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    Fetterman Hopes to Return to Senate Campaign Trail Soon, He Says in New Interview

    Lt. Gov. John Fetterman of Pennsylvania, the Democratic Senate nominee who has been off the campaign trail for more than two months after having a stroke in mid-May, told his hometown newspaper this week that he hopes to return to in-person campaigning “very soon” even as he acknowledged some persisting health effects.“I would never be in this if we were not absolutely, 100 percent able to run fully and to win — and we believe that we are,” Mr. Fetterman told The Pittsburgh Post-Gazette on Wednesday, his first interview since falling ill.Mr. Fetterman ​​had a stroke days before the Democratic primary in May and had a pacemaker and defibrillator implanted on the day of the primary. At the time, his campaign described the move as a standard procedure that would address “the underlying cause of his stroke, atrial fibrillation.” In early June, his campaign acknowledged that he also had a heart condition called cardiomyopathy, which can lead to heart failure, and his doctor said he had appeared to have left other heart issues untreated for years.Mr. Fetterman said he “almost died” and vowed to focus on his recovery before returning to the trail.Since then, his campaign has kept up an aggressive and attention-grabbing social media and television presence, painting his Republican opponent, Mehmet Oz, as more at home in New Jersey than Pennsylvania. But the public has seen little from Mr. Fetterman, save for the occasional brief video.In the Post-Gazette interview, which was conducted by video — and Mr. Fetterman used closed captioning to ensure he did not miss words, the paper said — the candidate said he was walking four to five miles a day, participating in campaign strategy sessions and is now increasingly attending fund-raisers, with several scheduled for this week. He greeted volunteers in person recently, and he also said he was working with a speech therapist.“I might miss a word every now and then in a conversation, or I might slur two words. Even then, I think that’s infrequent,” Mr. Fetterman told the paper. “So I feel like we are ready to run.”He stressed that “physically, I have no limits,” though he also acknowledged that “my hearing is still a little bit not perfect.”Several people who attended a virtual fund-raiser with Mr. Fetterman recently said they were encouraged to see that he seemed to be improving, but also said that he did not sound quite like he did before the stroke — as Mr. Fetterman has implicitly acknowledged.“We saw a candidate whom we all support but who was still recovering,” said Phyllis Snyder, a board member of J Street, the liberal Israel-focused organization. J Street Pennsylvania and the organization’s political arm were listed as hosting the fund-raiser. “We hope that that will continue. But he was very engaged.”She added that Mr. Fetterman typically “speaks what’s on his mind. I’d say he was just a little more measured and careful.”Other attendees said it was occasionally evident when he was reaching for a word.“I don’t think he’s totally back yet,” said Ed Feinstein, a lawyer in Pittsburgh who also attended the event. “But he was animated, and he answered questions.”“He seemed to have energy,” he added, “which I’d been worried about.”Indeed, plenty of Pennsylvania Democrats have privately been anxious about when Mr. Fetterman will return to making public appearances. He has led a number of public polls over Dr. Oz, who faces challenges with his own base. But Pennsylvania is a highly competitive state, and may represent Democrats’ best chance to pick up a seat.Given the stakes of the election and the intense nature of running a statewide contest, Mr. Feinstein said that “I came away encouraged. But I’m still concerned.”“A lot of his appeal is when you see him,” he continued. “He needs to get out there and talk to people in small and larger groups. And that’s grueling, there’s no question about it.”In a statement, Mr. Fetterman’s spokesman, Joe Calvello, said Mr. Fetterman was “doing incredibly well for a guy who had a stroke two months ago and is well on his way to a full recovery.”Noting Mr. Fetterman’s own assessment of his health, he continued, “he will occasionally miss a word or slur a word now and then. This is all part of the recovery process.”And certainly, he is not the first politician to suffer a stroke or heart problems. Former Vice President Dick Cheney had a defibrillator implanted in 2001. He finished two terms in the White House, including a re-election battle in 2004.In a sign of accelerating activity, Mr. Fetterman is set to attend three in-person fund-raisers in Philadelphia on Thursday, Mr. Calvello confirmed. More

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    ‘Snooki’ Is Enlisted in John Fetterman’s Campaign Trolling Dr. Oz

    On the list of potential political vulnerabilities, ties to New Jersey are rarely a campaign killer; for all the jokes, New Jersey has offered some of the greatest musical, culinary and cultural additions to the country.But the campaign of John Fetterman, the Democratic candidate for the open Senate seat in Pennsylvania, has been repeatedly nagging his Republican opponent, Mehmet Oz, for living in New Jersey before announcing his campaign in the Keystone State.In his latest such post on Twitter, Mr. Fetterman enlisted Nicole Polizzi, a cast member of the “Jersey Shore” franchise better known as Snooki, and a self-described “hot mess on a reality show,” to chide Dr. Oz for choosing to leave New Jersey “to look for a new job.”“Personally, I don’t know why anyone would want to leave Jersey,” Ms. Polizzi says in the video, which is framed to look like a spot from Cameo, a website that allows users to pay for personal video messages from celebrities (and, apparently, Snookis).The video, a tongue-in-cheek accusation of carpetbagging, was posted to Mr. Fetterman’s Twitter account, where he has been using memes and other internet “trolling” tactics to remind voters of Dr. Oz’s ties to the Garden State.Mr. Fetterman, who is recovering from a stroke in mid-May, recently copied pictures of Dr. Oz’s mansion in New Jersey from a 2020 spread in People magazine to match a recent campaign ad set that featured Dr. Oz appearing to speak from a room in the expansive home. And Mr. Fetterman’s campaign paid to fly a banner welcoming Dr. Oz back to New Jersey along southern Jersey Shore beaches, according to NJ.com.Dr. Oz has said he lives in Bryn Athyn, Pa., a suburb of Philadelphia about 12 miles from the New Jersey border.Asked for comment, a press officer for the Oz campaign directed reporters to a tweet from Mr. Oz’s account that did not respond to any residency questions, but rather a screenshot from a newscast from a 2013 incident where Mr. Fetterman had pulled a gun on Black jogger after saying he heard gunshots in the neighborhood. (Mr. Fetterman has defended his response to this episode.) More

