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    Key takeaways: RFK Jr’s ‘Maha’ report on chronic disease in children

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    Donald Trump’s health secretary and long-time vaccine skeptic, Robert F Kennedy Jr, presented a highly anticipated report on children’s health this week.The “Maha commission” report, referring to the “Make America healthy again” movement, was required by a presidential executive order in February. The report focuses on chronic disease among children.The 68-page report broadly summarizes five areas affecting children’s health, with a focus on ultra-processed foods, environmental chemical exposure, lack of physical activity, “overmedicalization”, and “capture” of regulatory agencies.It notably omits some of the most common causes of chronic disease and death in children, insinuates there could be harms where there is lack of evidence, and avoids discussing how Republicans have already changed the health system in ways researchers believe are harmful.Art Caplan, a professor of bioethics at New York University’s Grossman School of Medicine, told the Guardian that the report has “interesting ideas about health and children’s health and crackpot fringe tin-hat-wearing nonsense – it’s got it all”.Here are five of the key takeaways from the report.1. The report ignores some common dangers to childrenThe most common causes of death among children are car crashes and firearm accidents. The report ignores these issues, as well as behaviors that often start in adolescence and lead to chronic disease in adulthood, such as smoking and alcohol use. It also criticizes water fluoridation, without mentioning its protective effects against cavities.Also, absent from the report is a discussion of how the administration has already changed the health department in ways that advocates argue will benefit industry and could exacerbate chronic disease.For instance, Kennedy eliminated two smoking prevention offices at the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) in what one former regulator told Stat was “the greatest gift to the tobacco industry in the last half century”. He also eliminated a world-leading sexually transmitted infection laboratory.In another example, one of the nation’s leading researchers of ultra-processed foods quit his “dream job” after facing what he described as censorship from the administration (the health department reportedly asked him to return). In a similar vein, the Trump administration cut a program that delivered local whole foods to schools soon after taking office, in spite of Kennedy calling for healthier school meals.2. The report focuses on issues key to Kennedy’s view of healthThe report is roughly broken up into five sections focusing on ultra-processed foods, environmental chemical exposures, children’s mental health, “overmedicalization” and “corporate capture” of regulators by the industries they are supposed to oversee.Kennedy has harped on many of the issues listed in the report for months in public appearances and even though his defunct presidential campaign – especially including ultra-processed foods and obesity. Although some of these concerns may find bipartisan support – such as the focus on “forever chemicals” such as Pfas – it also pushes into areas where the science is unsettled.For instance, the report mentions that high levels of fluoride are potentially associated with reduced IQ, but does not mention its well-established protective effects against cavities – the most common chronic condition in children, according to the National Institute of Dental and Craniofacial Research.Similarly, the report argues that the childhood vaccine schedule is causing concern among parents for,“their possible role in the growing childhood chronic disease crisis” – without citing evidence that vaccines are linked to any specific chronic disease.3. It’s likely to face diverse pushback – and create new alliancesEven before the report was published, congressional lawmakers were being bombarded by calls from agricultural and chemical lobbyists wary of how the report would criticize their products – and indeed it did.One of the report’s sections questions whether “crop protection tools” including “pesticides, herbicides and insecticides” could harm human health. It then specifically name-drops glyphosate, the key ingredient in Roundup, and atrazine, a common herbicide. That is sure to make for strange political bedfellows and consternation within the Republican party. Similarly, the report cites synthetic dyes and ultra-processed foods are potentially harmful.Chemicals and food additives have been issues of concern for decades on the left. However, the Maha movement has also catalyzed opposition to them on the right.4. The report’s authors are not namedThe commission’s members are made up of the heads of intersecting agencies, including Kennedy at the Department of Health and Human Services, and the heads of the departments of agriculture, housing, education, veterans affairs and the Environmental Protection Agency, among others.However, the exact authors of the report are unknown. This contrasts with Kennedy’s repeated promise at his confirmation hearing that his health department would practice “radical transparency”.The work of the “Maha” commission was reportedly spearheaded by senior Kennedy adviser Calley Means, a former food lobbyist and healthcare entrepreneur who rose to prominence as a Maha truth-teller. Means co-wrote a bestselling book with his sister, current US surgeon general nominee Casey Means, which blames many of America’s ills on sedentary lifestyle and poor diet.5. Changing any of the issues identified is likely to be toughOne of the key issues the report identifies is the influence of food, pharmaceutical and chemical companies on American policy. They are monied and powerful.As a result, getting real change through Congress is certain to be tough – especially in an administration devoted to reducing regulations. More

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      Systems are crumbling – but daily life continues. The dissonance is real

