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      Biden Tries to Reassure Voters on Health Care Costs Before Election

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      At an event in Southern California, the president says his administration is working to keep costs down and warns that Republicans will drive prices higher if they gain power.LOS ANGELES — President Biden on Friday tried to reassure Americans stung by high inflation that his administration was working to keep health care costs down, promising a community college audience in Southern California that he was committed to doing even more.But his remarks in Irvine, Calif. — the first of two West Coast speeches devoted to health care costs — come just days after government data revealed that overall inflation remains high as voters prepare to go to the polls for midterm elections early next month.Surveys show that Americans are deeply frustrated by the impact of sharply higher prices on their pocketbooks. They are expected to rebuke the president and his party in the elections, with most analysts predicting that Democrats will lose control of one or both chambers in Congress.Speaking to a friendly audience, Mr. Biden argued that Republicans would drive prices higher if they gained power. He noted their opposition to his efforts to allow Medicare to negotiate drug prices, which he said would force prices down for medication for millions of seniors. And he said Democrats had pushed through price caps on critical drugs like insulin.“If Republicans in Congress have their way, it’s going to mean the power we just gave Medicare to negotiate lower prescription drug prices and other costs over time goes away — gone,” Mr. Biden said, standing in front of signs that said “Lowering Costs for American Families.” “Two-thousand-dollar cap on prescription drugs goes away — gone. The $35 month cap on insulin for Medicare is gone.”The State of the 2022 Midterm ElectionsWith the primaries over, both parties are shifting their focus to the general election on Nov. 8.The Final Stretch: With less than one month until Election Day, Republicans remain favored to take over the House, but momentum in the pitched battle for the Senate has seesawed back and forth.A Surprising Battleground: New York has emerged from a haywire redistricting cycle as perhaps the most consequential congressional battleground in the country. For Democrats, the uncertainty is particularly jarring.Arizona’s Governor’s Race: Democrats are openly expressing their alarm that Katie Hobbs, the party’s nominee for governor in the state, is fumbling a chance to defeat Kari Lake in one of the most closely watched races.Herschel Walker: The Republican Senate nominee in Georgia reportedly paid for an ex-girlfriend’s abortion, but members of his party have learned to tolerate his behavior.Mr. Biden’s three-state, four-day trip is also intended to boost the fortunes of Democratic candidates by using the presidential bully pulpit to highlight the party’s accomplishments. On Wednesday in Colorado, he stood next to Michael Bennet, one of the state’s two Democratic senators, to announce a new national monument — a key campaign promise for the embattled lawmaker.In Los Angeles on Thursday, Mr. Biden hailed the use of money from his infrastructure legislation to help complete a new subway line. During his remarks, he made certain to single out Representative Karen Bass, a Democrat who had fought for a provision that directs jobs on the project to local workers.“Local workers can be first in line for these jobs thanks to Karen,” Mr. Biden said. “I really mean it, Karen. Thank you very much.”At the community college in Irvine, Mr. Biden focused his attention on health care — and on Representative Katie Porter, a two-term Democrat running for re-election in a key swing district in Orange County.Ms. Porter, who is facing Scott Baugh, a Republican former state assemblyman, pushed for the drug pricing measure. At the event on Friday, Mr. Biden singled her out, crediting the success of Democratic legislation to her efforts to fight on behalf of her constituents..css-1v2n82w{max-width:600px;width:calc(100% – 40px);margin-top:20px;margin-bottom:25px;height:auto;margin-left:auto;margin-right:auto;font-family:nyt-franklin;color:var(–color-content-secondary,#363636);}@media only screen and (max-width:480px){.css-1v2n82w{margin-left:20px;margin-right:20px;}}@media only screen and (min-width:1024px){.css-1v2n82w{width:600px;}}.css-161d8zr{width:40px;margin-bottom:18px;text-align:left;margin-left:0;color:var(–color-content-primary,#121212);border:1px solid var(–color-content-primary,#121212);}@media only screen and (max-width:480px){.css-161d8zr{width:30px;margin-bottom:15px;}}.css-tjtq43{line-height:25px;}@media only screen and (max-width:480px){.css-tjtq43{line-height:24px;}}.css-x1k33h{font-family:nyt-cheltenham;font-size:19px;font-weight:700;line-height:25px;}.css-ok2gjs{font-size:17px;font-weight:300;line-height:25px;}.css-ok2gjs a{font-weight:500;color:var(–color-content-secondary,#363636);}.css-1c013uz{margin-top:18px;margin-bottom:22px;}@media only screen and (max-width:480px){.css-1c013uz{font-size:14px;margin-top:15px;margin-bottom:20px;}}.css-1c013uz a{color:var(–color-signal-editorial,#326891);-webkit-text-decoration:underline;text-decoration:underline;font-weight:500;font-size:16px;}@media only screen and (max-width:480px){.css-1c013uz a{font-size:13px;}}.css-1c013uz a:hover{-webkit-text-decoration:none;text-decoration:none;}How Times reporters cover politics. We rely on our journalists to be independent observers. So while Times staff members may vote, they are not allowed to endorse or campaign for candidates or political causes. This includes participating in marches or rallies in support of a movement or giving money to, or raising money for, any political candidate or election cause.Learn more about our process.“That’s why Katie’s leadership and the work of the Democrats in Congress was so consequential,” he said. “Katie, I’m not just being nice because I’m in your district. It happens to be true. No, no. I mean, you’re a fighter. You’re decent. You’re honorable and everybody respects you.”Friday’s event at the Irvine Valley Community College was an official one, not a campaign rally. But Ms. Porter used her time at the podium to assail Republicans.“Every single Republican in Washington voted against patients, against families and against taxpayers,” she said. “In the Senate, Republican politicians voted to limit how much Americans can save on prescription drugs and to prevent all patients from getting insulin. And House Republican Leader Kevin McCarthy has vowed that next term it’s his priority to return Big Pharma its unchecked power to charge patients whatever it wants.”She called that a “slap in the face” to the Californians she represents.Republicans sought to portray the president’s efforts to bolster candidates’ prospects as in vain. “Joe Biden is the last person Democrat candidates want to see on the campaign trail,” Michael McAdams, the communications director for the National Republican Campaign Committee, said after the event, noting reports that Democrats recently shifted money away from some California districts to candidates who need help more.“His policies are so unpopular House Democrats are being forced to abandon spending in California districts he won by double-digits,” Mr. McAdams said.Friday evening, Mr. Biden was scheduled to fly to Portland, Ore., a liberal community where the Democratic Party would not normally need the help of the sitting president. But Mr. Biden is hoping to help boost the fortunes of Tina Kotek, the Democratic candidate for governor.Although the state has not elected a Republican leader in decades, polls suggest that Ms. Kotek is in a tight, three-way race with Christine Drazan, the Republican candidate, and Betsy Johnson, a former Democrat who is being financed by Phil Knight, the co-founder of Nike. The White House is hoping that a visit by Mr. Biden will help underscore the party’s commitment to her.Republicans predicted that the president’s trip will not prevent their party from grabbing the top electoral prize in the state.“Joe Biden’s disastrous policies continue to hurt Oregon families, and there has been no bigger fan of his out-of-touch approach,” said Kaitlin Price, a spokeswoman for the Republican Governors Association, citing Ms. Kotek, Ms. Johnson and Kate Brown, the state’s current Democratic governor.“This last-ditch effort from national Democrats is proof of their hysteria as they watch Christine Drazan take hold of once deep-blue Oregon that is desperate for change,” Ms. Price said. More