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    One of the Few Potential Bright Spots for Democrats in 2022: The Senate

    Democrats hope to portray Republican Senate candidates in some of the most competitive midterm races as too far outside the mainstream. For now, it seems to be working.When asked to share their candid thoughts about the Democrats’ chances of hanging onto their House majority in the coming election, party strategists often use words that cannot be printed in a family newsletter.But a brighter picture is coming together for Democrats on the Senate side. There, Republicans are assembling what one top strategist laughingly described as an “island of misfit toys” — a motley collection of candidates the Democratic Party hopes to portray as out of the mainstream on policy, personally compromised and too cozy with Donald Trump.These vulnerabilities have led to a rough few weeks for Republican Senate candidates in several of the most competitive races:Arizona: Blake Masters, a venture capitalist who secured Trump’s endorsement and is leading the polls in the Republican primary, has been criticized for saying that “Black people, frankly” are responsible for most of the gun violence in the U.S. Other Republicans have attacked him for past comments supporting “unrestricted immigration.”Georgia: Herschel Walker, the G.O.P. nominee facing Senator Raphael Warnock, acknowledged being the parent of three previously undisclosed children. Walker regularly inveighs against absentee fathers.Pennsylvania: Dr. Mehmet Oz, who lived in New Jersey before announcing his Senate run, risks looking inauthentic. Oz recently misspelled the name of his new hometown on an official document.Nevada: Adam Laxalt, a former state attorney general, said at a pancake breakfast last month that “Roe v. Wade was always a joke.” That’s an unpopular stance in socially liberal Nevada, where 63 percent of adults say abortion should be mostly legal.Wisconsin: Senator Ron Johnson made a cameo in the Jan. 6 hearings when it emerged that, on the day of the attack, he wanted to hand-deliver a fraudulent list of electors to former Vice President Mike Pence.Republicans counter with some politically potent arguments of their own, blaming Democrats for rising prices and saying that they have veered too far left for mainstream voters.In Pennsylvania, for instance, Lt. Gov. John Fetterman, the Democratic Senate nominee, supports universal health care, federal marijuana legalization and criminal justice reform. Republicans have been combing through his record and his past comments to depict him as similar to Bernie Sanders, the self-described democratic socialist.Candidate vs. candidateOne factor working in the Democrats’ favor is the fact that only a third of the Senate is up for re-election, and many races are in states that favor Democrats.Another is the fact that Senate races can be more distinct than House races, influenced less by national trends and more by candidates’ personalities. The ad budgets in Senate races can reach into the hundreds of millions of dollars, giving candidates a chance to define themselves and their opponents.Democrats are leaning heavily on personality-driven campaigns, promoting Senator Mark Kelly in Arizona as a moderate, friendly former astronaut and Senator Catherine Cortez Masto of Nevada as a fighter for abortion rights, retail workers and families.“Senate campaigns are candidate-versus-candidate battles,” said David Bergstein, a spokesman for the Democrats’ Senate campaign arm. “And while Democratic incumbents and candidates have developed their own brands, Republicans have put forward deeply, deeply flawed candidates.” Bergstein isn’t objective, but that analysis has some truth to it.There are about four months until Election Day, an eternity in modern American politics. As we’ve seen from the Supreme Court’s abortion ruling and from the explosive allegations that emerged in the latest testimony against Trump, the political environment can shift quickly.If the election were held today, polls suggest that Democrats would be narrowly favored to retain Senate control. Republican elites are also terrified that voters might nominate Eric Greitens, the scandal-ridden former governor, for Missouri’s open Senate seat, jeopardizing a seat that would otherwise be safe.But the election, of course, is not being held today, and polls are fallible, as we saw in 2020. So there’s still a great deal of uncertainty about the outcome. Biden’s approval rating remains low, and inflation is the top issue on voters’ minds — not the foibles of individual candidates.For now, Democrats are pretty pleased with themselves for making lemonade out of a decidedly sour political environment.We want to hear from you.Tell us about your experience with this newsletter by answering this short survey.What to readWorried about inflation and dissatisfied with President Biden, many moderate women have been drifting away from Democrats, Katie Glueck writes. Now the party hopes the fight for abortion rights will drive them back. More on the fallout from Roe’s reversal here.Seven Trump advisers and allies, including Rudy Giuliani and Senator Lindsey Graham, were subpoenaed on Tuesday in the ongoing criminal investigation in Georgia of election interference, according to Danny Hakim — a sign that the probe has ensnared a widening circle of Trump’s associates.Stuart A. Thompson, who covers misinformation and disinformation for The New York Times, analyzed hundreds of hours of conservative radio, where hosts have been stoking conspiracy theories accusing Democrats of planning to steal the next presidential election.As signs grow that Trump may be planning to announce another presidential run sooner than many expected, Peter Baker examines what the Jan. 6 hearings are revealing about the once and future candidate’s state of mind.pulseThe Supreme Court is among several institutions that people have lost confidence in, according to a new Gallup poll.Haiyun Jiang/The New York TimesInstitutional confidence continues a downward spiralHere’s a blinking warning light for America’s centers of