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    Vinay Prasad returns to FDA days after leaving under pressure from Laura Loomer

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    Vinay Prasad is returning to his role overseeing vaccine, gene therapy and blood product regulation at the US Food and Drug Administration (FDA) a little more than a week after he left the agency.“At the FDA’s request, Dr Vinay Prasad is resuming leadership of the Center for Biologics Evaluation and Research,” Department Health and Human Services spokesperson Andrew Nixon said in a statement to Reuters.Prasad left the agency on 30 July after just a few months as director of the center.Endpoints News, which covers the biotech industry, first reported the return of Prasad.Prasad, an oncologist who was a fierce critic of US Covid-19 vaccine and mask mandates, was named the center’s director by the FDA’s commissioner, Marty Makary, in May.Criticism of Prasad’s tenure intensified around the agency’s handling of a gene therapy for Duchenne muscular dystrophy (DMD) from Sarepta Therapeutics.The FDA-approved therapy played a role in the death of two teens who had advanced DMD. After a third death in a separate experimental gene therapy from the company, the FDA asked Sarepta on 18 July to stop all shipments of the approved DMD therapy, saying it had safety concerns.The FDA changed course on Sarepta on 28 July and said shipments to the main group of patients for the drug could restart.Laura Loomer, a far-right influencer and conspiracy theorist with outsized sway over Donald Trump, had called Prasad a “progressive leftist saboteur” who was undermining the agency’s work.Two days before Prasad stepped down last month, Loomer had released misleadingly edited audio to suggest that that Prasad had admitted sticking pins in a Trump voodoo doll, when the full audio made it clear that he was talking about the kind of thing an imagined liberal Trump-hater would do.Loomer reacted to the news of Prasad’s return on Saturday by renewing her attacks on him in a social media post in which she promised to produce “exposes of officials within HHS and FDA” in the weeks ahead. “There are several Senate Confirmation hearings coming up and I have multiple oppo books ready for distribution!” she wrote.Prasad was a physician who joined the agency from the University of California, San Francisco. He has had stints at the National Cancer Institute and the National Institutes of Health.The FDA and other health agencies have seen multiple shake-ups in recent months under the leadership of health secretary Robert F Kennedy Jr. More

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      VA hospitals remove politics and marital status from guidelines protecting patients from discrimination