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      Rethinking Joe Manchin

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      Now that Joe Manchin has saved the Democratic agenda, how should liberals think about him?Joe Manchin has spent much of the past year as the villain of liberal America, receiving the kind of criticism that’s usually reserved for Donald Trump, Mitch McConnell or a conservative Supreme Court justice.Activists aggressively protested against Manchin, some in kayaks outside his houseboat in Washington, others surrounding his car and chanting a vulgarity at him. One Democratic House member called him “anti-Black, anti-child, anti-woman and anti-immigrant,” while others called him untrustworthy. Bernie Sanders accused Manchin of “intentionally sabotaging the president’s agenda” and suggested that Manchin’s wealthy donors were the reason. Other critics called him a shill for the energy industry, noting that he personally owns a coal company.And then Manchin made it possible for the Senate to pass the most aggressive climate bill in American history.That bill seems likely to accomplish almost as much greenhouse-gas reduction as President Biden’s original proposal would have. As Paul Krugman, the Times columnist, has written, “Actual experts on energy and the environment are giddy over what has been accomplished.” Tomorrow, the House is expected to pass the same bill — which will also reduce inequities in health care access — and Biden plans to sign it soon afterward.In today’s newsletter, I want to reconsider Manchin’s place in American politics given his ultimate support for the Senate bill. What were his critics right about? What were they wrong about? And what are the larger political lessons?M.V.D.The simplest fact about Manchin is that he is the most electorally successful member of Congress: Nobody else has won a seat as difficult as his.Trump won West Virginia by 39 percentage points in 2020, more than any in other state except Wyoming. Yet Manchin has repeatedly won statewide elections in West Virginia as a Democrat. This chart highlights Manchin’s uniqueness:Senator Party Affiliations More

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      In Wisconsin, Mandela Barnes Is Already Looking Past the Democratic Primary