power: Confidence in U.S. institutions has plunged to new depths over the last year, according to a survey released on Monday by Gallup.The steepest declines, Gallup found, were for the Supreme Court and the presidency. Confidence in the court has declined by 11 percentage points since 2021, while confidence in the presidency has dropped by 15 percentage points.Gallup tracks the public’s views of 16 institutions in an annual survey. Confidence in the three branches of the federal government has reached all-time lows. Congress rounds out the bottom, with just 7 percent espousing a “great deal” or “quite a lot” of confidence in the legislative branch.On the other end of the spectrum, Americans still express high levels of confidence in two institutions in particular: small business and the military.But of all the institutions Gallup follows, every single one — save organized labor — has gone down in the public’s esteem in the past 12 months.Is there anything you think we’re missing? Anything you want to see more of? We’d love to hear from you. Email us at onpolitics@nytimes.com. More

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    Fetterman’s Heart Issues Add Wild Card to Key Pennsylvania Senate Race

    Part of John Fetterman’s appeal as the Democratic Senate nominee has stemmed from his brash sense of vitality. It’s not clear if his recent stroke and absence from the trail will affect that.Just three weeks ago, a varied cross-section of Pennsylvania Democrats put its hopes on the broad shoulders of John Fetterman, confident that the commonwealth’s burly lieutenant governor could vanquish anything or anyone that a fractured Republican Party could throw at him.But as the general election season begins, the 6-foot-8 Mr. Fetterman suddenly seems a good deal more vulnerable, equipped now with a pacemaker and a doctor’s note attesting that he can campaign and serve as Pennsylvania’s next senator, though the candidate himself admitted he “almost died.”And what seemed like a protracted, divisive fight in the G.O.P. over the party’s nominee to take on Mr. Fetterman ended suddenly on Friday when Dr. Mehmet Oz accepted the concession of David McCormick, his narrowly beaten opponent. A three-way slugfest between a celebrity, Dr. Oz, an out-of-state hedge fund manager, Mr. McCormick, and a far-right Fox News pundit, Kathy Barnette, slipped quickly away into memory.What was left for the fight over the Senate seat deemed most within reach for a Democratic takeover was a heart patient, Mr. Fetterman, battling a heart surgeon, Dr. Oz, and a distinct sense of unease, at least for now, among some Democrats.“It’s going to be a brutal campaign,” said G. Terry Madonna, a longtime pollster and political writer in Pennsylvania. “If I had to put it in a couple of words, it’s ‘no holds barred.’”Mr. Fetterman’s health struggles could be particularly resonant because so much of his appeal has stemmed from his image of vitality. Though he hails from his party’s left flank, he has garnered the affections of more moderate, working-class voters with his bald head, goateed face, Carhartt sweatshirts, baggy basketball shorts and tireless campaigning in every nook of the state.Sarah Longwell, a Republican strategist who has conducted focus groups with Pennsylvania voters, quoted Democrats saying, “You know, he’s the physical embodiment of Pennsylvania.”Now that common-man appeal must include the contrition of an ailing patient who ignored his doctor’s advice for years and an overt appeal to the sympathies of the voters.“Like so many others, and so many men in particular, I avoided going to the doctor, even though I knew I didn’t feel well,” Mr. Fetterman said in a statement on Friday that broke weeks of silence since he had left the campaign trail. “As a result, I almost died. I want to encourage others to not make the same mistake.”The statement read like a confession. He suffered a stroke last month, just days before Pennsylvania’s primary, and seemed to let his campaign systematically downplay his condition. All that ended on Friday when he admitted that he suffered from a heart condition called cardiomyopathy and had left other heart issues untreated for years.His physician, Ramesh R. Chandra, released a scolding note saying that when Mr. Fetterman was diagnosed with atrial fibrillation and a decreased heart pump in 2017, he was prescribed medicine, lifestyle changes and follow-up appointments, but that he “did not go to any doctor for five years and did not continue taking his medications.”Dr. Mehmet Oz spoke during his election night watch party in Newtown, Pa., last month.Bryan Anselm for The New York TimesThe drama might enhance Mr. Fetterman’s appeal by further humanizing him, but that is not assured. Shawn W. Rosenberg, a professor of political and psychological science at the University of California, Irvine, who has been studying politics and political style since the late 1980s, said Mr. Fetterman’s imagery before the health scare had broken new ground. Where once clean-scrubbed youth sold well, Pennsylvanians have lapped up their lieutenant governor’s Everyman look.“Do we want a political leader who is a version of the guy next door or someone who stands above us in some respects?” Professor Rosenberg asked. “Most of the literature suggests we want the latter, and Fetterman is an interesting challenge to that.”He added: “That works to his advantage in Pennsylvania. Part of the Republican play since Trump is anti-elitism. Against Oz, he’s clearly not the elitist.”But his health struggles also might clash with his superman image as it bolsters his opponent, a heart surgeon who has spent his extensive television career touting medical interventions, many legitimate, some questionable.In a fight between a Paul Bunyan-like common man and a celebrity doctor, the doctor might emerge as the responsible candidate. And Dr. Oz will know how to sell it, said Samantha Majic, a political scientist at John Jay College of Criminal Justice, who studies style and celebrity in politics.