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      The Department of Veterans Affairs has imposed new guidelines on VA hospitals nationwide that remove language that explicitly prohibited doctors from discriminating against patients based on their political beliefs or marital status.The new rules, obtained by the Guardian, also apply to psychologists, dentists and a host of other occupations. They have already gone into effect in at least some VA medical centers.Under federal law, eligible veterans must be given hospital care and services, and the revised VA hospital rules still instruct medical staff that they cannot discriminate against veterans on the basis of race, color, religion and sex. But language within VA hospital bylaws requiring healthcare professionals to care for veterans regardless of their politics and marital status has been explicitly eliminated from these bylaws, raising questions about whether individual workers could now be free to decline to care for patients based on personal characteristics not expressly protected by federal law.Explicit protections for VA doctors and other medical staff based on their marital status, political party affiliation or union activity have also been removed, documents reviewed by the Guardian show.The changes also affect chiropractors, certified nurse practitioners, optometrists, podiatrists, licensed clinical social workers and speech therapists.In making the changes, VA officials cite Donald Trump’s 30 January executive order titled “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government”. The primary purpose of the executive order was to strip most government protections from transgender people. The VA has since ceased providing most gender-affirming care and forbidden a long list of words, including “gender affirming” and “transgender”, from clinical settings.The Department of Veterans Affairs is the nation’s largest integrated hospital system, with more than 170 hospitals and more than 1,000 clinics. It employs 26,000 doctors and serves 9 million patients annually.In an emailed response to questions, the VA press secretary, Peter Kasperowicz, did not dispute that language requiring medical staff to treat patients without discriminating on the basis of politics and marital status had been removed from the bylaws , but he said “all eligible veterans will always be welcome at VA and will always receive the benefits and services they’ve earned under the law”.He said the rule changes were nothing more than “a formality”, but confirmed that they were made to comply with Trump’s executive order. Kasperowicz also said the revisions were necessary to “ensure VA policy comports with federal law”. He did not say which federal law or laws required these changes.The VA said federal laws and a 2013 policy directive that prohibits discrimination on the basis of marital status or political affiliation would not allow patients within the categories removed from its bylaws to be excluded from treatment or allow discrimination against medical professionals.“Under no circumstances whatsoever would VA ever deny appropriate care to any eligible veterans or appropriate employment to any qualified potential employees,” a VA representative said.Until the recent changes, VA hospitals’ bylaws said that medical staff could not discriminate against patients “on the basis of race, age, color, sex, religion, national origin, politics, marital status or disability in any employment matter”. Now, several of those items – including “national origin,” “politics” and “marital status” – have been removed from that list.Similarly, the bylaw on “decisions regarding medical staff membership” no longer forbids VA hospitals from discriminating against candidates for staff positions based on national origin, sexual orientation, marital status, membership in a labor organization or “lawful political party affiliation”.Medical experts said the implications of rule changes uncovered by the Guardian could be far-reaching.They “seem to open the door to discrimination on the basis of anything that is not legally protected”, said Dr Kenneth Kizer, the VA’s top healthcare official during the Clinton administration. He said the changes open up the possibility that doctors could refuse to treat veterans based on their “reason for seeking care – including allegations of rape and sexual assault – current or past political party affiliation or political activity, and personal behavior such as alcohol or marijuana use”.Dr Arthur Caplan, founding head of the division of medical ethics at New York University’s Grossman School of Medicine, called the new rules “extremely disturbing and unethical”.skip past newsletter promotionafter newsletter promotion“It seems on its face an effort to exert political control over the VA medical staff,” he said. “What we typically tell people in healthcare is: ‘You keep your politics at home and take care of your patients.’” Caplan said the rules opened the door to doctors questioning patients about whether they attended a Trump rally or declining to provide healthcare to a veteran because they wore a button critical of JD Vance or voiced support for gay rights.“Those views aren’t relevant to caring for patients. So why would we put anyone at risk of losing care that way?” Caplan said.During the 2024 presidential campaign and throughout the early months of his second term, Trump repeatedly made threats against a host of people whom he saw as his political antagonists, including senators, judges and then president Joe Biden. He called journalists and Democrats “the enemy within”.In interviews, veterans said the impact of the new policy would probably fall hardest on female veterans, LGBTQ+ veterans and those who live in rural areas where there are fewer doctors overall. “I’m lucky. I have my choice of three clinics,” said Tia Christopher, a navy veteran who reported being raped in service in 2000.Based in Pittsburgh, Pennsylvania, Christopher advocates on behalf of military sexual trauma survivors throughout the country. Under the new policy, some may have to register at a hospital in another region and travel more than a hundred miles to see a doctor. It “could have a huge ripple effect”, she said.As concerned as they were about the new policies themselves, medical experts were equally worried about the way they came about. Sources at multiple VA hospitals, speaking on condition of anonymity because of fear of retaliation, told the Guardian that the rule changes were imposed without consultation with the system’s doctors – a characterization the VA’s Kasperowicz did not dispute.Such a move would run counter to standards established by the Joint Commission, a non-profit organization that accredits hospitals. Kasperowicz said the agency worked with the Joint Commission “to ensure these changes would have no impact on VA’s accreditation”.At its annual convention in Chicago this week, the American Medical Association’s 733-member policymaking body passed a resolution reaffirming “its commitment to medical staff self-governance … and urges all healthcare institutions, including the US Department of Veterans Affairs, to ensure that any amendments to medical staff bylaws are subject to approval by medical staff in accordance with Joint Commission standards”.The changes are part of a larger attack on the independence of medicine and science by the Trump administration, Caplan said, which has included restrictions and cuts at the National Institutes of Health and the Centers for Disease Control and Prevention, where the secretary of the Department of Health and Human Services, Robert F Kennedy Jr, last week fired every member of a key panel that advises the government on vaccines. The Guardian has earlier reported on a VA edict forbidding agency researchers from publishing in scientific journals without clearance from the agency’s political appointees. More