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      The Wisconsin Democratic primary isn’t until Tuesday, but after three of his top rivals dropped out of the race last month, Lt. Gov. Mandela Barnes is already sharpening his attacks against his Republican opponent, Senator Ron Johnson.In ads and speeches, Mr. Barnes has started hitting Mr. Johnson on what he calls a pattern of hurting the state’s manufacturing industry and failing workers. As he aims to make the race a referendum on Mr. Johnson, Mr. Barnes has his own vulnerabilities, and Republicans are certain to try to portray him as too left wing for Wisconsin.But his strengths, and Mr. Johnson’s own polarizing qualities (he has pushed false theories about the coronavirus pandemic and doubts about the 2020 election), are setting up a race that could help decide control of the Senate.“What he pulled off is pretty impressive — to coalesce the entire field behind him in such a short time,” said Joe Zepecki, a Democratic strategist in Wisconsin. “He is getting a head start, and you have to sort of just tip your cap to him.”Mr. Barnes, 35, is entering the primary as the clear favorite after three of his main competitors dropped out of the race in the span of one week in late July: Alex Lasry, an executive with the Milwaukee Bucks; Tom Nelson, executive of Outagamie County; and Sarah Godlewski, the state’s treasurer. All three have endorsed him.To consolidate the support, Mr. Barnes, who is the state’s first Black lieutenant governor and would be its first Black senator if he were to win, ran a tight campaign squarely centered on jobs and rebuilding the middle class. In an interview, he said his campaign had benefited from the kind of coalition building he did as a community organizer. He also said it came down to a broader recognition among Democrats that the stakes are just too high for infighting.“This is about uniting the party, but it is also about uniting the state,” Mr. Barnes said.He leads in fund-raising and name recognition among his remaining rivals, including Kou Lee, a restaurant owner; Steven Olikara, a musician; Peter Peckarsky, an investigative reporter, lawyer and consultant; and Darrell Williams, a state emergency management administrator.He has racked up endorsements from both progressive Democrats like Senators Bernie Sanders of Vermont and Elizabeth Warren of Massachusetts and Representative Alexandria Ocasio-Cortez of New York, as well as centrists including Representative James Clyburn of South Carolina.Wisconsin is one of the nation’s most fiercely contested political battlegrounds. Along with Michigan and Pennsylvania, it was one of the key states in the country’s industrial core that Mr. Trump won in 2016, shattering the Democratic “blue wall” and leading to his election.Democrats have since made somewhat of a comeback. In 2018, Tony Evers was elected governor and Senator Tammy Baldwin won re-election. In 2020, President Biden won the state by just over 20,000 votes.Understand the Aug. 2 Primary ElectionsWhile the Trump wing of the Republican Party flexed its muscle, voters in deep-red Kansas delivered a loud warning to the G.O.P. on abortion rights.Takeaways: Tuesday’s results suggest this year’s midterms are a trickier environment for uncompromising conservatives than Republicans once believed. Here’s what we learned.Kansas Abortion Vote: In the first election test since Roe v. Wade was overturned, Kansas voters resoundingly decided against removing the right to abortion from the State Constitution, a major victory for the abortion rights movement in a reliably conservative state.Trump’s Grip on G.O.P.: Primary victories in Arizona and Michigan for allies of former President Donald J. Trump reaffirmed his continued influence over the Republican Party.Winners and Losers: See a rundown of the most notable results.The Senate race is expected to be close. Mr. Johnson, 67, who is seeking his third term, is one of the most vulnerable Republicans this cycle. A recent Marquette University Law School poll showed he was viewed favorably by 37 percent of respondents and unfavorably by 46 percent. Additionally, Mr. Biden’s poll numbers are poor, and out-of-power parties typically perform well in the midterms during a president’s first term.Mr. Johnson has alienated many voters by suggesting that gargling with mouthwash could fend off Covid-19 and saying people who don’t like Wisconsin’s abortion laws can move. He has downplayed the U.S. Capitol attack, saying it didn’t “seem like an armed insurrection” and floating theories that Democrats edited videos to exaggerate the mob violence.And the House Jan. 6 committee this summer surfaced embarrassing evidence that Mr. Johnson wanted to hand-deliver fake elector votes from Michigan and Wisconsin to Vice President Mike Pence. Mr. Johnson acknowledged receiving the package but claimed he did not know where it came from or what it contained.But Mr. Barnes stuck to economic issues in his first attack television ad against Mr. Johnson, echoing his message throughout the Democratic primary. The ad criticizes Mr. Johnson for publicly praising outsourcing and defending a company that moved jobs to China from Wisconsin. On the trail, Mr. Barnes has been criticizing the senator over his comments suggesting Social Security and Medicare should be eliminated as federal entitlement programs and instead should be approved annually by Congress.Senator Ron Johnson has faced scrutiny for controversial remarks he made regarding the U.S. Capitol attack, Covid-19 and Wisconsin abortion laws. Sarahbeth Maney/The New York TimesMr. Johnson has pushed back against the criticism and has argued he stood up for small businesses when he pushed for a tax provision in the 2017 Republican tax law to level the playing field for them. “A manufacturer himself, Ron Johnson helped Wisconsin small businesses remain competitive with the big guys by making sure they got a tax cut that helped businesses all across the state survive the pandemic,” said Ben Voelkel, a spokesman for Mr. Johnson, pointing to the measure.The provision also benefited his family-run plastics company.Independent fact checkers have found that the claim from at least one Democratic group arguing Mr. Johnson’s vote for the law rewarded “companies that outsource to China” was false, and a 2021 study by university researchers found the law decreased incentives for U.S. firms to move operations out of the country.But fact checkers have also found Mr. Johnson’s tax provision overwhelmingly benefited ultrawealthy Americans over small businesses.Mr. Barnes has been the target of criticism as well. He has been cited for paying his property taxes late, and Republican activists and local leaders have sought to paint him as a far-left Democrat who supports stances like abolishing U.S. Immigration and Customs Enforcement.“Mandela Barnes will speak out of both sides of his mouth to convince voters that he is a moderate,” said Mark Jefferson, the executive director of the Republican Party of Wisconsin.At one point, Mr. Barnes was photographed holding an “abolish ICE” shirt, though he has said that is not his position. More recently, he opposed the Biden administration’s proposal to end Title 42, a Trump-era policy that was introduced during the pandemic and has been used to turn away most migrants at the U.S.-Mexico border. Mr. Barnes argued that Mr. Biden should first have a comprehensive plan to handle an increase in people crossing the border.Mr. Barnes, whose father worked third shift at a General Motors factory and whose mother was a longtime schoolteacher, is betting his record and biography will help him weather the attacks. He became a community organizer after watching former President Barack Obama speak at the 2004 Democratic National Convention.By the time he was 25 in 2012, Mr. Barnes had defeated an incumbent state lawmaker in Milwaukee, his hometown. He lost a Senate bid four years later, but he won his race to become lieutenant governor in 2018 with Mr. Evers at the top of the ticket and a strict focus on the economy.Katie Rosenberg, the mayor of Wausau, Wis., said Mr. Barnes was talking about the issues residents care about, including affordable child care and health care, the expansion of broadband and the need to stop the corporate takeover of family farms. Earlier this year, the two visited small businesses wracked by the pandemic. They even got tattoos in support of a local tattoo parlor. Mr. Barnes featured it on his TikTok.“I am an optimist,” Ms. Rosenberg said. “I think he can do this. He has a lot of momentum.” More

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      Chuck Schumer Delivers on Climate Change and Health Care Deal