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      View image in fullscreenIn January, the comedian Ashley Bez posted an Instagram video of herself, trying to describe a heavy mood in the air. “How come everything feels all …?” she says, trailing off and grimacing exaggeratedly into the camera.Digital anthropologist Rahaf Harfoush saw the video, and got it immediately.“Welcome to the hypernormalization club,” Harfoush said in a response video. “I’m so sorry that you’re here.”“Hypernormalization” is a heady, $10 word, but it captures the weird, dire atmosphere of the US in 2025.First articulated in 2005 by scholar Alexei Yurchak to describe the civilian experience in Soviet Russia, hypernormalization describes life in a society where two main things are happening.The first is people seeing that governing systems and institutions are broken. And the second is that, for reasons including a lack of effective leadership and an inability to imagine how to disrupt the status quo, people carry on with their lives as normal despite systemic dysfunction – give or take a heavy load of fear, dread, denial and dissociation.“What you are feeling is the disconnect between seeing that systems are failing, that things aren’t working … and yet the institutions and the people in power just are, like, ignoring it and pretending everything is going to go on the way that it has,” Harfoush says in her video.Within 48 hours, Harfoush’s video accrued millions of views. (It currently has slightly fewer than 9m.) It spread in “mom groups, friend chat circles, political subreddits, coupon communities, and even dog-walking groups”, Harfoush tells me, along with variations of: “Oh, so that’s what I’ve been feeling!” and “people tagging their friends with notes like: ‘We were just talking about this!’”View image in fullscreenWhy hypernormalization is relevant in the USThe increasing instability of the US’s democratic norms has prompted these references to hypernormalization.Donald Trump is dismantling government checks and balances in an apparent advance toward a “unitary executive” doctrine that would grant him near-unlimited authority, driving the US toward autocracy. Billionaire tech moguls like Elon Musk are helping the government consolidate power and aggressively reduce the federal workforce. Institutions like the National Institutes of Health, the Centers for Disease Control and Prevention and the Food and Drug Administration, which help keep Americans healthy and informed, are being haphazardly diminished.Globally, once-in-a-lifetime climate disasters, war and the lingering trauma of Covid continue to unfold, while an explosion of generative AI threatens to destabilize how people think, make a living and relate to each other.For many in the US, Trump 2.0 is having a devastating effect on daily life. For others, the routines of life continue, albeit threaded with mind-altering horrors: scrolling past an AI-generated cartoon of Ice officers arresting immigrants before dinner, or hearing about starving Palestinian families while on a school run.Hypernormalization captures this juxtaposition of the dysfunctional and mundane.It’s “the visceral sense of waking up in an alternate timeline with a deep, bodily knowing that something isn’t right – but having no clear idea how to fix it”, Harfoush tells me. “It’s reading an article about childhood hunger and genocide, only to scroll down to a carefree listicle highlighting the best-dressed celebrities or a whimsical quiz about: ‘What Pop-Tart are you?’”In his 2016 documentary HyperNormalisation, the British film-maker Adam Curtis argued that Yurchak’s critique of late-Soviet life applies neatly to the west’s decades-long slide into authoritarianism, something more Americans are now confronting head-on.“Donald Trump is not something new,” Curtis tells me, calling him “the final pantomime product” of the US government, where the powerful are abandoning any pretense of common, inclusive ideals and instead using their positions to settle scores, reward loyalty and hollow out institutions for personal or political gains.Trump’s US is “just like Yeltsin in Russia in the 1990s – promising a new kind of democracy, but in reality allowing the oligarchs to loot and distort the society”, says Curtis.Why the concept of hypernormalization is usefulWitnessing large-scale systems slowly unravel in real time can be profoundly surreal and frightening. The hypernormalization framework offers a way to understand what we’re feeling and why.Harfoush created her video “to reassure others that they’re not alone” and that “they aren’t misinterpreting the situation or imagining things”. Understanding hypernormalization “made me feel less isolated”, she says. “It’s difficult to act when you’re uncertain if you’re perceiving reality clearly, but once you know the truth, you can channel that clarity into meaningful action and, ideally, drive positive change.”Naming an experience can be a form of psychological relief. “The worst thing in the world is to feel that you’re the only one who feels this way and that you are going quietly mad and everyone else is in denial,” says Caroline Hickman, a psychotherapist and instructor at the University of Bath specializing in climate anxiety. “That terrifies people. It traumatizes people.”People who feel the “wrongness” of current conditions acutely may be experiencing some depression and anxiety, but those feelings can be quite rational – not a symptom of poor mental health, alarmism or a lack of proper perspective, Hickman says.“What we’re really scared of is that the people in power have not got our back and they don’t give a shit about whether we survive or not,” she says.View image in fullscreenMarielle Greguski, 32, a New York City-based retail worker and content creator, posted about everyday life feeling “inconsequential” in the face of political crisis. Greguski says the outcome of the 2024 election reminded her that she lives in a “bubble” of progressive values, and that “there’s the other half of people that are not feeling the same energy and frustration and fear”.To Greguski, the US’s failings are not only partisan but moral – like the racism and bigotry that Trump’s second term has brought out of the shadows and into policy.Greguski is currently planning a wedding. It’s hard to compartmentalize “constant cruelty, things that don’t make sense”, she says. “Sometimes I’ll be like: ‘I have to put aside X amount of money for the wedding next year,’ and then I’m like: ‘Will this country exist as we know it next year?’ It really is crazy.”The effects of hypernormalizationConfronting systemic collapse can be so disorienting, overwhelming and even humiliating, that many tune it out or find themselves in a state of freeze.Greguski likens this feeling to sleep paralysis: “basically a waking nightmare where you’re like: ‘I’m here, I’m aware, but I’m so scared and I can’t move.’”In his 1955 book They Thought They Were Free: The Germans, 1933–45, journalist Milton Mayer described a similar state of freeze in German citizens during the rise of the Nazi party: “You don’t want to act, or even talk, alone; you don’t want to ‘go out of your way to make trouble.’ Why not? – Well, you are not in the habit of doing it. And it is not just fear, fear of standing alone, that restrains you; it is also genuine uncertainty.”“People don’t shut down because they don’t feel anything,” says Hickman. “They shut down because they feel too much.” Understanding this overwhelm is an important first step in resisting inaction – it helps us see fear as a trap.Curtis points out that governments may intentionally keep their citizens in a vulnerable state of dread and confusion as “a brilliant way of managing a highly febrile and anxious society”, he says.When we feel powerless in the face of bigger problems, we “turn to the only thing that we do have the power over, to try and change for the better”, says Curtis – meaning, typically, ourselves. Anxiety and fear can trap us, leading us to spend more time trying to feel better in small, personal ways, like entertainment and self-care, and less time on activism and community engagement.View image in fullscreenHow to overcome hypernormalizationProgressive commentators have urgently called for moral clarity and mobilization in response to changes like the cuts to USAID funding, which has resulted in an estimated 103 deaths per hour across the globe; the dismantling of the CDC; and Robert F Kennedy’s campaign against vaccine science.“Where is the outrage?” asks the Nation’s Gregg Gonsalves. “Too many lives are at stake to rest in this bizarre moment of frozen agitation.”“I don’t know if there’s a massive shift toward racism as much as an expanded indifference toward it,” the historian Robin DG Kelley said in a February interview with New York Magazine. “People are just kind of like: ‘Well, what can we do?’”Experts say action can break the spell. “Being active politically, in whatever way, I think helps reduce apocalyptic gloom,” says Betsy Hartmann, an activist, scholar and author of The America Syndrome, which explores the importance of resisting apocalyptic thinking.Greguski and a co-worker have been helping distribute multilingual information about legal rights and helpline numbers, to be used in the event of Ice raids.“It’s easy to feel like: ‘Oh, I’m in community because I’m on TikTok,’” she says. But genuine community is about “getting outside and talking to your neighbor and knowing that there’s someone out there that can help you if something really bad goes down,” she says.“You’re actually out there talking to people, working with people and realizing there are so many good people in the world, too, and maybe feeling less isolated than before,” says Hartmann.“But I also think we need a broader vision,” Hartmann notes. She suggests looking to resistance efforts against authoritarianism in countries like Turkey, Hungary and India. “How might we be in international solidarity? What lessons can we learn in terms of rebuilding sophisticated, complex government infrastructure that’s been hacked away at by people like Elon Musk and his minions in a more socially just and sustainable way?”“We are in a period now when it’s absolutely essential to protest,” says Hartmann, citing the Harvard professor Erica Chenoweth, who argues that just 3.5% of a population engaging in peaceful protest can hold back authoritarian movements.What makes dysfunction so dangerous is that we might simply learn to live with it. But understanding hypernormalization gives us language – and permission – to recognize when systems are failing, and clarifies the risk of not taking action when we can.In 2014, Ursula Le Guin accepted the National Book Foundation’s Medal for Distinguished Contribution to American Letters, saying: “We live in capitalism. Its power seems inescapable. So did the divine right of kings. Any human power can be resisted and changed by human beings. Resistance and change often begin in art, and very often in our art, the art of words.”Harfoush reflects on this quote often. It underscores the fact that “this world we’ve created is ultimately a choice”, she says. “It doesn’t have to be like this.”We have the research, technologies and wisdom to create better, more sustainable systems.“But meaningful change requires collective awakening and decisive action,” says Harfoush. “And we need to start now.” More

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      Forget the DEI hires – meet Trump’s latest WTF hire | Arwa Mahdawi