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      FDA suspends milk quality-control testing program after Trump layoffs

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      The Food and Drug Administration is suspending a quality-control program for testing fluid milk and other dairy products due to reduced capacity in its food safety and nutrition division, according to an internal email seen by Reuters.The suspension is another disruption to the nation’s food-safety programs after the termination and departure of 20,000 employees of the Department of Health and Human Services, which includes the FDA, as part of Donald Trump’s effort to shrink the federal workforce.The FDA this month also suspended existing and developing programs that ensured accurate testing for bird flu in milk and cheese and pathogens like the parasite Cyclospora in other food products.Effective Monday, the agency suspended its proficiency testing program for grade “A” raw milk and finished products, according to the email sent in the morning from the FDA’s division of dairy safety and addressed to “Network Laboratories”.Grade “A” milk, or fluid milk, meets the highest sanitary standards.The testing program was suspended because FDA’s Moffett Center Proficiency Testing Laboratory, part of its division overseeing food safety, “is no longer able to provide laboratory support for proficiency testing and data analysis”, the email said.An HHS spokesperson said the laboratory had already been set to be decommissioned before the staff cuts and that though proficiency testing would be paused during the transition to a new laboratory, dairy product testing would continue.The Trump administration has proposed cutting $40bn from the agency.skip past newsletter promotionafter newsletter promotionThe FDA’s proficiency testing programs ensure consistency and accuracy across the nation’s network of food safety laboratories. Laboratories also rely on those quality-control tests to meet standards for accreditation.“The FDA is actively evaluating alternative approaches for the upcoming fiscal year and will keep all participating laboratories informed as new information becomes available,” the email said. More

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      My child has autism. Trump and RFK Jr linking it to vaccines scares parents like me