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      WASHINGTON — Senator Chuck Schumer was huddled in his Capitol office on Thursday evening awaiting a climactic meeting with Kyrsten Sinema, a critical holdout on his painstakingly negotiated climate change, tax and health care deal, when the loud booms and flashes of a powerful thunderstorm shook Washington, setting the lights flickering.Mr. Schumer and his aides, so close to a signature legislative achievement to top off a surprise string of victories, glanced anxiously at one another and wondered if it was a bad omen. A 50-50 Senate, a pandemic that kept Democrats constantly guessing about who would be available to vote and the sheer difficulty of managing the nearly unmanageable chamber had left them superstitious.“I’ve been a worrier all my life, but a happy worrier,” said Mr. Schumer, Democrat of New York and the majority leader.He needn’t have fretted. After a half-hour meeting, Mr. Schumer shook hands with Ms. Sinema, Democrat of Arizona, who agreed to lend her support to the legislation in exchange for a few revisions and some home-state drought relief. After a grueling overnight session, the Senate approved the sweeping measure on Sunday, with Vice President Kamala Harris casting the tiebreaking vote. The House was expected to follow suit later this week.It was a head-snapping change in fortune. Just a few weeks earlier, Mr. Schumer, the Democratic agenda and the party’s chances of retaining its bare Senate majority all seemed in sorry shape as last-gasp negotiations over the broad legislation appeared to collapse for good under the weight of resistance from Senator Joe Manchin III, Democrat of West Virginia.Instead, Democrats not only landed their biggest prize — the party-line climate and tax legislation — but also capped off an extraordinarily productive run for a Congress better known for its paralysis. It included passage of the first bipartisan gun safety legislation in a generation, a huge microchip production and scientific research bill to bolster American competitiveness with China, and a major veterans health care measure.The series of successes was all the more sweet for Democrats because it came with the political benefit of Republicans making themselves look bad by switching their position and temporarily blocking the bill to help sick veterans, in what appeared to be a temper tantrum over the abrupt resurrection of the climate deal.“We’ve had an extraordinary six weeks,” Mr. Schumer said in an interview, calling the climate, health and tax measure “the most comprehensive piece of legislation affecting the American people in decades.”It was far from certain he could attain this result. Mr. Schumer, who unlike his predecessors is not known as a master tactician or gifted legislator, has struggled to produce for long stretches, needing every single vote from an ideologically mixed Democratic membership. Even his allies wondered whether he was too driven by a need to be liked or his own personal political considerations in warding off a potential primary challenge from his left to be capable of the kind of ruthlessness that would be needed.Mr. Schumer said it was stamina, not bare knuckles, that had been the main requirement.“This is the hardest job I’ve ever had, with a 50-50 Senate, a big agenda and intransigent Republicans,” Mr. Schumer said. He cited a persistence instilled in him by his father, who ran an exterminating company and died last year, as a motivating factor. “Keep at it, keep at it. Look at all the pitfalls we have faced to get this done.”What’s in the Democrats’ Climate and Tax BillCard 1 of 6A new proposal. More

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      Amazon Acquires One Medical in Push Into Health Care