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      The US health secretary doesn’t think you should really listen to him when it comes to health issues. During an appearance before House and Senate committees this week, Robert F Kennedy Jr, famous for his unconventional views about medicine and his revelation that a parasite ate part of his brain, seemed to think it was strange that lawmakers were asking him about vaccines.“What I would say is my opinions about vaccines are irrelevant,” Kennedy said when pressed on whether he would vaccinate his child for measles. “I don’t want to seem like I’m being evasive, but I don’t think people should be taking advice, medical advice, from me.” The US health secretary repeated his refrain about not wanting to give advice a number of other times.I, on the other hand, am desperate to dole out a bit of advice. Namely: it would probably be a good idea if a few people who actually knew what they were talking about were brought into the US government. I know, I know. Look at me being a crazy idealist! Still, at the very least, it might be wise to at least ensure that the people who are in charge of health issues know a thing or two about medicine.Alas, judging by some of Donald Trump’s latest appointments, it would seem that I am asking far too much. See, for example, Dr Casey Means, who was nominated for US surgeon general last week. Means has got “Dr” in front of her name, which sounds promising, but she’s more of an influencer than a practitioner. Though she trained as a surgeon at Stanford, she never completed her medical residency afterward. Why? She says it’s because she was disillusioned with traditional medicine, but a former colleague told the Los Angeles Times that it was due to anxiety. Means also doesn’t have an active medical license. In short: she wouldn’t be able to get a job as a doctor at your local hospital but she’s being considered for the role of “the nation’s doctor”. As for experience working in government? She doesn’t have any of that, either.What Means does have, Trump announced in a recent social media post, are “impeccable ‘MAHA’ credentials”. That’s the “Make America healthy again” movement: a movement that is preoccupied with some very valid issues (processed food, corruption in the health industry) but mired in conspiracist thinking. Means has been on TV a lot to talk about Maha obsessions such as removing fluoride from drinking water. She also makes money from dietary supplements that she promotes on social media and has co-authored a book with her brother that claims “almost every chronic health symptom that Western medicine addresses is the result of our cells being beleaguered by how we’ve come to live”. Which, of course, isn’t completely false but has been accused of being overly simplistic. Means’s brother, by the way, is also a prominent adviser to Kennedy.So are all the Maha crowd rejoicing in the streets at the idea of Means becoming surgeon general? Not quite. Her nomination has actually sparked Maha infighting. Some Maha voices think Means is not extreme enough, particularly when it comes to the Covid shot. These people seem to want a surgeon general who declares Covid was a hoax and bans vaccines altogether.The far-right conspiracy theorist Laura Loomer, meanwhile, who seems to have become one of Trump’s most influential albeit unofficial advisers, isn’t happy with Means because she thinks she’s unserious. Writing on Twitter/X, Loomer said Means “PRAYS TO INANIMATE OBJECTS, COMMUNICATES WITH SPIRIT MEDIUMS, USES SHROOMS AS ‘PLANT MEDICINE’ AND TALKS TO TREES! SHE ALSO DOESN’T EVEN HAVE AN ACTIVE MEDICAL LICENSE.”Loomer isn’t the only one a little worried about Means’s enthusiasm for psychedelic drugs including magic mushrooms – which the prospective surgeon general once suggested in a newsletter helped her find a romantic partner. Psilocybin, a psychedelic compound found in certain mushrooms, is currently listed as a schedule I drug, defined as a substance “with no currently accepted medical use and a high potential for abuse”.Means should probably be a little worried about what Loomer thinks, as Loomer may have played a part in ousting Trump’s original pick for the position. That was Janette Nesheiwat, a former Fox News medical contributor and the sister-in-law of Mike Waltz, the former national security adviser. On X this month, Loomer called Nesheiwat “a pro-Covid vaccine nepo appointee” who “didn’t go to medical school in the US”. (Nesheiwat has said that she got a degree from the University of Arkansas School of Medicine, but it would seem that she actually earned her medical degree from a school in Sint Maarten.)Will Loomer topple Means before her confirmation (which hasn’t been scheduled yet) as well? I don’t know but I can tell you that if she does, it’s unlikely that her successor will be any more qualified. The Trump administration, as we all know, has been waging war on diversity, equity and inclusion (DEI). If you’re a (non-Trump-loving) woman or a minority, it doesn’t seem to matter how many qualifications you have, you’re automatically considered a “DEI hire” and looked upon with suspicion. Many prominent people in the Trump administration, meanwhile, seem to be WTF hires. They are there because they’re white, Trumpy and often in the family of someone influential (or they have been on Fox News). Whether we get Means or not, you can be sure that whoever is confirmed as the nation’s top doctor will be completely unqualified to treat the US’s Trump-induced ailments.

      Arwa Mahdawi is a Guardian columnist More

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      RFK Jr and his grandchildren swam in DC creek contaminated by sewage

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      The US health secretary, Robert F Kennedy Jr, has revealed that he went swimming with his children in a Washington DC creek that authorities have said is toxic due to contamination by an upstream, ageing sewer system.The “Make America healthy again” crusader attracted attention for the Mother’s Day dip in Dumbarton Oaks Park with his grandchildren Bobcat and Cassius, which he posted about on X. He was also accompanied by relatives Amaryllis, Bobby, Kick and Jackson.Rock Creek, which runs through the federal park, is described as unsafe for swimming or wading because it acts as a runoff for excess sewage and storm water during rain storms.Studies of streams in the nation’s capital have revealed “chronic elevated levels of Escherichia coli (E coli) contamination that exceeded DC’s surface water quality standards”, according to one published in 2021.The District of Columbia banned swimming in all waterways in 1971, citing “extraordinarily high levels of pollutants from human and animal waste containing bacteria such as salmonella and hepatitis, and viruses”.Separately, the National Park Service has said: “Rock Creek has high levels of bacteria and other infectious pathogens that make swimming, wading, and other contact with the water a hazard to human (and pet) health. All District waterways are subject to a swim ban – this means wading, too!”Part of the issue is that the District’s combined sewer system was developed before 1900, and – like New York City sewage and rain systems – is designed to combine to ease runoff, bypassing water treatment plants.In Washington, according to Open Data DC: “Release of this excess flow is necessary to prevent flooding in homes, basements, businesses, and streets. [Combined sewer overflows] are discharged to the Anacostia River, Rock Creek, Potomac River or tributary waters at CSO outfalls during most moderate rain events.”Kennedy, an avid outdoorsman, had not responded to a request for comment as of publication time, and has not posted on social media about it.In an interview with Fox News on Sunday, Kennedy described himself as a “renegade”. Joined by other appointees to the federal health agency – including the TV doctor Mehmet Oz, Marty Makary and Jay Bhattacharya – he said: “The entire leadership of this agency are renegades who are, you know, who are juggernauts against convention and who are trying to look for truth, no matter what the cost.”On Sunday, Kennedy joined Donald Trump to unveil a new administration plan to lower high US prescription drug prices. He thanked the US president for standing “up to the oligarchs” and took aim at Vermont senator Bernie Sanders, who has made drug pricing a signature issue of his political platform.“It’s one of these promises that politicians make to their constituents knowing that they’ll never have to do it,” the former 2024 Democratic turned independent presidential candidate said.Sanders later scoffed at the administration’s plan, saying it “will be thrown out by the courts”.Kennedy is known for taking risks of a biological kind. He admitted to transporting a roadkill bear cub to New York’s Central Park, and his daughter Kick described a childhood adventure when her father transported a rotting whale head on top of their car from Nantucket to their Westchester home.Had Kennedy’s foray into the polluted creek produced ill effects, the probable treatment for E coli poisoning would not necessarily have benefited much from the administration’s drug cost reduction plan. Common antibiotics used to treat E coli infections are typically priced $10 to $30 for a course of treatment. More