“Celebrity in the modern sense is somebody who is known, highly produced, managed and in the media, but they are also commercialized, they are using their celebrity to sell,” Professor Majic said. She added: “As campaigns become more expensive, you’ve got to have celebrity capital to parlay into financial capital. You have to stand out.”Among Democrats and many independents in Pennsylvania, Mr. Fetterman is popular. A poll from Franklin & Marshall College just before the primary — and before his stroke — found that 67 percent of Democratic voters viewed him favorably, well above the 46 percent who felt warmly toward his primary opponent, Representative Conor Lamb.Berwood A. Yost, the director of the Center for Opinion Research at Franklin & Marshall, said that given the Democratic nominee’s 52 years of age, his health problems “may make Fetterman even more relatable.”You get to your 50s as a working-class person, and you’ve got some scars to show for it, right?” he said. “It’s a further contrast between the two candidates. I mean, the contrast couldn’t be any more stark.”And a comeback from a health setback is not uncommon. Senator Bernie Sanders, the Vermont independent whose progressive politics are similar to Mr. Fetterman’s, suffered a heart attack in late 2019, with the presidential primary season looming, and hardly skipped a beat.But Mr. Fetterman will remain off the campaign trail for some time.“Doctors have told me I need to continue to rest, eat healthy, exercise and focus on my recovery, and that’s exactly what I’m doing,” he said in his statement. He added: “It’s frustrating — all the more so because this is my own fault — but bear with me, I need a little more time. I’m not quite back to 100 percent yet, but I’m getting closer every day.”Rebecca Katz, a strategist for Mr. Fetterman, strongly denied that the campaign had been keeping his condition hidden. Campaign officials announced he needed a pacemaker as soon as they learned it, and the campaign released Friday’s statement as soon as the doctor gave his permission, she said. Democratic officials had grown so worried that there was chatter about recruiting a new nominee, gossip that she pushed back on hard.“All we have is the truth, and that’s what we chose to share,” she said.If Mr. Fetterman is limping into the general election, so is Dr. Oz. Ms. Longwell said the Democrat’s overwhelming popularity with his base was the mirror opposite of the reaction to Dr. Oz, who elicits strong suspicion from some conservative Pennsylvania voters, despite the endorsement of former President Donald J. Trump. And the Fetterman campaign has already started attacking the Republican as a New Jersey interloper who is coming to Pennsylvania via Hollywood.Given the overall political environment, Mr. Yost said the race is a true tossup, but he too wondered how Dr. Oz’s lack of connection with his new state will work in the commonwealth.“There’s a sense of place here among long-term residents,” he said, “and Oz really isn’t from here. I wonder how that plays out.”In a video statement, Dr. Oz vowed to start afresh after a difficult primary fight.“I’m going to reach to every corner of this commonwealth,” he said. “I know we’ve got to heal. We’ve got to pull people together again. I want to make sure that happens again.” More

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    Fetterman Discloses Extent of Heart Issues: ‘I Avoided Going to the Doctor.’

    Lt. Gov. John Fetterman of Pennsylvania, the Democratic nominee in what will be one of the hardest-fought Senate contests in the nation, has a heart condition called cardiomyopathy and appeared to have left other heart issues untreated for years, his doctor disclosed in a statement on Friday.Mr. Fetterman, who suffered a stroke days before the Democratic primary last month, had a pacemaker and defibrillator implanted on the day of the primary, which his campaign at the time described as a standard procedure that would address “the underlying cause of his stroke, atrial fibrillation.” His campaign offered few other details about his condition in the days that followed, but doctors questioned the campaign’s characterization of the use of a defibrillator, noting that they are not typically used for atrial fibrillation, and are more often used for conditions like cardiomyopathy — a weakened heart muscle.“Yesterday I talked to John about how, while afib was the cause of his stroke, he also has a condition called cardiomyopathy,” Ramesh R. Chandra, his doctor, wrote in a note. “The prognosis I can give for John’s heart is this: If he takes his medications, eats healthy, and exercises, he’ll be fine. If he does what I’ve told him, and I do believe that he is taking his recovery and his health very seriously this time, he should be able to campaign and serve in the U.S. Senate without a problem.”Cardiomyopathy “is a disease of the heart muscle that makes it harder for the heart to pump blood to the rest of the body,” according to the Mayo Clinic. “Cardiomyopathy can lead to heart failure.”Dr. Chandra said the defibrillator and pacemaker appeared to be “working perfectly and he is doing well.”Dr. Chandra also wrote that when Mr. Fetterman was diagnosed with atrial fibrillation and a decreased heart pump in 2017, he was prescribed medicine, lifestyle changes and follow-up appointments, but he “did not go to any doctor for 5 years and did not continue taking his medications.”“Like so many others, and so many men in particular, I avoided going to the doctor, even though I knew I didn’t feel well,” Mr. Fetterman said in a statement. “As a result, I almost died. I want to encourage others to not make the same mistake.”Dr. Chandra is Mr. Fetterman’s cardiologist, but after the stroke he was initially treated by other doctors at Lancaster General Hospital. They have not been made available for questions.Former Vice President Dick Cheney had a defibrillator implanted in 2001. He finished two terms in the White House, including a hard-fought re-election campaign in 2004. “Doctors have told me I need to continue to rest, eat healthy, exercise, and focus on my recovery, and that’s exactly what I’m doing,” Mr. Fetterman said. “It will take some more time to get back on the campaign trail like I was in the lead-up to the primary. It’s frustrating — all the more so because this is my own fault — but bear with me, I need a little more time. I’m not quite back to 100 percent yet, but I’m getting closer every day.”When he does return to the campaign trail, it appears his Republican opponent will be Dr. Mehmet Oz, the celebrity television physician. With a statewide recount still underway on Friday in the Republican Senate primary and no official race call, David McCormick conceded the race to Dr. Oz.Ed Rendell, a Democratic former governor of the state and a former chairman of the Democratic National Committee, said in an interview on Friday that he had no qualms about Mr. Fetterman’s fitness to serve. He downplayed how much Mr. Fetterman’s health would weigh on the minds of voters, saying that he did not think it would be an issue.“When I was governor, the Republicans used to say I was one cheese steak away from having a heart attack, and I never did,” said Mr. Rendell. Nancy Patton Mills, the chairwoman of the Pennsylvania Democrats, did not immediately respond to a request for comment on Friday. The Democratic Senatorial Campaign Committee did not immediately comment on Friday.Mr. Fetterman has been off the campaign trail since his stroke and has occasionally released brief videos since then. In a sign that Mr. Fetterman was moving back toward some political engagement, Senator Bob Casey, Democrat of Pennsylvania, wrote on Twitter that he’d had a “virtual double date” with Mr. Fetterman and his wife, Gisele Barreto Fetterman, earlier Friday afternoon.“Looking forward to many more on the campaign trail this summer!” Mr. Casey wrote.Gina Kolata More