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      The internet giant acquired One Medical, a national chain of primary care clinics, for $3.9 billion.Twitter’s shares fell after the social media platform, which is locked in a legal battle with Elon Musk over its future ownership, reported that it lost $270 million in the second quarter. Alphabet, Apple, Meta and Microsoft will report their earnings next week, with many forecasters expecting more disappointing results. Now delivering diagnoses.Patrick T. Fallon/Agence France-Presse — Getty ImagesJassy’s big bet on health careYesterday, Amazon announced its first major acquisition during Andy Jassy’s tenure as C.E.O., with the $3.9 billion purchase of One Medical, a national chain of primary care clinics that is backed by the private equity firm the Carlyle Group.Amazon’s ambitions in health care go back more than two decades, writes The Times’s Karen Weise. But none of its forays into the sector have had notable success, or have been as big as the One Medical acquisition. Its previous bets in health care include:Investing in Drugstore.com in 1999. (Jeff Bezos served on the company’s board.)Teaming up with JPMorgan and Berkshire Hathaway in 2018 to start Haven, in an amorphous effort to explore new ways to deliver health care to their work forces. The venture formally ended last year.Buying the start-up PillPack, an online pharmacy that focuses on recurring monthly medications, in 2018 for $753 million. It later began Amazon Pharmacy, which, like PillPack, delivers medications, and it integrated discounts for customers with Prime memberships.Running its own primary and urgent care service, called Amazon Care, beginning in 2019, to treat its employees. Amazon Care has tried to get other employers to offer its service, with limited success.The One Medical deal gives Amazon access to more data. One Medical built its own electronic medical records system, and it has 15 years’ worth of medical and health-system data that Amazon could tap. Although individual patient records are generally protected under federal health privacy laws, the big data expertise that has fueled Amazon’s success can be powerful in health care — for predicting costs, targeting interventions and developing products and treatments.It could also test the new antitrust regime. Last night, Senator Amy Klobuchar said she was calling on the F.T.C. to “thoroughly investigate” the deal, citing Amazon’s previous investments in health care and its access to data. And while Amazon hardly dominates heath care, the Justice Department and the F.T.C. have sought to rewrite the rules for reviewing big mergers to broaden the scope for intervention. Lina Khan, who leads the F.T.C., has long contended that there is an antitrust argument against Amazon. She has not so far filed a suit against the company in her time as chair. Her agency reviewed and approved Amazon’s acquisition of the movie studio Metro-Goldwyn-Mayer, though that was before Democrats held a majority on the commission.When asked by The Washington Post last month about Amazon’s push into health care, Khan said, “Our current approach to thinking about mergers still has more work to do to fully understand what it means for these businesses to enter into all these other markets and industries.”HERE’S WHAT’S HAPPENING Turkey promises a deal to get grain out of Ukraine’s blocked ports. The Turkish presidency says that a signing ceremony will be held today for a deal between Ukraine and Russia aiming to allow millions of tons of Ukrainian grain to be exported, alleviating a global food shortage.President Biden has “very mild” Covid symptoms. Biden, 79, tested positive for the coronavirus yesterday. Karine Jean-Pierre, the White House press secretary, said he would “continue to carry out all of his duties fully” while isolating.Snap shares plunge after a disappointing quarterly report. The company, which runs the social media platform Snapchat, said it would “substantially reduce” hiring and that revenue growth in its current uncompleted quarter was approximately zero. Jessica Lessin, the editor of the tech-focused news site The Information, said, Snap’s results “raise questions about digital advertising in the current macroeconomic climate.”The U.S. government files its first criminal case about crypto insider trading. A former Coinbase employee and two other men were charged with buying and selling digital assets based on confidential information from the cryptocurrency exchange. The three men, one of whom has fled to India, are said to have made $1.5 million on 14 trades over a 10-month period.China will faces severe heat waves over the next 10 days. Regions could be hit by temperatures of 40 degrees Celsius (104 degrees Fahrenheit) or higher, forecasts suggest, and some cities in Zhejiang Province, which has many factories, issued red alerts today.Trump’s inaction in actionAs a mob of his supporters assaulted the Capitol on Jan. 6, Trump refused to stop them, according to former Trump administration officials, who testified yesterday to the House committee investigating the attack. Over 187 minutes, Trump sat in his dining room off the Oval Office, watching the violence on television, not just ignoring calls to respond, but repeatedly signaling that he did not want anything done.It was one of the most dramatic hearings of the inquiry, write The Times’s Luke Broadwater and Maggie Haberman. Still, the assertion that Mr. Trump was derelict in duty raised ethical, moral and legal questions, but it might not be the basis for a criminal charge, according to Representative Elaine Luria, Democrat of Virginia, who led much of last night’s proceedings. The media critic Brian Stelter, of CNN, called yesterday evening’s hearing “the most Fox-centric hearing yet — and none of it was shown live by Fox,” underscoring how divided the U.S. media landscape is.Here were the takeaways:Trump ignored a torrent of pleas from inside and outside the White House to call off his supporters. Members of Congress, aides and his own daughter, Ivanka, pleaded with Mr. Trump to call off the violence as it unfolded in front of him on television, The Times’s Michael S. Schmidt notes. Representative Adam Kinzinger, the Illinois Republican who helped lead the hearing, said that the president, after learning of the Capitol breach, resisted putting out a tweet saying, “Stay peaceful.”Even the next day, Trump was not fully willing to concede the race. Outtakes from a taped address of the president’s speech on Jan. 7 showed the president saying he didn’t want to say “the election is over.”Members of Pence’s Secret Service security detail feared for their lives as protesters drew nearer. “I don’t like talking about it, but there were calls to say goodbye to family members, so on and so forth,” one official, whom the committee declined to name, said.Gen. Mark A. Milley, the chairman of the Joint Chiefs of Staff, the nation’s highest-ranking military officer, told the panel: “You’re the commander in chief. You’ve got an assault going on on the Capitol of the United States of America, and there’s nothing? No call? Nothing? Zero?”More hearings are planned for September.YouTube’s policy on pulling abortion-related content has skeptics YouTube said on Twitter yesterday that it would be removing videos over the next few weeks that provided instructions for “unsafe abortion methods.” Citing its medical misinformation policies, it also said that it would be removing content that promoted “false claims about abortion safety” and that it would start including information from health authorities alongside abortion content.YouTube’s announcement was a step in the right direction, but it should have happened a long time ago, said Imran Ahmed, the C.E.O. and founder of the nonprofit organization the Center for Countering Digital Hate. “Even though we welcome any change in their rule, why on earth were home remedies for abortion ever permitted on their site?” he told DealBook, citing the medical risks associated with using dangerous methods. He recommended that YouTube provided a hotline to groups that offer accurate information on reproductive health care.Since the Supreme Court’s decision to overturn Roe v. Wade in June, abortion has been banned in at least eight states, and videos offering home remedies to induce abortions have spread on YouTube, TikTok and social media platforms. Experts have urged caution, saying these methods may be dangerous and there is no data on whether they work. A 2020 survey published in the journal JAMA Network Open estimated that 7 percent of American women would attempt a self-managed abortion at some point in their lives.For YouTube, the challenge will be enforcement, said Katharine Trendacosta, an associate director of policy and activism at the Electronic Frontier Foundation, a nonprofit digital rights group. Trendacosta told DealBook that she questioned whether YouTube had the staffing and processes in place to pull this off. “I have trouble with these announcements because it doesn’t tell me if they’re going to hire enough people to implement it,” she said.THE SPEED READ DealsThe U.K. competition watchdog cleared a merger of the sports broadcasting businesses of BT Group and Warner Bros. Discovery. (Reuters)Malaysia’s AMMB, a financial services manager, is reportedly considering a sale of its asset-management unit. (Bloomberg)“Amazon Wants 100,000 Electric Vans. Can Rivian Deliver?” (NYT)The toymaker Mattel reported a 20 percent jump in sales. (NYT)PolicyRussia is keeping Germany guessing on gas shipments. (NYT)Truckers protesting a labor law have blocked roads that serve the Port of Oakland in California. (NYT)The E.C.B. has a new tool to keep bond markets in check. It doesn’t want to use it. (NYT)In good news for consumers, the economy and President Biden, gas prices are finally falling. (The Morning)Best of the restSwatch’s $260 MoonSwatch is helping to revive the brand. (Bloomberg Businessweek)A look at the PGA Tour’s lobbying effort against the Saudi-backed LIV golf league. (CNBC)A 35,000-acre forest fire in Spain was accidentally started by a Dutch carbon offset company. (Vice)Despite Putin’s efforts to destroy Ukraine’s economy, tech companies there are still thriving. (NYT)“Pro-Putin Biker Gang Rides Into E.U. Sanctions Roadblock” (FT)We’d like your feedback! Please email thoughts and suggestions to dealbook@nytimes.com. More

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      Boss Trump, ‘the Sorest Loser of All Time’