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      in UK Politics

      Voices: ‘This will be disastrous’: Independent readers fear social care collapse after visa ban

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      Yvette Cooper’s announcement of sweeping new restrictions on overseas care worker visas has sparked fierce backlash, with many readers warning the move risks pushing the UK’s fragile care system to the brink of collapse.Under the changes, care homes will no longer be allowed to recruit staff from abroad, a sector that has long relied on foreign workers to plug chronic staff shortages. Applications for the health and care worker visa have already plunged by 70 per cent in a year, from 129,000 to just 26,000, while more than 100,000 vacancies remain across England’s care sector.The home secretary defended the crackdown as necessary to reduce net migration to “significantly” below half a million, arguing that high levels of overseas recruitment had distorted both the economy and the immigration system without addressing deep-rooted problems in social care.But charities such as Age UK warned that foreign workers have been “keeping many services afloat” and that care home closures could pile further strain on NHS hospitals already stretched to breaking point.Independent readers are divided. Some say the UK must continue attracting overseas carers to meet urgent needs, while others call for better pay and training to encourage British workers into the sector.Here’s what you had to say:Punishing workers while ignoring non-workers?There are indeed people who are entering the country illegally who have no intention of working or integrating with British society. So the Labour government’s solution is to directly target the people who come to this country to work and contribute? Am I missing something? It’s like when they put mandatory “don’t steal DVDs” videos on DVDs you just purchased with your own money in HMV.W0ngC0ughHome care will be hit hard tooAgain, care homes. How this will affect home care is ignored. The company that our county council uses, almost exclusively, sources its staff from Africa. It is owned and run by Ghanaians, I believe. This is going to be disastrous for the care sector. But what do politicians care about the most vulnerable in society anyway?Drone1970This is political suicideLabour are now officially over. This is a disaster of a policy and a disgrace. Everything that is wrong with politics in a nutshell – party first, country last. This will set the NHS back decades. I did like Starmer and was willing to give him the benefit of the doubt. He has been put on the spot and failed on several occasions. Jumped the wrong way too many times for it to be a coincidence. Alas, it will always fail – no matter what Labour do, it will never be enough. This is the death knell for progressive politics. When it comes to actually voting, I vote SNP, so it does not bother me too much in that matter. However, watching my country die because of strutting little Englanders is heartbreaking.Jim987Chasing Reform votersLabour’s chasing of the Reform vote is proving not only to be a moral disaster but could politically keep them out of office for years. But if the aim is to continue to assist the rich in staying rich (as all three main parties do – it’s their job), then it doesn’t matter to the rich who rules as long as they rule in their favour. In fact, across the West as a whole, this is the aim – keep things the same whilst the real world is changing. It won’t last because it can’t last. If you want to grow an economy, whether it’s in Trumpland or Starmerland, you have to invest in infrastructure and services. The big problem is that ALL the essential services are in private hands. Until you renationalise them, you can’t move or have any plans at all. It’s a very poor form of capitalism that can’t or won’t exploit labour from anywhere. And we are now overseen by people who have no idea how capitalism works but magically think that growth will just emerge, because just saying it will make it happen.rishirichBrexit made the fields rotIn the immediate aftermath of Brexit, the hostile environment forced out all the Eastern European migrant agricultural workers. The consequence was that all those previously complaining that “they’re stealing our jobs” failed to take up the vacancies created, and food was left to rot in the fields. This wheeze from the Tory B team will, in my opinion, have a similar effect – except that it won’t be turnips left to rot, it’ll be your granny.PinkoRadicalPay more and invest in workers We need to make blue-collar jobs more attractive by increasing wages and providing CPD and other incentives. The days of relying on cheap foreign workers must end. The damage being done to our country through mass immigration will take decades to heal.saghiaWe need foreign workersI think the problem is that we don’t have enough foreign care home workers. British people would prefer to be on the dole than look after granny. This policy makes no sense. I suppose the assisted dying bill is aimed at lessening the numbers we need. Shame on Labour.VillagelifeonedayBrexit ruined careWe NEED care workers. Brexit decimated our good care workers, and they are now being replaced by many who can hardly speak English. Stopping care workers from abroad is MADNESS. Paying them more just puts the cost up for those who need care. Labour is not the socialist party anymore.Pete135Democracy is collapsing under stupid populismThis just highlights the problem with an awful lot of Western democracies at the moment. Labour is mimicking Reform because they see Reform as “what the people want”. The obvious problem though, is that Reform’s “policies” will benefit absolutely nobody, things will get loads worse, and Labour or anyone else promoting any sensible policies (not that Labour are at the moment) will not get voted for. Reform or the Tories (who are essentially the same) will win, and things will continue to get worse. So the problem, in case you couldn’t work it out, is that the electorate are far, far too dim to even recognise what is in their own interests – let alone vote for it. Democracy is dying because we live in a world where the majority live outside of reality on most topics and cannot be convinced to vote in their own interests. The bad end of the Dunning–Kruger effect has been deliberately exacerbated to garner votes (for Conservatives, because with a well-educated, well-informed public, they would get barely any votes other than from those who are rich or bigoted and can only think short-term). I am not optimistic anything will change in my lifetime, it only seems to get worse, and society is regressing at an increasing rate. Only some massive catastrophe seems likely to snap us out of it. And even then, we will inevitably cycle back to being dumber than dirt as a collective, if we manage to come out the other side anyway.TrevSmith82Care is big businessThe issue is that care has become big business, run for maximising profit rather than giving staff and care receivers the best conditions. Of course, they go abroad to recruit – cheaper labour supplied by agencies – rather than training and making skilled caregivers more rewarded for their work.MintmanThe British people have to wake up and smell the coffee. British industry, farming, healthcare and social services cannot operate without immigrants. Until 2016, the UK was part of the EU, which allowed a reciprocal, structured and controlled movement of workers between member states. But Farage and the Tories did not like that and replaced it with a points system which wasn’t reciprocal and actually increased immigration, not from Europe but from all corners of the globe. And people who come here from Africa and India bring all their families with them.Pomerol95Nobody’s coming off benefits to do this workDid the job for four years. At that time, the only one of us from outside the UK was a lovely lady from Colombia – all the rest of us were local. Now it seems to be 99 per cent overseas workers. To be honest, you would be hard pressed to find a white British person doing the job here in Cornwall. No one is going to come off benefits to do the job – that’s a fact the government has to face up to. To be honest, the country has to face up to that as well.gtvv6Who will care for people?A ban on overseas recruitment in care homes? Who do the government think is going to do the hard work of providing care? Overseas staff have always been critical to both the NHS and social care sectors. It’s time the government stopped rule by Mail headlines and addressed some real issues.rEUjoinToo many not working while jobs are thereWe have 1 million NEETs and millions of people either unemployed or working part-time/low hours and claiming UC/housing benefit. Many of these people don’t want to be care workers (or work much in general) but still want other taxpayers’ money to support them… This has to end. It will take a tough government to do this, but we can’t have so many working-age people not contributing taxes when the jobs are out there and their labour is needed. This country is far too soft.ChrisMatthewsPR is the way to stop ReformThe way to stop Reform is to introduce proportional representation. True, under PR Reform would have more seats in Parliament – BUT so would the Greens and Lib Dems too. This would force the sensible parties to work together for the good of the UK. Farage has no answers to any of the real problems. People voted for his snake oil once before, but it would seem they have forgotten the disaster of Brexit!PateleyladHospitals and care homes rely on overseas staffGo to any hospital or any care home and you will see how important overseas staff are to the health and care sector. The Brits don’t want to work in it, and certainly not for the wages that are paid or the respect that the jobs attract. So, within six