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      It was a moment when Donald Trump’s larger-than-life presence on the global stage became unexpectedly personal.Near the end of his one-hour, 40-minute speech to a joint session of Congress on 4 March, the US president diverted from his favoured themes of a new golden age of American greatness and grievances against his adversaries to address a more unlikely topic: autism.The president drew his audience’s attention to Robert F Kennedy Jr, his controversial, newly confirmed choice as health secretary, and charged him with one overarching responsibility.“Not long ago, you can’t even believe these numbers – one in 10,000 children had autism,” Trump intoned. “Now it’s one in 36. There’s something wrong. One in 36 think of that. So we’re going to find out what it is. And there’s nobody better than Bobby.“Good luck. It’s a very important job.”It was not the first time that Trump had waded into the controversy swirling around autism – a neurodivergent condition affecting an estimated 75 million people worldwide. Nor was it the first occasion that he had touted Kennedy’s credentials as being able to tackle it.But the high symbolism of the setting brought home to me, a watching journalist, with sobering clarity that a life-changing decision, taken for the most pressing of family reasons, had taken on unforeseen contours.Just over two years ago, my wife and I had moved to the United States so that we could better address the needs of our son, who had been diagnosed with autism just before his third birthday. We had gradually despaired of finding a practical solution in the Czech capital of Prague, where we previously lived, and where state-of-the-art therapeutic remedies were still fledgling works in progress.America, by contrast, seemed to be a land of possibility and innovative approaches and to offer a more amenable environment to our circumstances – and had the added attraction that we all held US citizenship.In the period since our arrival, we found progress uneven, but engaged an outstanding therapist who made up for our difficulties navigating the Maryland state education system. I shifted my career from one centered in Europe, to covering US politics – and the second Trump administration.Now here – in the highest shrine of US democracy – was the graphically vivid figure of Trump digressing from his usual weaving script to elevate the very topic that had brought us to America’s shores to a national priority.It was not, to put it mildly, exactly what we had envisioned.The uptick in the autism trend Trump cited was exaggerated; while the most recent US autism statistics, recorded in 2020, did indeed record one in 36 children in the US having received a diagnosis of autism, the jump was less dramatic than he described – comparing with a rate of one in 150 in 2000, according to the Centers for Disease Control and Prevention (CDC).Nevertheless, the undoubted spike in instances of the condition meant that his proclaimed zeal to find a cause resonated with many, us included.The catch lay in his choice of Kennedy, who has declared that autism is caused by vaccines – a scientifically baseless theory which Trump himself has previously indulged – as the lead figure in a national crusade to discover a cause.I spoke with other parents of children with autism, who used a range of pejorative adjectives to deride this conviction; among them “dangerous”, “scary”, “batshit crazy”, “despicable” and “disgusting”.Kennedy’s views carry weight which, experts fear, will be lent still greater authority by his new health portfolio. The CDC is reportedly now planning a large study into potential connections between vaccines and autism.“Were I the father of a child with autism, I would be really angry at the anti-vaccine community for taking this story hostage and for diverting resources and attention away from the real cause, or causes, of autism,” said Paul Offit, a pediatrician specialising in immunology and author of the 2008 book Autism’s False Prophets, which rebutted the alleged links between the condition and vaccines.“There’s financial or emotional burdens that make it hard enough for parents, but to have this offered as a reason for why a child has autism is just spurious and in some ways malicious, because I think it puts the burden on the parent.”Belief in the alleged connection between vaccinations and autism gained traction after a 1998 study conducted by a British physician, Andrew Wakefield, and published in the Lancet asserted a causal link with the measles, mumps and rubella (MMR) vaccine. The paper ignited a firestorm of controversy in Britain, with the then prime minister, Tony Blair, pressured to say whether his baby son had been administered the MMR shot.But research underpinning the finding was later debunked as fraudulent, leading to the Lancet retracting the paper and Wakefield being struck off the UK medical register. Multiple subsequent studies have found no connection between the vaccine and autism.Despite the countervailing evidence, suspicions persisted – fuelled in no small part by Kennedy himself, who has shown himself unmoved in the face of challenge.My personal interest in Kennedy and his views on vaccines was piqued after hearing a 2023 podcast interview with the New Yorker. He was adamant under questioning from the magazine’s editor-in-chief, David Remnick, who – disclosing himself as the parent of a child with “quite severe” autism – asked if he had second thoughts about “slinging around theories … that don’t have any great credibility among scientists”.“I’ve read the science on autism and I can tell you … If it didn’t come from the vaccines, then where is it coming from?” Kennedy responded.Scientists say there are multiple potential answers to that question, including genetics, drugs taken during pregnancy, age of conception – albeit none giving a definitive explanation.skip past newsletter promotionafter newsletter promotion“When you hear about autism and its causes, the first thing people think is vaccines, which is the one thing you can say it’s not,” Offit said.Caught in the crossfire of this conflict between science and dogma are parents struggling to cope with a condition whose manifestations can be maddening, challenging and bewildering.Autism is a wide spectrum condition and children with it come in a surprising variety of types. Some – like my son – are functional, verbal and teachable, with aspects of high intelligence; others are non-verbal and may have severe intellectual disabilities; many others may fall somewhere in between.“If you’ve met one child with autism, you’ve met one child with autism,” goes the refrain among many specialists.Common to all, however, are atypical behaviours that for the parents, are life-changing and force them to make painful adaptations, sometimes at high financial cost.A complaint frequently heard about Kennedy’s views is that they heap stigmatisation on their children and unwarranted blame on the parents.“It puts a stigma on our children that their parents did something wrong when they were pregnant with them, and thus it’s the parents fault,” said Davina Kleid, 38, an executive assistant in a real estate development company in Maryland, whose nine-year-old daughter has autism.Kleid feared Kennedy’s views have the potential to unleash an eventual crackdown conjuring scenes resembling The Handmaid’s Tale, Margaret Atwood’s novel dystopian novel depicting a bleak patriarchal future and female subjugation.“Who knows? Maybe I could be arrested for having a child on the spectrum, because they’re going to say that I did something to purposely cause her to have this condition,” she said. “There’s nothing wrong with my child. It’s how she was born. I’m not ashamed of it, and I don’t think anyone should be ashamed of it.”Madeline, a publisher from Maryland who requested that her real name not be disclosed, said Kennedy’s views amounted to a disparagement of her 24-year-old son, who was born at the height of the MMR controversy arising from the Wakefield paper but who showed signs of developmental delay before being vaccinated.“It is just insulting that people would think that it would be better to get measles or mumps or pertussis or whooping cough than to have autism,” she said. “And RFK Jr has said as much. It’s like this is worse than getting these terrible, life-threatening diseases.”Lux Blakthorne, 33, a professional gardener living in Chester county, Pennsylvania, said fears for the future over her non-verbal, nine-year-old autistic son, Kai, had prompted her to make plans to emigrate to Germany, the country of her ex-husband’s birth and where she said provisions for autism had made great strides.The breaking point, she said, would be cuts to Medicaid, the public healthcare system that Kennedy oversees and which pays for Kai’s daily needs including education at a special private facility.An added factor is a recent White House executive order banning puberty blocking medication for those under 18, a measure aimed at stymying gender-affirming care for transgender youth but which, Blakthorne says, would prevent her trying to mitigate harmful autism-related behaviour that is likely to be exacerbated by the onset of puberty.“I think RFK sees disabilities as a problem that needs to be fixed,” said Blakthorne. “He has a dangerous belief system, and it’s not science- or fact-based.”Yet amid the negativity, the Autism Science Foundation, a research group, says Kennedy has a unique opportunity to discover its causes.“Many of us in the autism community give RFK credit for wanting to study the causes of autism,” said Alison Singer, the foundation’s president and the mother of a daughter with autism.“What would be very positive is if as health secretary, he can declare profound autism as a national public health emergency,” she said.“That would open up a variety of actions he could take, like making additional grants, entering into new contracts [and] really focusing funding on investigating the causes of autism, treatments and prevention.” More

