamber’s Republican leader, put it last month, on “candidate quality.”Several inexperienced, Trump-friendly Republican candidates — Don Bolduc in New Hampshire, Herschel Walker in Georgia, Blake Masters in Arizona, Dr. Mehmet Oz in Pennsylvania and J.D. Vance in Ohio — won their primaries this year. Their stumbles have given Democrats a boost, making the Senate more competitive.But Senate races aren’t immune from the national mood. As polls find voters putting more emphasis on the economy than on abortion, Republicans have improved their standing in a few key races, such as in Nevada and Wisconsin. Some strategists also attribute the change to a deluge of ads hammering their opponents over crime.And two of the races remain extremely volatile. In Georgia, Walker, an opponent of abortion, has spent the past couple weeks grappling with revelations that he paid for an ex-girlfriend’s abortion. And in Pennsylvania, John Fetterman, the Democratic nominee, spent months away from the campaign trail while recovering from a stroke. (His doctor said yesterday that Fetterman had shown some lingering effects but was recovering well.)In the most recent public polling, the majority of competitive races remain very tight. And Democrats’ advantage in the Senate is so narrow that Republicans need a net gain of just one seat to flip the chamber.The bottom lineDemocrats are relieved that they do not seem to be headed, at least right now, toward a repeat of the deep losses of 2010. But many have begun expressing a sense of gloom — and have cracked gallows jokes that the party’s uptick would have been better timed for September than July.My advice: Prepare for a long election night. Or weeks, if the results end up hinging on a Georgia runoff race in December.More election newsSenator Bernie Sanders of Vermont will campaign in eight states before the midterms, an effort to energize progressive voters.A new election crimes office in Florida arrested people who appeared confused about their voting rights.In the On Politics newsletter, Blake Hounshell explains how Republicans are pouring money into newly competitive House races.Senator Ron Johnson, a Wisconsin Republican running for re-election, is urging his supporters to report suspected voting problems.Representative Lee Zeldin, a Trump ally who voted to overturn the 2020 election results, hopes to become governor of New York.THE LATEST NEWSWar in UkraineA recently shelled building in Donetsk, in a Russian-controlled region of Ukraine.Alexander Ermochenko/ReutersVladimir Putin, Russia’s president, declared martial law in four illegally annexed regions of Ukraine.Russia has redeployed military hardware and troops that were in Syria.Ukraine will reduce electricity use after Russian attacks knocked out a third of its power stations.PoliticsIn a lawsuit challenging the 2020 election, Trump submitted voter fraud information even after his lawyers had told him it was incorrect, a federal judge said.Trump made bigoted remarks about Jews and Persians at an event last year, including asking a filmmaker whether he was “a good Jewish character.”“There might be somebody else I’d prefer more,” Mike Pence said when asked if he would vote for Trump in 2024.The Biden administration is granting $2.8 billion to companies to expand electric-vehicle battery production.Other Big StoriesLiz Truss, Britain’s prime minister, was forced to dismiss one of her most senior cabinet ministers, heightening a government crisis.Social Security will allow people to select the gender they identify with.Suzanne Scott, the C.E.O. of Fox News, is at the center of a $1.6 billion defamation lawsuit against the network.The actress Anna May Wong will become the first Asian American to appear on U.S. currency.A property developer is pitching a casino for Times Square.OpinionsEl Paso is a blue-leaning, majority-Latino city. It’s busing migrants elsewhere, too, Megan Stack writes.China’s zero-Covid campaign is another attempt to control citizens, Ai Weiwei argues.MORNING READSCaitlin Covington is the “president of fall.”Kelly Burgess for The New York TimesChristian Girl Autumn: Meet the woman behind the meme.Travel: Spend 36 hours in Milan.Art: How did a Baptist minister come to own hundreds of Edward Hoppers?‘Pillars of Creation’: Stunning images from the James Webb Space Telescope.Ask Well: Can e-cigarettes help you quit smoking?Advice from Wirecutter: Accessories for coffee and tea drinkers.Lives Lived: After becoming chairman of the New York Stock Exchange at 39, Ralph DeNunzio stepped down from the securities firm Kidder, Peabody & Company following an insider-trading scandal. He died at 90.SPORTS NEWS FROM THE ATHLETICAstros, Padres win: Houston took a 1-0 series lead in the A.L.C.S. with a 4-2 win over the Yankees last night, while San Diego came back from a 4-0 deficit to even the N.L.C.S. with Philadelphia. In The Times, Tyler Kepner recaps the Phillies-Padres game.The contending Pelicans? New Orleans made its case as N.B.A. darling last night with a huge 130-108 win in Brooklyn over Kevin Durant and the Nets. Zion Williamson, playing for the first time in more than a year, scored 25 points.Dolphins QB talks concussion: Tua Tagovailoa said he didn’t remember “being carted off” during Miami’s Week 4 loss against Cincinnati, in which he suffered a concussion that prompted a leaguewide controversy. He’ll return to the field this Sunday.ARTS AND IDEAS Illustration by Mohamad AbdouniBeirut’s drag iconsStars like Dolly Parton, Madonna and Whitney Houston inspired a generation of American drag queens to take the stage. In Beirut’s growing drag scene, Arab pop icons are the muses, too.In their outfits and performances, Beirut’s drag queens evoke sequin-clad singers like Haifa Wehbe, Sabah and Sherihan, who broadcast camp and glamour across the Arab world for decades. Their stage looks ensure “Arab representation in drag culture,” Anya Kneez, a queen, said.Anya gets messages from aspiring drag queens all over the Arab world. “This is what I want to see,” she said. “I want to see young Arab queers coming out and doing their thing.”PLAY, WATCH, EATWhat to CookMark Weinberg for The New York TimesThese candy apples are spiced with cinnamon and vanilla.What to ReadThe latest John Irving saga is 900 pages of sex, secrets and absent fathers.Where to GoCanada’s Gaspé Peninsula feels like the edge of the world.Now Time to PlayThe pangram from yesterday’s Spelling Bee was intimacy. Here is today’s puzzle.Here’s today’s Mini Crossword, and a clue: Afternoon activity + A (four letters).And here’s today’s Wordle. After, use our bot to get better.Thanks for spending part of your morning with The Times. See you tomorrow.P.S. Applications are open for the Times Fellowship and the new Local Investigations Fellowship programs.Here’s today’s front page. “The Daily” is about midterm polling. On the Modern Love podcast, 56 years of loving. On “The Run-Up,” is Wisconsin the future of America?Matthew Cullen, Natasha Frost, Lauren Hard, Lauren Jackson, Claire Moses, Ian Prasad Philbrick, Tom Wright-Piersanti and Ashley Wu contributed to The Morning. You can reach the team at themorning@nytimes.com.Sign up here to get this newsletter in your inbox. More