months of the new restrictions coming into force, the NHS will be on the brink of collapse because it cannot discharge its patients into residential care homes. And many of those homes will close because they cannot get the staff to operate day to day safely. Unless the government takes powers to force people to work in the sector, there will be a major problem of their own creation… And they had better hope that there are no elections when it happens. The one straw they can grasp is that neither the Tories nor Reform have policies that offer any solution yet.sweepydogBrexiteers must be delighted with their care home dreamWell, fair enough. The Brexiteers always claimed that thousands upon thousands of homegrown talent were simply unable to find employment in the one area they have been looking for for decades: elderly care. So, here it is – an influx of eager, highly skilled and top-motivated – and most importantly of all, Bri’ish! – people have finally been given the chance they have hungered for since we joined the EU. The older Brexiteers, for years having to suffer the indignity of being cared for by people who were born abroad, must be delighted! Best of luck!SeanFTime for social care to have its own cabinet postMaybe it is time that social care had its own cabinet post – it is perhaps now too important to ignore. Under successive governments, always the bridesmaid, never the bride. It needs to have a professional structure with qualifications backed by statutory recognition. Perhaps, if not already the case, some employer NI concessions to help with costs.SteinTraining locals is necessaryIt’s all very well tightening immigration and restricting care workers from abroad. The government should work towards training UK citizens so that locals can fill the jobs where recruitment is a problem. Tinkering with the current laws is not going to work.AHJA simple answer to a complex problemI was a Labour Party member until about three months ago, and I’m beginning to despise them. They’re obsessed with beating Reform but don’t seem to understand why people are voting for Farage. Labour are considering voting for Reform as a cause when in reality, voting for Reform is a symptom. It’s a symptom of people having terrible jobs, no security, decaying towns with crime increasing, the poor and vulnerable getting worse off, waiting nine weeks to see a GP, then all you get is a phone call. These are the root causes of people’s unhappiness, and Reform has a simple reason for those problems – it’s the immigrants. Get rid of the immigrants, and we get rid of the problem. This, of course, is nonsense – a simple answer to a complex problem. Labour’s mistake is to follow Reform in the hope of winning the next election, and that’s why they stay silent on Gaza and find themselves blaming immigrants. If Labour address the root causes of the problems outlined above, they would transform people’s lives and support for Reform would melt away. Instead, they’re going to squander the next four years trying to ape Reform and being scared of the Daily Mail. Starmer is Britain’s Joe Biden – he’ll be an irrelevant footnote in history, the timid man who allowed Farage into Number 10.manatadeskTo fill vacancies, wages must riseIf you want to fill 500,000 vacancies, you’re going to have to put up the wages. Difficult, seeing how most of these care homes are owned by foreign concerns who milk the system and keep costs as low as they can. Most of them, with foreign and British owners, get away with very low wages to boost their profits!tommy2topsFamilies need more support Families need to receive more in the way of government support, encouragement and financial help because, when possible, this is the very best form of care. Care homes should try to offer hostel-type accommodation for nurses, even if just willing locals with a room to let (there could be a tax bonus) – then there would be no shortage of nurses. The aged are the local community and need support at the local level. Volunteers, training made easier for local older workers. And a big shake-up in the way these places are run.AgnesBCare workers are highly skilled, just badly paidCooper is mixing up “low paid” with “low skilled”. Care workers are highly skilled, just badly paid. I’d love for her to do a week (without cameras) working in a care home looking after people with dementia. I bet she wouldn’t make it through a single shift. The reason care homes have to recruit from overseas is because people can make more money working at Tesco or Starbucks. If you’re someone just looking for a job, rather than someone with a vocation for it, why would you work gruelling shifts on your feet for 12 hours at a time with no breaks and risk getting physically assaulted (which does happen regularly to my sibling, who is a carer) at close to minimum wage – when you can work somewhere else for better pay with fewer hours that’s much less physically and mentally demanding? Want to prevent care homes from having to recruit from overseas? Force care homes to pay their staff what they’re worth. Social care is amongst the most expensive in Europe, yet the staff who work in social care in the UK have amongst the lowest wages. The money isn’t going to staff – it’s rolling into the accounts of massive corporations. Time to peg social care staff wages to those of the equivalent staff in the NHS, on AfC pay scales.WellActuallyThe care system must be integral to the NHSUntil the “care system” is seen as an integral part of the NHS, the system will never work. I am old enough to remember convalescent homes, geriatric wards and local “cottage” hospitals that took in those discharged from the acute hospitals. There, they got physio and occupational therapy to prepare them to go home, and before they were released, anything they needed at home – e.g., rails or other safety devices – were fitted. Visits from district nurses and GPs etc. were arranged so they did not need to keep going back and forwards to A&E. All this may cost but it will save in the long run, and any extra money can be found by charging national insurance on people who get their income from shares, bankers’ bonuses etc., and by scrapping the Upper Earnings Limit on NI contributions. This means that the rich pay more, but as they are the cause of so many of the problems we face today, that seems reasonable to me.ListenVeryCarefullyCare homes should pay a living wageCare homes should certainly pay a living wage. Unlike the agricultural sector, these jobs are available, I reckon, in most towns where there are many unemployed. Perhaps the long-term unemployed could or should be encouraged to apply until something better comes along.BritElsewhereLabour scrapped care reforms with nothing to replace themOne of the first things Labour did when they gained power was to scrap the plan the Tories had in place for social care reform. While the social care policy of the Tories was not perfect, at least it was a policy that would have helped many in the UK. Instead, Labour scrapped the social care reforms and didn’t replace them with anything, so we have a terrible system in place, which is a lottery for those unfortunate to get dementia, Alzheimer’s or other illnesses which require ongoing care that cannot be provided at home. This can easily obliterate a lifetime of savings and hard work for ordinary working people.Now, despite the fact that we have a major shortage of care workers, Labour is now going to ban the recruitment of overseas workers who are willing and want to do this work. I’m not sure what Labour is aiming for here. It seems they are intent on losing the next election. I can’t imagine too many pensioners voting for Labour, and pensioners can well determine the outcome of a general election in the UK.RichardtheLionheartIt’s simple: fund social care properlyI always find it amazing just how clueless politicians are. Most of them are well educated but still clueless. Care homes, in most cases, are paid x by the state and need to keep their expenses below x to make a profit or they go bust. It’s why the bulk of care work is minimum wage and usually regarded as a last resort job for a lot of folks. The state can’t afford to pay the rates needed to attract and keep British staff, which is why care homes import labour from countries where wage rates are a lot lower. It’s not rocket science – in fact, the problem is quite simple to solve. Those in work pay more tax, and the state uses it to pay care homes a proper rate. Who wants to work in a care home all hours on minimum wage when you get the same money sweeping the street?NoomieFuelling the rise of Reform‘Policies’ such as this are a disgrace, especially coming from a supposedly Labour government. These attitudes will lead to the true weakening of Labour and will fuel the rise of Reform. Work in care homes is undervalued and underpaid. Many overseas workers come from cultures where the old are respected; we could learn a lot from them. Where exactly does this government think the extra British care home staff will come from? Telling the unemployed to work in care homes is ridiculous – these are jobs that need skill and compassion, not employees who are ‘forced’ to take such positions. Starmer and his cohorts are not the Labour Party that many voted for, as is becoming obvious. Centre-left is fine, but this government is rapidly becoming marginally left of the Conservatives. “To each according to his need, from each according to his ability.”SuneySome of the comments have been edited for this article for brevity and clarity.Want to share your views? Simply register your details below. Once registered, you can comment on the day’s top stories for a chance to be featured. Alternatively, click ‘log in’ or ‘register’ in the top right corner to sign in or sign up.Make sure you adhere to our community guidelines, which can be found here. For a full guide on how to comment click here. More