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      More from our inbox:Does Our Patent System Need to Be Reformed?Former President Donald J. Trump took the stage at a Save America rally in Michigan earlier this month.Brittany Greeson for The New York TimesTo the Editor:Re “The Mar-a-Lago Machine: Trump as a Modern-Day Party Boss” (front page, April 18):This disturbing and prescient article makes for painful reading. Everything that the hopeful pundits of 2020 predicted — that Donald Trump would fade away after his defeat, that he would run out of money, that his legal troubles would overwhelm him, that he would be exposed as a cheap, huckstering demagogue — has proved wrong.Instead he has emerged stronger than ever, with his legal troubles melting away, money pouring in and vast numbers of Americans fervently supporting him.Since 2020, those same hopeful pundits have been predicting that Mr. Trump won’t run in 2024 and that other Republicans somehow have a chance. But of course he will; why wouldn’t he? And when he does, he will be hard to beat.There is a kind of awful inevitability about Mr. Trump and his gang of Mar-a-Lago sycophants. It will be a dark day for our country if he once again becomes president.Tim ShawCambridge, Mass.To the Editor:“Trump’s Allies Keep Up Fight to Nullify Vote” (front page, April 19) is disturbing. But this never-ending effort to reverse the 2020 election keeps reminding everyone that Donald Trump is a loser — the sorest loser of all time.And one thing we know that Donald Trump detests is a loser.So as the months go by and turn into years, as the court cases and investigations proceed, Mr. Trump continues to remind us he is a loser. No matter how much he and his friends try, while defying facts, logic and the law, no matter how many tantrums he throws or lies he tells, he not only reminds us he’s a loser. He also reminds himself.Rick BeardsleyBoca Raton, Fla.Does Our Patent System Need to Be Reformed? Illustration by Rebecca Chew/The New York Times; photographs by Yevgen Romanenko, moi/amanaimagesRF, Westend61 and Marie Hickman, via Getty ImagesTo the Editor:Re “Save America’s Patent System” (editorial, Sunday Review, April 17):I commend The Times’s editorial board for making a compelling case for reform of our patent system. I have an incurable cancer. The drugs keeping me alive — which carry a list price of more than $900,000 annually — will one day stop working, so I care deeply about innovation and new drug development. But drugs don’t work if people can’t afford them.When a drug company makes a truly inventive discovery, it should be rewarded with a patent and receive a fair return. But the drug industry would have you believe that every patent granted is an indicator of innovative achievement. That couldn’t be further from the truth.In fact, the industry’s anti-competitive practices actually inhibit innovation. Neither new patents nor new drugs necessarily equal real innovation. Worse, in too many cases manufacturers are gaming America’s patent system to prevent competition and block affordable generic and biosimilar drugs from coming to market.We can — and should — bring down monopoly prices by empowering Medicare to negotiate, but we must also reform our patent system to address the drivers that lead to unjustified monopolies in the first place.David MitchellBethesda, Md.The writer is the founder of Patients for Affordable Drugs Now.To the Editor:America’s biopharmaceutical research companies support solutions that will lower health care costs, while some of the policies outlined in the editorial would simply harm patients.Biopharmaceutical innovation is difficult and risky, with only 12 percent of medicines in the pipeline entering clinical trials ever achieving F.D.A. approval. Patents play an essential role in encouraging innovation by helping fuel the investments that result in new treatments and cures.Patents do not establish a monopoly on treating a condition. Instead, they propel progress. A new patent on a product provides protection only for the invention it protects — it does not provide additional exclusivity for underlying products. Contrary to the editorial board’s assertion, the Patent and Trademark Office is not issuing sham patents.Drugmakers should continue researching ways their medicines can help tackle different diseases, treat new patient populations, like children, and make lifesaving treatments, like chemotherapy, more tolerable for patients. Progress is a good thing, and it should be encouraged, not punished.The Restoring the America Invents Act would benefit big patent infringers, like many big technology companies, and make the legal landscape more uncertain for researchers focused on bringing forward new medical advances for patients.Anne McDonald PritchettWashingtonThe writer is senior vice president, policy, research and membership, for the Pharmaceutical Research and Manufacturers of America.To the Editor:It shouldn’t be controversial to expect patented inventions to be new and useful, but it is. That’s because a handful of big companies treat the Patent Office like an A.T.M.: a reliable source of cash for the cost of a small fee. Because the Patent Office depends on those fees, it treats companies applying for protection like customers to be served instead of applicants to be evaluated. What about members of the public who depend on patented technology to earn a living, get an education, or access medical care? We get ignored.The editorial board is absolutely right: The patent system needs to change. But those who benefit from it most will fight tooth and nail to protect it. We need the new director of the Patent Office to prioritize the public’s interest and the patent system’s purpose — promoting scientific and technological progress — no matter how loud the cries of private companies accustomed to five-star service.Alex MossSouth Pasadena, Calif.The writer is executive director of the Public Interest Patent Law Institute.To the Editor:Your editorial wrongly targets our innovative insulin drug, Glargine, as an example of using patents to create a monopoly, ignoring that it has had biosimilar competition since 2016. Focusing on the patents for our delivery device is misleading because they have not prevented the development and sale of biosimilar Glargine products, let alone those with other non-infringing delivery methods.To make its case, the editorial board tied patents to the cost of medicine, which too many Americans struggle to afford. But Sanofi offers a comprehensive insulin safety net, giving uninsured patients ready access to free and low-cost insulin, while commercially insured patients all qualify for co-payment assistance that lowers out-of-pocket costs for most patients to $10 or less. And every Sanofi insulin is included in a Medicare program that caps costs for seniors.We are wary of imperiling a patent system that has put the U.S. first in biomedical innovation and generic drug penetration. We believe that the board would benefit readers by telling the complete story.Adam GluckWashingtonThe writer is senior vice president and head of U.S. corporate affairs at Sanofi. More