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    After Fetterman’s Stroke, Doctors Look at Senate Campaign Prospects

    What really is the prognosis for John Fetterman, the Democratic Senate nominee from Pennsylvania who had a stroke on May 13?The 52-year-old lieutenant governor of Pennsylvania clinched his party’s nomination just a few days later, setting up one of the most consequential Senate contests of the midterm elections. But urgent medical questions remain.He was discharged from the hospital, his campaign said on Sunday, and Mr. Fetterman has said doctors assured him that he would make a complete recovery — but the campaign has not said when he will be able to return to campaigning.“I am going to take the time I need now to rest and get to 100 percent so I can go full speed soon and flip this seat blue,” Mr. Fetterman said in a statement on Sunday, adding that he felt “great” but intended to “continue to rest and recover.”With such an important race in the balance, one that could decide the Senate majority, the state of Mr. Fetterman’s health is of intense public interest. Yet, despite repeated requests, his campaign did not make him or his doctors available to discuss his stroke and his medical treatment.And specialists in stroke, heart disease and electrophysiology said that some of the campaign’s public statements do not offer a sufficient explanation for Mr. Fetterman’s described diagnosis or the treatment they say he has received.The stroke, he said in a statement released by his campaign, was caused by a blood clot. He said the clot was the result of atrial fibrillation, a condition in which the upper chambers of the heart beat chaotically and are out of sync with the lower chambers of the heart. The campaign said the clot was successfully removed by doctors at a nearby community hospital, Lancaster General Hospital.On May 17, the day of the primary election, Mr. Fetterman had a pacemaker and a defibrillator implanted in his heart which, his press office said in a statement, “will help protect his heart and address the underlying cause of his stroke, atrial fibrillation (A-fib), by regulating his heart rate and rhythm.” His press office said he is expected to fully recover from his stroke.Medical specialists asked questions about Mr. Fetterman’s treatment with a defibrillator. They say it would make sense only if he has a different condition that puts him at risk of sudden death, like cardiomyopathy — a weakened heart muscle. Such a heart condition may have caused the blood clot. Or, the doctors say the campaign could be correct about afib causing the clot.Thrombectomy, the method likely used to remove the clot, also indicates that Mr. Fetterman experienced more than a tiny stroke, although prompt treatment may have averted damage and saved his brain.“I was just in the hospital for over a week,” Mr. Fetterman said in a statement. “I am aware that this is serious, and I am taking my recovery seriously.”In a brief interview on May 20, Gisele Barreto Fetterman, Mr. Fetterman’s wife, told the story of his stroke, from her perspective.“We had been on the road campaigning,” she said. “We had had breakfast, and he was feeling fine.”The couple got into a car to go to an event at Millersville University when, she said, “the left side of his mouth drooped for just a second.”“I had a gut instinct that something was happening,” Ms. Fetterman said. “I yelled to the trooper, ‘I think he’s having a stroke.’ He said, ‘I’m fine. What are you talking about? I feel fine.’”Gisele Barreto Fetterman, Mr. Fetterman’s wife, spoke at a watch party in Pittsburgh on May 17.Maddie McGarvey for The New York TimesThe state trooper soon drove Mr. Fetterman to Lancaster General Hospital where his treatment began. Ms. Fetterman said it involved going through his groin, which suggests he had a thrombectomy, a procedure in which doctors slide a small plastic tube through the groin, advance it into the brain and then pull the blood clot out using suction or a wire mesh.It was not until two days later that his campaign reported that Mr. Fetterman had been hospitalized with a stroke. Asked about the delay, Ms. Fetterman said, “Less than 48 hours is pretty impressive timing when dealing with sensitive medical issues.”Shortly after that question, Rebecca Katz, a senior adviser in Mr. Fetterman’s campaign, abruptly ended the call with Ms. Fetterman.Medical specialists said that some aspects of the story were difficult to reconcile with their knowledge of stroke treatment.Dr. Lee Schwamm, a stroke specialist at Massachusetts General Hospital and professor of neurology at Harvard Medical School, said doctors do a thrombectomy only when a large artery in the brain is blocked.“You typically wouldn’t do it for someone with just a little bit of facial droop,” he said. Dr. Schwamm wondered if the doctors who examined Mr. Fetterman in the hospital had noticed other symptoms, like a loss of vision on his left side or lack of awareness of his left side, often called “neglect.”“These strokes tend to be very severe,” Dr. Schwamm said. “He is fortunate that he went to a hospital that could treat it.”Pressed about the stroke symptoms as described by Ms. Fetterman, a spokesman for Mr. Fetterman wrote in an email that he “told The Associated Press last week that Gisele ‘noticed that John was not himself, and shortly after he started slurring his speech.’”But what caused the stroke?Ms. Fetterman said her husband knew he had atrial fibrillation, which confers a high risk of stroke, and that he had taken anticoagulants, a standard method of reducing the stroke risk in people with atrial fibrillation, “on and off.”But the treatment with a pacemaker and defibrillator is a puzzle if all he had was atrial fibrillation, medical specialists said.