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      in US Politics

      Conservatives are trumpeting a new abortion-pill study. One problem: it’s bogus | Moira Donegan

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      Almost two-thirds of US abortions are induced with pills. The drug mifepristone blocks the pregnancy hormone progesterone, ending the growth of the fetus. Mifepristone was designed for abortions: its primary purpose, from its development through its regulatory approval and now on the market, has always been to allow women to control their own bodies and lives by ending their pregnancies. Because it exists as a tool of women’s independence, mifepristone has been the object of controversy, misinformation and intense scrutiny for the entirety of its existence. Originally synthesized by French pharmaceutical researchers in 1980, the drug went through a rigorous, prolonged and heavily politicized approval process in the US, and wasn’t approved by the Food and Drug Administration (FDA) for the US market until 2000.The anti-abortion movement – including several prominent Republican lawmakers – is looking to undo that. Since the 2022 Dobbs v Jackson Women’s Health Organization decision that eliminated the nationwide right to abortion, women living in anti-choice states have relied increasingly on mifepristone, particularly pills shipped by mail from providers in pro-choice states who prescribe the drug via telehealth. It is estimated that as many as 20% of abortions in the US are now accessed via telehealth appointments, a technological marvel that has allowed many people living in anti-choice states to avert the worst consequences to their lives, health and dignity that were threatened by the Dobbs decision by circumventing the unjust abortion bans that their states have attempted to impose on them. Dobbs has already been devastating for American women, causing needless deaths, driving up maternal mortality, derailing women’s lives, constraining their prospects, and injuring their standing as equal citizens. The post-2022 explosion of telehealth abortion using mifepristone is the reason why the consequences have not been even worse.Now, Trump’s new FDA commissioner, Marty Makary, is under pressure to restrict access to the drug. Pressed by reporters at the Semafor World Economy Summit late last month, Makaray said that he had “no plans” to review the status of mifepristone. But he added a crucial caveat: that he would reconsider the drug’s accessibility if new information emerged about the drug’s safety. “If the data suggests something or tells us that there’s a real signal, we can’t promise that we’re not going to act on that data,” he said.As if on cue, a conservative thinktank published a new study just days later that purported to find that mifepristone caused serious adverse effects in more than 10% of patients. The study – which contradicts all previous tests of the drug and the resounding consensus of the medical field – was published by the Ethics and Public Policy Center, a rightwing advocacy group that aims to “apply the richness of the Jewish and Christian traditions to contemporary questions of law” and “push back against the extreme progressive agenda while building a consensus for conservatives”.The study was rapidly amplified on conservative social media, and was pushed by several Republican senators who had previously called on Makaray to ban mifepristone at his March confirmation hearing. Missouri’s Josh Hawley, the author of a book on “manhood” who once raised a fist in solidarity with the January 6 insurrectionists, declared in a statement directed at Makaray: “Well, the new data is here. And it’s a signal that can’t be missed: Mifepristone is not safe.” Hawley went on to urge the FDA to restrict access to the drug and revert to pre-pandemic regulations, in which mifepristone could only be dispensed by a doctor after multiple in-person visits: a regulatory regime that would cut off abortion access to millions of women in anti-choice states.But the study that is being proposed as a pretext for restricting abortion access has come under scrutiny from doctors and statisticians for its questionable methodology. Drawing from insurance claim data from 2017 to 2023, the EPPC study claims that 10% of women who take mifepristone experience “sepsis, infection, hemorrhaging, an emergency room visit, or another serious adverse event within 45 days”. This would be alarming if it were true, but it isn’t.Instead, the study seems to have been designed to dramatically overstate the side-effects of mifepristone, in part by counting the normal and intended functioning of the drug – such as vaginal bleeding as the pregnancy terminates and post-medication doctor visits to confirm the completion of the miscarriage – as serious adverse effects. The study also claimed that a vast range of health experiences in the 45 days following the medication – such as mental health symptoms – were caused by the drug, a claim that the data does not support. The EPPC study also seems to include those who were prescribed mifepristone for non-abortion uses, such as miscarriage management, as well as those who took it alone, without the standard misoprostol dose that accompanies it. The study is not peer-reviewed and has not been published in a medical journal, because its authors could not meet the standards that such publication requires: their work is not up to snuff. Dr Stella Dantas, the president of the American College of Obstetricians and Gynecologists, called the paper “seriously flawed” and said that it “manipulates data to drive a myth that medication abortion isn’t safe”.The truth is that abortion pills have a lower rate of serious complications than Tylenol, and that the anti-abortion movement is in fact a great danger to American women’s health. It is because of abortion bans – not abortion access – that women in America are facing dramatically rising rates of “sepsis, infection, hemorrhaging” and death in pregnancy. In Texas alone, the rate of sepsis in pregnant women experiencing second-trimester miscarriages increased by more than 50% in the years since the state’s near-total abortion ban went into effect, and experts say that the laws prohibiting abortion are the cause. The adverse effects that the anti-abortion movement sees in mifepristone’s availability is not a matter of women’s health, which they are indifferent to. It is women’s freedom.