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      Why Stacey Abrams Is Rejecting Her Democratic Stardom

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      On the campaign trail for Georgia governor, she is talking more about Medicaid expansion than voting rights, betting that a hyperlocal strategy and the state’s leftward tilt can lift her to victory.CUTHBERT, Ga. — As Stacey Abrams began her second campaign for Georgia governor with a speech this week about Medicaid expansion in front of a shuttered rural hospital, the crowd of about 50 peppered her with questions on issues like paving new roads.But Sandra Willis, the mayor pro tem of this town of roughly 3,500 people, had a broader point to make. “Once you get elected, you won’t forget us, will you?” she asked.The question reflected Ms. Abrams’s status as a national Democratic celebrity, who was widely credited with helping to deliver Georgia for her party in the 2020 elections and has made her name synonymous with the fight for voting rights.But she has shown little desire to put ballot access at the center of her bid. Her first days on the campaign trail have been spent largely in small, rural towns like Cuthbert, where she is more interested in discussing Medicaid expansion and aid to small businesses than the flagship issue that helped catapult her to national fame.Ms. Abrams’s strategy amounts to a major bet that her campaign can survive a bleak election year for Democrats by capitalizing on Georgia’s fast-changing demographics and winning over on-the-fence voters who want their governor to largely stay above the fray of national political battles.“I am a Georgian first,” she said in an interview. “And my job is to spend especially these first few months anchoring the conversation about Georgia.”In Cuthbert, where Ms. Abrams was pressed on Monday by Ms. Willis on her commitment to Georgia’s small communities, she reminded onlookers that this was not her first visit to town — and she promised it would not be her last. The town sits in Randolph County, one of a handful of rural, predominantly Black counties that were crucial to Democrats’ victories in Georgia in the last cycle. Upward of 96 percent of Black voters who cast ballots here in the 2020 presidential election voted in the 2021 Senate runoff elections.Randolph has also been held up as an example of the state’s neglect of its low-income, rural residents: The county’s only hospital shut down in October 2020.“I’m here to help,” Ms. Abrams said in her Monday speech in front of the closed hospital. Listing the names of seven counties surrounding Randolph, she promised to be a “governor for all of Georgia, especially southwest Georgia.”Georgia’s population continues to grow younger and more racially diverse, trends that have historically benefited Democrats.Nicole Craine for The New York TimesMs. Abrams’s focus on state and hyperlocal issues reflects an understanding that to win Georgia, any Democrat must capture votes in all corners of the state. That also means knowing the issues closest to voters in every corner.“Everything either happens in Atlanta, or outside of Atlanta in the suburbs,” said Bobby Jenkins, the mayor of Cuthbert and a Democrat. “But as the election in November showed, you’ve got a lot of Democrats, a lot of people in these rural areas, and you cannot overlook them. There aren’t many in this county. But when you band all of these counties together in southwest Georgia, then you can create some impact.”Ms. Abrams has also used visits like the one to Cuthbert and a later meet-and-greet in the central Georgia town of Warner Robins to criticize Gov. Brian Kemp, a Republican who beat her in the same race in 2018, over what she called his weakening of the state’s public health infrastructure during the pandemic and his underinvestment in rural communities.“If we do not have a governor who sees and focuses on how Georgia can mitigate these harms, how Georgia can bolster opportunity, then the national environment is less relevant, because the deepest pain comes from closer to home,” Ms. Abrams said in the interview.Still, that national environment remains unfriendly to Democrats. Less than eight months before the November midterm elections, the party is staring down a record number of House retirements, a failure to pass the bulk of President Biden’s agenda and a pessimistic electorate that is driving his low approval ratings.Yet Democrats see reasons for hope in Georgia. The state continues to grow younger and more racially diverse, in a boon to the network of organizations that helped turn out the voters who flipped Georgia blue in 2020. Many of those groups remain well-staffed and well-funded. And while Ms. Abrams is running unopposed in the Democratic primary, Mr. Kemp faces four challengers, including a Trump-backed candidate, former Senator David Perdue.All of this is why, while Ms. Abrams’s public image has expanded, she has not deviated much from the campaign strategy she employed in 2018. During her first run for governor, she visited all 159 of Georgia’s counties and aimed for surges in turnout in deep-blue metro Atlanta counties even as she sought to turn out new voters in rural areas that Democrats had historically ceded to Republicans. Several of her 2022 campaign staff members formed her 2018 brain trust.Voting rights activists in the state — many of whom say their relationship with Ms. Abrams and her campaign remains warm — hesitate to question Ms. Abrams’s reduced focus on ballot access, especially since it is so early in the campaign and her strategy could yet shift.“She has a certain star, national spotlight quality that you rarely see with Southern candidates,” said LaTosha Brown, a co-founder of the group Black Voters Matter in Georgia. She expressed confidence that Ms. Abrams’s candidacy would “continue to keep the voting rights issue from dying.”In 2021, after Georgia Republicans passed a major law of voting restrictions, Ms. Abrams spoke out against the measure to legislators in Congress.Nicole Craine for The New York TimesStudent supporters danced onstage after a rally for Ms. Abrams in Atlanta on Monday.Nicole Craine for The New York TimesMs. Abrams’s organizing for voting rights has its roots in her years as the minority leader in the Georgia Statehouse. She founded the voter enfranchisement group New Georgia Project in 2013 to turn out more young and infrequent voters — a strategy she pitched to national Democrats ahead of the 2020 election amid efforts to persuade white moderate voters.Then, a year ago, after Georgia’s Republican-led legislature passed a sweeping bill of voting restrictions, ballot access again became a central issue for national Democrats. Amid the party’s uproar about the bill and others like it, Ms. Abrams focused on the policy implications of the legislation over the political. During testimony to Republican senators in Washington shortly after the law’s passage, she laid out a laundry list of criticisms of the measure, denouncing its limits on drop boxes and a reduction in election precincts that could deter working people from voting.Understand the Battle Over U.S. Voting RightsCard 1 of 5Why are voting rights an issue now? More