“This doesn’t entirely make sense,” said Dr. Brahmajee Nallamothu, an interventional cardiologist at the University of Michigan.Dr. Elaine Wan, an associate professor of medicine in cardiology and cardiac electrophysiology at Columbia University Medical Center, said defibrillators — which always come with pacemakers — are used to prevent sudden death. They usually are implanted in people with weakened heart muscle, or those who survived an episode in which the heart stopped, or in people with a genetic predisposition for sudden cardiac death.“We would not use it for atrial fibrillation,” Dr. Wan said.Dr. Rajat Deo, an associate professor of medicine and a cardiac electrophysiologist at the University of Pennsylvania’s Perelman School of Medicine, agreed about the use of defibrillators and said he shared Dr. Wan’s suspicion that Mr. Fetterman has a damaged heart.“I think it would be fair to say he has at least two separate issues,” Dr. Deo said of Mr. Fetterman. “One is afib, from which he most likely suffered a stroke that was successfully treated.”He added, “The second issue is that he likely has some underlying cardiac condition that increases his risk for ventricular arrhythmias and thus sudden cardiac death.”The afib could be related to the other condition, Dr. Deo said. Patients with a weakened heart muscle are also at risk of developing atrial fibrillation.On the other hand, Dr. Deo says, Mr. Fetterman’s atrial fibrillation may have nothing to do with his weakened heart. Without more information from his doctors it is impossible to know.Dr. Deo added that if Mr. Fetterman is receiving appropriate state-of-the-art medical therapies and is protected with a defibrillator from sudden cardiac death, “he should do quite well while he continues his campaign.”Experts also raised concerns about the prospects for former Vice President Dick Cheney, who had a defibrillator implanted in 2001. He finished two terms in the White House, including a hard-fought re-election in 2004.And there is time before general election campaigning in Pennsylvania begins in earnest: It is unclear who Mr. Fetterman’s opponent will be, as the Republican race remains too close to call and may head to a recount.But Dr. Wan was less sanguine than Dr. Deo about Mr. Fetterman.“He is at risk for sudden cardiac death,” she said. “For someone on the campaign trail that might raise concerns.” More

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    Democrats, the Midterm Jinx Is Not Inevitable

    In November, the Democrats are widely expected to lose the House and probably also the Senate. Large defeats are the norm for a new president’s first midterm. A harbinger is a president’s approval rating, and President Biden’s stands at a lackluster 41.1 percent.But standard political history may not be a good guide to 2022. The Democrats are facing long odds, but there are several reasons this could be an unusual political year.For starters, Donald Trump is just as likely to hobble Republicans as he is to energize them. Mr. Trump will not be on the ballot, but many of his surrogates will. He has endorsed over 175 candidates in federal and state elections, and in his clumsy efforts to play kingmaker, Mr. Trump has promoted some badly compromised candidates and challenged party unity.In the Georgia primary for governor, a Trump surrogate, Sonny Purdue, is polling well behind Mr. Trump’s nemesis, the incumbent Brian Kemp. In the Georgia Senate race, Mr. Trump’s endorsed candidate, Herschel Walker, is running away from his past and locked in a tight race against the incumbent Raphael Warnock. It may not happen again, but in 2020, Mr. Trump’s meddling backfired and helped Democrats take two Senate seats.To hold the Senate, Democrats need to defend incumbents in New Hampshire, Arizona, Nevada and Georgia. But they have pickup opportunities in several states.In Pennsylvania, the popular lieutenant governor John Fetterman, an economic populist, will run against the winner of a close Republican primary, either the celebrity doctor Mehmet Oz or the financier David McCormick. Mr. Oz, who was endorsed by Mr. Trump, has a very slight edge, as well as a very slight connection to Pennsylvania, having lived in New Jersey for many years. Either nominee would most likely alienate part of the Trump base, and neither is remotely populist.In Ohio, Mr. Trump’s endorsement helped the author and venture capitalist executive J.D. Vance prevail. In the general election, we will get a test of the divisive culture-war populism of Mr. Vance versus the genuine pocketbook populism of Representative Tim Ryan — the kind that keeps re-electing Ohio’s Democratic senator, Sherrod Brown.For Democrats to succeed in many of these races, their base will have to be energized — but at the moment, it is not. Still, there’s hope: Even if the ubiquitous lunacy of Mr. Trump doesn’t wake Democrats up, the likelihood of abortion being banned in half the country probably will.If the leaked opinion in the Supreme Court abortion case, Dobbs v. Jackson Women’s Health Organization, becomes law in an official June decision, it will not just allow states to criminalize abortion, but will turn doctors into agents of the state when they treat women for miscarriages. This extremism on women’s health does not have the support of most voters.The Democratic revival of 2017-20 began with the epic women’s marches of January 2017. If Democrats are more competitive than expected this year, it will be in part because women are galvanized, especially women in the Democratic base but also independent or “soft Republican” college-educated suburban women.Something like this happened in 2017, when large numbers of liberals and moderates, appalled by Mr. Trump’s presidency, saw the 2018 election as a firebreak. That year, Democrats made a net gain of 40 seats in the House, and historic turnout gains in 2018, relative to the previous midterm, were a great benefit for Democrats.All will depend on how closely 2022 resembles 2018. With the electorate so divided, there are relatively few swing voters — but potentially dozens of swing districts. How they swing depends entirely on turnout.A Democratic effort reminiscent of grass roots groups in 2017 is beginning to gear up. For example, Representative Jamie Raskin of Maryland sponsors a Democracy Summer for college students who want to get out and organize. This idea has been picked up in dozens of other congressional districts.Senator Jon Ossoff of Georgia, in the January 2021 runoff election that won