      Moira Donegan is a Guardian US columnist More

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      in US Politics

      Casey Means: influencer, RFK Jr favorite – and Trump’s pick for surgeon general

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      Donald Trump nominated Casey Means, a wellness influencer and medical doctor with an inactive license for US surgeon general this week – the president’s second nominee to serve as “the nation’s doctor”.Trump abruptly withdrew his first nominee, Dr Janette Nesheiwat, before her Senate confirmation hearing, amid criticism from the right and confusion about her medical credentials.His new nominee, Means, is a 37-year-old Los Angeles-based medical entrepreneur who shot to prominence in right-leaning wellness circles by criticizing mainstream medicine and advocating for a healthier food supply.In a social media post, Trump said that Means “has impeccable ‘Maha’ credentials”.Means’s nomination is a testament to the influence of health secretary Robert F Kennedy Jr in the administration. Just a day after Trump nominated Means, he told reporters: “I don’t know her. I listened to the recommendation of Bobby.”Kennedy is the figurehead of “Make America healthy again” (Maha), a loosely defined wellness movement embraced by the right alongside vaccine skepticism, new food politics and criticism of the medical establishment.Means’s brother, self-described former food lobbyist Calley Means, already works for the administration. He serves as a senior adviser to Kennedy and as one of the secretary’s leading online mudslingers.However, major hurdles remain for Means’s nomination – including her inactive medical license and criticism from the same rightwing forces that helped tank Trump’s first nominee.“We should not toss out the window everything Casey is saying, but I would proceed with caution given her training,” said Gabby Headrick, as assistant professor and director of nutrition programs at George Washington University’s Milken School of Public Health.“Typically and historically, the person appointed to that role and confirmed is someone who has an active medical license, someone who has completed residency, and has held a leadership role in a medical institution. Casey Means does not have the resumé … She also is not trained in nutrition.”Means also faces opposition from the far right. Activist Laura Loomer, who was critical of Trump’s first nominee, is skeptical of Means – calling her “unfit” for surgeon general and promoting events with Means’s critics.Loomer previously described Nesheiwat as “a pro-Covid vaccine nepo appointee who is currently embroiled in a medical malpractice case”. Covid vaccines and the technology that underpins them have become a target of right-leaning politicians.Similarly, anti-vaccine activists have sought to reassure the “medical freedom” base of Means’s bone fides. The anti-vaccine activist John Leake argued in a newsletter: “I have not seen any evidence that Casey Means is serving the vaccine cartel with her stated objective of scrutinizing the food supply.”Means describes herself as a “medical doctor, New York Times bestselling author, tech entrepreneur … aspiring regenerative gardener, and outdoor enthusiast who lives in a state of awe for the miracle and mystery of existence and consciousness”.She and her brother wrote a bestselling book called Good Energy: the Surprising Connection Between Metabolism and Limitless Health. The pair shot to fame on the political right around the time that Kennedy dropped out of the race and endorsed Trump. They began appearing at Maha events, on former Fox News host Tucker Carlson’s podcast, on The Joe Rogan Show and on HBO’s Real Time with Bill Maher.Casey Means’s public statements about how Americans should be wary about microplastics and agricultural chemicals and the importance of organic produce could easily serve as liberal dinner-party chatter. They also show how Maha has adopted concerns once considered the dominion of the left.“The thing that is so imperative for people to understand is that the reasons we’re having surgery, the reasons why we’re getting sick, the reasons American competitiveness is plummeting, the reasons why our kids are chronically ill … are all from preventable issues,” Means told Carlson.Means has adopted more inflammatory aspects of Kennedy’s agenda – including questioning the value of vaccines and criticizing Ozempic, the blockbuster GLP-1 drug.“I bet that one vaccine probably isn’t causing autism. But what about the 20 that they’re getting before 18 months?” she said on Rogan’s podcast.Nutrition experts such as Headrick have applauded Good Energy for its effort to elevate disease prevention. But Means ignores the “root causes” of chronic conditions, she says.“Not once in this book does Casey Means point out that millions of Americans do not have access to a full-service grocery store,” said Headrick.Means graduated from Stanford University in 2014 with a medical degree, and attended residency at Oregon Health & Science University the next year, but she left in 2018 before the five-year program finished. She said she left because she became disillusioned with medicine, while professors and former classmates said it was due to stress and anxiety, per the Los Angeles Times. Her medical license lapsed in 2024, according to the Oregon medical board.By 2019, she and a few others founded Levels, a business based around selling continuous glucose monitors and a subscription health tracking app. The devices, once available only to diabetics, have become popular in the “bio-hacking” movement. Such apps also collect reams of data on their customers, a valuable asset.“I am terrified about any company having this granular a look at my life and my medical information,” said Albert Fox Cahn, the executive director of the Surveillance Technology Oversight Project.“This should be someone committed to protecting [and] promoting public health, and I’m terrified to see this administration double down on its willingness to treat health as just another commodity.”One of her co-founders is Sam Corcos, who has become a key figure in the Elon Musk-led “department of government efficiency” inside the Internal Revenue Service. The unofficial department helped eliminate more than 280,000 federal workers, including nearly a quarter of the federal health workforce. The company’s backers have also included Trump advisers.Similarly, Calley Means has also invested in health technology. He co-founded TrueMed, a business that helps people purchase wellness devices – including Levels glucose monitors – through taxpayer-subsidized health savings accounts (HSAs) and flexible spending accounts (FSAs). About one in five Americans has access to an HSA, according to the American Bankers Association. Republicans have proposed expanding the accounts for decades.Although Means’s lack of a medical license would normally be disqualifying, health law experts said they would not rule out the administration attempting an end-run around the requirement.“A medical license requires that the individual maintains her medical knowledge through mandatory continuing medical education,” Gostin told NPR. “She is not licensed and therefore should be ineligible to become surgeon general of the United States.” More