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      Vulnerable Democrats, Seeking Distance From the Left, Offer a Midterm Agenda

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      The plan aims to inoculate Democrats in conservative-leaning states from Republican attacks on cultural issues, underscoring how successful the G.O.P. has been at weaponizing them.WASHINGTON — A cluster of House Democrats from conservative-leaning districts is circulating a reworked legislative agenda for the coming election season that would embrace some of President Biden’s most popular initiatives and tackle rising prices while distancing lawmakers from the left’s most divisive ideas.The plan, obtained by The New York Times, seeks to inoculate the most vulnerable Democrats from the culture wars pursued by Republicans trying to win back the congressional majority. Its existence underscores how successful Republicans have been at weaponizing issues like pandemic-related school closures and “defund the police” efforts against Democrats in politically competitive districts.The draft agenda was written by Representatives Abigail Spanberger of Virginia, Steven Horsford of Nevada, Josh Gottheimer of New Jersey, Dean Phillips of Minnesota and Elissa Slotkin of Michigan. It includes almost 75 bipartisan bills already drafted and broader bullet points such as “Combat Rising Costs for Food, Gas, Housing and Utilities,” “Reduce Prescription Drug Prices, Co-Pays and Deductibles” and “Fight Crime & Invest in Law Enforcement.”Rather than proposing cuts to funding for police departments, for example, it suggests financing the hiring of additional officers, especially in rural and small-town departments — though it would also fund body cameras and training, demands from liberal critics of law enforcement. Taking on Republican efforts to end mask mandates and school closures, the agenda includes legislation to “re-establish faith in America’s public health system and ensure preparedness for future pandemics, so that our economy and schools can remain open.”The plan avoids other items popular with progressives, such as a $15 minimum wage and a universal, single-payer “Medicare for all” insurance system, but it embraces some of the most broadly popular health care initiatives in Mr. Biden’s now-moribund Build Back Better Act: an agreement to allow Medicare to negotiate the prices of some of the most expensive drugs on the market and an expansion of Medicare to cover vision, dental and hearing care.Representative Steven Horsford of Nevada, one of the authors of the draft agenda.Chip Somodevilla/Getty ImagesWith their wafer-thin congressional majority and a president whose approval ratings are mired around 42 percent, Democrats are facing formidable headwinds in November’s midterm elections. The document, though stuffed with actual legislation, is more notable for its political message than for its policy details — in part because it omits any mention of how to pay for its initiatives.Some of its headline initiatives are not backed by the legislation below those programs. The plan promotes “Combating the Climate Crisis,” for instance, but the bills listed on that topic address the reliability and resilience of the electricity grid, top concerns for climate change deniers.But the agenda’s authors hope to at least revive a sense of momentum in a Democratic Congress that has entered the doldrums since enactment of a $1.2 trillion infrastructure law in November, followed by the Senate’s stymying of House-passed climate and social safety net legislation and a far-reaching voting rights bill.It is no accident that the document is circulating just before Mr. Biden’s State of the Union address on March 1, and the following week’s House Democratic “issues” retreat.The dozens of bills listed in the agenda all have Democratic and Republican authors, many of them endangered either by anti-Democratic momentum or by challengers endorsed by former President Donald J. Trump.One such bill, written by Representatives Debbie Dingell, Democrat of Michigan, and Liz Cheney, Republican of Wyoming, would make permanent Medicare tele-health expansions undertaken during the pandemic. There is a diabetes prevention bill by Representatives Diana DeGette, Democrat of Colorado, and Tom Rice of South Carolina, a Republican who, like Ms. Cheney, voted to impeach Mr. Trump. An expansion of tax-favored education savings accounts is co-sponsored by Ms. Spanberger and Representative Fred Upton of Michigan, another Republican who voted to impeach. Also included is a significant expansion of eligibility for child and adult nutrition programs, drafted by Representatives Suzanne Bonamici, Democrat of Oregon, and Jaime Herrera Beutler, a Washington Republican facing a serious Trump-backed challenge for her impeachment vote.There are even incentives for utilities to invest in cybersecurity written by Senator Joe Manchin III of West Virginia, the Democrat who has raised the contempt of the left by blocking the social policy and climate change bill in the Senate, and refusing to join his party in changing the filibuster rule to pass voter protection legislation over Republican opposition.But most striking is how the draft agenda takes on issues that appear to be dominating the campaign trail, even if they have not generated much debate on the floors of the House and the Senate.To beat back inflation, one bill the group is pushing would “prohibit” foreign governments from participating in cartel-like activities, a hit at OPEC that would have no real impact. The Federal Energy Regulatory Commission would be granted the authority to order refunds for natural gas bills “that are unjust, unreasonable, unduly discriminatory or preferential.” And assistance would be given to new and small meat processors to combat monopoly pricing from the few dominant meat processors, an effort already underway by the Biden administration.Rising crime rates across the country would also receive attention, through an expansion of existing grants to local law enforcement, new safety requirements for ride-hailing companies, stronger reporting requirements for electronic communication service providers to help track child predators and a new federal crime designation for “porch pirates” who steal packages from home stoops.One measure included in the agenda appears to accept the Republican talking point that the coronavirus was created in a laboratory in China, then covered up by the World Health Organization — assertions that have been challenged repeatedly by scientific researchers.The Never Again International Outbreak Prevention Act, by Representatives Brian Fitzpatrick, Republican of Pennsylvania, and Conor Lamb, a centrist Democrat running for the Senate in Pennsylvania, “would provide accountability with respect to international reporting and monitoring of outbreaks of novel viruses and diseases, sanction bad actors and review the actions of the World Health Organization.” More