him a Senate seat, helped pioneer a technique called paid relational organizing. He hired some 2,800 Georgians to reach out to their own peer networks to win support for Mr. Ossoff. Now several people who worked with Senator Ossoff are taking this strategy national.Other events this summer may have bearing on the fall. The House panel investigating the attack of Jan. 6, 2021, will hold public hearings in June. Closer to the midterms, it will release its final report, which will put Republicans on the spot to answer for their defense of an attempt to overturn the results of the 2020 election. Mr. Trump will surely continue to insist the 2020 election was stolen, but most Republicans will be whipsawed between the demands of Mr. Trump and his base and their wish to focus on more winning issues.Mr. Trump’s own behavior is exposing all the latent fissures in the contradictory coalition that narrowly elected him. Democratic candidates will be reminding Americans of the potential menace of a second Trump term. If Mr. Trump rejoins Twitter, he will remind them himself.Even so, Republican extremism is at risk of being overshadowed by economic conditions, none more than inflation. Federal Reserve economists project that inflation could begin to subside by fall. As with so much in politics, sheer luck and timing will play a role in the Democrats’ prospects and the future of our Republic.Stranger things have happened than a Democrat midterm resurgence. A wipeout is still likely, but far from inevitable — if Democrats can get organized.Robert Kuttner is a co-editor of The American Prospect and the author of “Going Big: FDR’s Legacy, Biden’s New Deal, and the Struggle to Save Democracy.”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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    John Fetterman: ‘Unfussy and Plain-Spoken’

    John Fetterman, the Democratic Senate nominee in Pennsylvania, isn’t like most politicians in his party.Only 38 percent of American adults have a bachelor’s degree. Yet college graduates have come to dominate the Democratic Party’s leadership and message in recent years.The shift has helped the party to win over many suburban professionals — and also helps explain its struggles with working-class voters, including some voters of color. On many social issues, today’s Democratic Party is more liberal than most Americans without a bachelor’s degree. The party also tends to nominate candidates who seem more comfortable at, say, Whole Foods than Wal-Mart.All of which makes John Fetterman such an intriguing politician.Last night, Fetterman — Pennsylvania’s lieutenant governor — comfortably won the state’s Democratic Senate primary, with 59 percent of the vote. Conor Lamb, a more traditional Democratic moderate, finished second.In the general election this fall, Fetterman will face either Mehmet Oz, a celebrity doctor endorsed by Donald Trump, or David McCormick, a former business executive. Their primary remains too close to call.The basic theory of Fetterman’s candidacy is that personality and authenticity matter at least as much as policy positions. On many issues, his stances are quite liberal. He has supported Bernie Sanders and taken progressive positions on Medicare, marijuana, criminal justice reform and L.G.B.T. rights. “If you get your jollies or you get your voters excited by bullying gay and trans kids, you know, it’s time for a new line of work,” Fetterman said at a recent campaign stop.He is also 6-foot-8, bearded and tattooed, and he doesn’t like to wear suits. “I think he is a visual representation of Pennsylvania,” one voter recently said.Fetterman is the former mayor of Braddock, a blue-collar town in western Pennsylvania where about 70 percent of residents are Black. He declined to move into the lieutenant governor’s mansion near Harrisburg and spends many nights at his home in Braddock. He talks about having been around guns for most of his life. And he does take some positions that clash with progressive orthodoxy, like his opposition to a fracking ban.Fetterman “does not sound like any other leading politician in recent memory,” my colleague Katie Glueck wrote from the campaign trail. Holly Otterbein of Politico called him “unfussy and plain-spoken” in contrast to “a party often seen as too elite.” One suburban voter in Pennsylvania — making the same point in a more skeptical way — told The Times, “I think sometimes he might come off as not a polished person.”To be clear, Fetterman may lose the general election. This year is shaping up as a difficult one for Democrats, and the Republican campaign will no doubt use his progressive positions to claim he is a leftist out of step with Pennsylvania’s voters. Republicans may also point out that Fetterman has a graduate degree from Harvard and that he pulled a gun on a jogger in Braddock during a disputed 2013 encounter.Still, I find Fetterman to be notable because Democrats have nominated so few candidates like him in recent years. The party is more likely to choose ideologically consistent candidates whose presentation resembles that of a law professor or think-tank employee. Fetterman, like many working-class voters, has a mix of political beliefs. On the campaign trail, he wears shorts and a hoodie.Describing his appeal to voters, Sarah Longwell, a Republican political strategist, said: “It’s not that he’s progressive that they like or don’t like. They like that he’s authentic.”Although the specifics are different, he shares some traits with Eric Adams, the mayor of New York, who comes off as “simultaneously progressive, moderate and conservative,” as the political scientist Christina Greer wrote in The Times. Adams won his election despite losing Manhattan, New York’s most highly educated, affluent borough.Fetterman also has some similarities with Senator Sherrod Brown, a populist Democrat who has managed to win in Ohio and who revels in “his less than glamorous image,” as Andrew J. Tobias of Cleveland.com has written.For years, most Democrats trying to figure out how to win over swing voters have taken a more technocratic approach than either Adams or Fetterman. Centrist Democrats have often urged the party to move to the center on almost every issue — even though most voters support a progressive economic agenda, such as higher taxes on the rich.Liberal Democrats have made the opposite mistake, confusing the progressive politics of college campuses and affluent suburbs with the actual politics of the country. Some liberals make the specific mistake of imagining that most Asian, Black and Latino