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      in US Politics

      Trump health cuts create ‘real danger’ around disease outbreaks, workers warn

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      Mass terminations and billions of dollars’ worth of cuts at the Department of Health and Human Services (HHS) have gutted key programs – from child support services to HIV treatment abroad – and created a “real danger” that disease outbreaks will be missed, according to former workers.Workers at the HHS, now led by Robert F Kennedy Jr, and in public health warned in interviews that chaotic, flawed and sweeping reductions would have broad, negative effects across the US and beyond.While Donald Trump’s administration is cutting the HHS workforce from 82,000 to 62,000 through firings and buyouts, grant cuts by Elon Musk’s so-called “department of government efficiency” (Doge) have also had a stark impact on state governments – and resulted in firings at state public health agencies.At the South Carolina department of public health, for example, more than 70 staff were laid off in March due to funding cuts.“Disease surveillance is how we know when something unusual is happening with people’s health, like when there are more food-poisoning cases than usual, or a virus starts spreading in a community,” an epidemiologist at the department, whose role was eliminated, said. “It’s the system that lets us spot patterns, find outbreaks early, and respond before more people get sick.”“When you lose public health staff, you lose time, you lose accuracy, you lose responsiveness, and ultimately that affects people’s health,” they added. “Without us, outbreaks can fly under the radar, and the response can be delayed or disorganized. That’s the real danger when these roles get cut.View image in fullscreen“It’s invisible work, until it’s not. You may not think about it day to day, but it’s protecting your drinking water, your food, your kids’ schools and your community.”A spokesperson for South Carolina’s public health department declined to comment on specifics, but noted employees hired through grants are temporary. “When funding for grants is no longer available, their employment may end, as happened with some temporary grant employees who were funded by these grants,” they said.In Washington, the HHS has been cut harder by Doge than any other federal department. Hundreds of grants to state, local and tribal governments, as well as to research institutions, have been eliminated, worth over $6.8bn in unpaid obligations.The HHS receives about a quarter of all federal spending, with the majority disbursed to states for health programs and services such as Medicare and Medicaid, the insurance programs; medical research; and food and drug safety. Trump’s budget proposal calls for cutting the department’s discretionary spending by 26.2%, or $33.3bn.RFK Jr, who has a history of promoting conspiracy theories and medical misinformation, was nominated by Trump and approved by the Senate along party lines, with Mitch McConnell the sole Republican dissenter.Following a reduction in force of 10,000 employees on 1 April, Kennedy Jr claimed 20% of the firings were in error and that those workers would be reinstated, though that has not happened.An HHS spokesperson blamed any such errors on data-collection issues, and did not comment on any other aspects of the Guardian’s reporting.Aids relief program ‘dismantled’At the Centers for Disease Control and Prevention, an operating division of the HHS, employees working on maternal and child health at the President’s Emergency Plan for Aids Relief (Pepfar) program were shocked to be included in the reduction in force, as earlier in the administration their work had received a waiver for parts of the program from federal funding freezes.All federal experts on HIV prevention in children overseas were fired as part of the reduction in force.“Our concern initially was that it was a mistake with the name. We hoped around that time it came out that there were 20% errors, that we would be included,” said an epidemiologist who was included in the reduction in force, but requested to remain anonymous as they are currently on administrative leave. They also noted that they were in the middle of planning and delivering a new pediatric HIV treatment medication set to be dispersed this year, and that that work was now at risk.View image in fullscreenThey said 22 epidemiologists in the branch of their CDC division had been fired. Pepfar was created in 2003 by George W Bush to prevent mother-to-child HIV transmission and credited with saving 26 million lives.“We were very shocked on April 1 that we were put immediately on admin leave,” said another epidemiologist affected by the reduction in force at the CDC. “We really feel our branch being cut was a mistake. The state department had said services were a priority and needed to continue, but then we were cut by HHS.”They noted HIV treatment had already stopped in regions of countries that had been reliant on USAID programs, such as Zambia.“It is one of the most successful global health programs in history, data driven with high levels of accountability and the dollars spent achieve impact. Our concern now is, yes, they are continuing Pepfar in name, but they are dismantling all the systems and structure that allowed it to succeed,” they added. “The US made a huge investment in this program in 20 years and a lot of it is now undone. We’ve now disrupted those systems that could have reduced and eventually removed US investment in these programs.”‘Long-term impact’ on US familiesInside the HHS, the Administration for Children and Families is responsible for enforcing court-ordered child-support payments. For every dollar it receives in federal funding, ACF says it is able to collect $5 in child support.A child-support specialist with the HHS, who requested to remain anonymous for fear of retaliation, said reductions in force at the department have increased workloads on those who were not fired by multiple times, making it so state and tribal agencies have no way of ensuring they are compliant with federal requirements.“The regional staff with direct oversight of the program are gone,” they said. “There are entire regions that have two staff members managing a quarter of the work for the program with no management, no support, no knowledge of the program.”After the Trump administration took office, the agency was under an unofficial stop-work order, where staff were not permitted to provide guidance or support to grantees or even answer phones, until late February, the specialist said. A reduction in force followed on 1 April, when, the child-support specialist claimed, about half the ACF staff working on child support were fired.Their department is responsible for overseeing child-support programs at state, tribal and local levels. States “could very well lose millions of dollars in funding” if ACF does not provide key training and assistance and the states do not have qualified staff, the specialist cautioned. “And that is the long-term impact to vulnerable children and families in the country.”They added: “The entire function of the program is to give economic stability to children and families, so that they do not depend on any other government program, or their reliance on these programs is lower, because the children are supported by both parents.”‘A living hell’At the Centers for Medicare and Medicaid Services, also within the HHS, one of 300 workers terminated as part of a reduction in force claimed it had been illegal, and had not followed any proper procedures. The National Treasury Employees Union has filed a grievance over how the firings were carried out, including incorrect information on notices.They explained that, on 1 April, they received a generic letter informing them of an intent of reduction in force. Hours later, they were locked out of their government logins. “We started emailing the management that was left, trying to get clarification on what our status was. Nobody could give us an answer,” the worker said.On 7 April, they discovered through their paystub that they had been placed on administrative leave, despite never receiving a notice. They didn’t receive an RIF notice until weeks later, after requesting it.“Based on my tenure, and as a disabled veteran, I should at least have a chance of reassignment,” they said. “I’m not mad about losing my job. It happens. I’ve been laid off. The first time was in the private sector, and it was way more humane, more empathetic, and I was given different offers.“This, on the other hand, is unbridled hate. This administration has gone out of their way to make it a living hell for all of its public servants.” More

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      in UK Politics

      What is chlorinated chicken and will it be sold in the UK after Trump trade deal?

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      The government has insisted Britain’s food standards would not be compromised after the UK and the US agreed on a trade deal to eliminate a series of tariffs.Agriculture is a key part of the new trade deal announced on Thursday by Sir Keir Starmer and Donald Trump. Tariffs have been reduced on US products, including beef and ethanol, in return for moves that help British cars and steel.After the deal was announced, government sources insisted imports of hormone-treated beef or chlorinated chicken, previously described as red lines for the UK in any agreement, would remain illegal.The agreement on beef provides a tariff-free quota for 13,000 tonnes of US exports, but the government said there would be no drop in food standards as a result of the deal. It also includes access to British beef exports to the US.Chlorine-washed chicken – a controversial method of cleaning farmed animals to kill bacteria – was a major product being touted as part of the deal.While evidence suggests the chlorine wash itself is not harmful, critics argue treating chicken with the chemical will allow for poorer hygiene earlier on in the production process.However, Liz Webster, founder of Save British Farming, told The Independent: “The British public is rightly appalled by chlorinated chicken and hormone-fed beef. We are an animal-loving nation that values high standards, and we must not trade them away.”Packs of ‘Brexit Selection Freshly Chlorinated Chicken’ sit on display at ‘Costupper’ Brexit Minimart pop-up store, set up by the People’s Vote campaign group, in November 2018 More