voters are more liberal than they are. As a shorthand, the mistake is sometimes known as the Latinx problem (named for a term that most Latinos do not use).It remains unclear whether Fetterman represents a solution to the Democrats’ working-class problem. But the problem is real: It is a central reason that Democrats struggle so much outside the country’s large metro areas. And if Democrats hope to solve it, they will probably have a better chance if more of their candidates feel familiar to working-class voters.Politics isn’t only about policy positions. People also vote based on instinct and comfort.For more: In Times Opinion, Michael Sokolove asks whether Fetterman is the future of the Democratic Party.The latest resultsIn the primaries for Pennsylvania governor, Doug Mastriano — a far-right state senator endorsed by Trump — won the Republican nomination, while Josh Shapiro, the state attorney general, won the Democratic race. Mastriano’s victory caused The Cook Political Report to say that the general election was no longer a toss-up and Shapiro was favored to win.In North Carolina, Madison Cawthorn lost the Republican primary for his House seat. Cawthorn was endorsed by Trump, but had feuded with others in his party after a series of scandals.Representative Ted Budd, also backed by Trump, won North Carolina’s Republican Senate primary. He will face the Democrat Cheri Beasley.Brad Little, Idaho’s Republican governor, beat back a primary challenge by Janice McGeachin, the Trump-endorsed lieutenant governor.THE LATEST NEWSWar in UkraineBuses with surrendered Ukrainian troops under Russian escort yesterday.Alexander Ermochenko/ReutersHundreds of Ukrainian soldiers who defended the steel mill in Mariupol are in Russian custody.Negotiators on both sides say peace talks have collapsed.On a Russian talk show, a retired colonel stunned his colleagues by saying that the invasion wasn’t going well.The VirusPublic schools in the U.S. have lost at least 1.2 million students since 2020, with some switching to home-schooling and others dropping out.The F.D.A. authorized Pfizer’s booster for children 5 to 11.Hospitalizations are rising in New York City, nearing the threshold to reinstate an indoor mask mandate.The White House will send Americans eight more at-home tests, through covidtests.gov.PoliticsA memorial outside the Tops supermarket in Buffalo.Doug Mills/The New York TimesPresident Biden visited the site in Buffalo where a gunman killed 10 people. “White supremacy is a poison,” he said.A Pentagon investigation found no wrongdoing in a 2019 airstrike in Syria that killed dozens of people, including women and children.The Justice Department requested transcripts from the Jan. 6 committee, potentially as evidence in future cases.In a hearing on U.F.O.s, Pentagon officials revealed video of an unidentified craft flying past a fighter jet.The Justice Department sued the casino mogul Steve Wynn, saying he lobbied Trump on China’s behalf.Other Big StoriesThe suspect in the Buffalo massacre invited a small group of people to review his plan on the chat app Discord. None of them alerted law enforcement.The shortage of baby formula has hospitalized two children who can’t absorb nutrients properly.Gun manufacturing has nearly tripled in the U.S. since 2000, fueled by sales of handguns.Johnny Depp’s lawyer challenged Amber Heard’s account of abuse, asking her why she had not presented medical records to back up her story.OpinionsIbrahim RayintakathWe want to call heat waves, wildfires and other deadly weather events “extreme,” but climate change has made them increasingly common, David Wallace-Wells writes.The baby formula shortage is more proof that new mothers, venerated in theory, are unsupported in practice, Elizabeth Spiers says.MORNING READSLife hacks: How to become an early bird.Hype man: A trash-talking crypto bro caused a $40 billion crash.Stanley tumbler: The sisterhood of social media’s favorite water bottle.A Times classic: How to talk to someone who’s sick.Advice from Wirecutter: Freeze your food — without freezer burn.Lives Lived: Urvashi Vaid, a lawyer and activist, was a leading figure in the fight for L.G.B.T.Q. equality for more than four decades. She died at 63.ARTS AND IDEAS The music supervisor Randall Poster.Sinna Nasseri for The New York TimesA boxed set for birdsRandall Poster had never appreciated the songbirds of the Bronx, where he has lived for most of his life, until the quiet the pandemic brought in 2020. After speaking with an environmentalist friend, Poster — a music supervisor for filmmakers — was inspired. What if he harnessed his industry connections into a fund-raiser for bird conservation?This week, Poster will release the first volume of “For the Birds,” a star-studded, 242-track collection of original songs and readings based on birdsong. It benefits the National Audubon Society.“For the Birds” features electronic trance, fiddle tunes and field recordings. Alice Coltrane and Yoko Ono make appearances, and a song from Elvis Costello shares space with a Jonathan Franzen reading.“Of all the things we need to work harder to protect, birds, like music, speak to everyone,” said Anthony Albrecht, an Australian cellist who has led similar conservation efforts. “They’re such a visible — and audible — indicator of what we stand to lose.”PLAY, WATCH, EATWhat to CookDavid Malosh for The New York Times. Food Stylist: Simon Andrews.Use up seasonal produce by adding tangy rhubarb to sheet-pan chicken.What to WatchManuel Garcia-Rulfo plays the lead in Netflix’s “The Lincoln Lawyer.” It’s a tricky job when your first language isn’t English.What to ReadNell Zink’s “Avalon” is about a girl who has a menacing stepfamily and a great ambition.Late NightThe hosts celebrated Sweden and Finland’s NATO applications.Now Time to PlayThe pangram from yesterday’s Spelling Bee was backfill. Here is today’s puzzle — or you can play online.Here’s today’s Wordle. Here’s today’s Mini Crossword, and a clue: Blue hue (four letters).If you’re in the mood to play more, find all our games here.Thanks for spending part of your morning with The Times. See you tomorrow. — DavidP.S. The Times covered the first same-sex marriages in Massachusetts on the front page 18 years ago today.Here’s today’s front page.“The Daily” is about a Ukrainian soldier. On “The Argument,” a debate about inflation.Claire Moses, Ian Prasad Philbrick, Tom Wright-Piersanti, Ashley Wu and Sanam Yar contributed to The Morning. You can reach the team at themorning@nytimes.com.Sign up here to get this newsletter in your inbox. More