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      ‘We’re on the edge of chaos’: families with trans kids fight for care as bans take hold

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      Aryn Kavanaugh was sitting in her living room in South Carolina when her 17-year-old daughter came into the room and said: “I’m really scared. I think people are gonna die.” Katherine, who is using her middle name for her protection, told Kavanaugh that she thought transgender youth may be the target of violence due to the hate generated by Donald Trump’s recent action.On 28 January, Trump issued an executive order to ban access to gender-affirming care for youth under 19 years old. It directed federal agencies to deny funding to institutions that offer gender-affirming medical care including hormones and puberty blockers.“She just felt like the world was crumbling around her. So we talked it out and tried to stay super positive,” said Kavanaugh, a parent of two trans children. “I think she really feels like we’re on the edge of chaos.”In a victory for trans kids and their families, a federal judge in Maryland blocked the ban on 4 March. The preliminary injunction extended a mid-February restraining order that blocked Trump’s directive and will remain in effect until further order from the US district court for the district of Maryland. In the meantime, the order prohibits the government from withholding federal funding to healthcare facilities that provide treatment to trans youth.Still, the executive order sent parents, children and medical providers into a tailspin as they deciphered its impacts. Some hospitals immediately canceled appointments and turned away new patients to adhere to the directive. In early February, Katherine was dropped as a patient at Virginia Commonwealth University, where she received gender-affirming care after South Carolina banned hormone therapy, surgery and puberty blockers for trans youth last year. Some parents say that their children’s mental health severely declined in the weeks following the executive order. And as a result, families have gone to great lengths to ensure that their trans kids continue to receive care, including considering moving abroad or stocking up on puberty suppressants.“We have seen dozens of families affected across the United States, in many, many states that have been left and abandoned without care that they need,” said Omar Gonzalez-Pagan, senior counsel and healthcare strategist at the LGBTQ+ civil rights organization Lambda Legal. “This is an unlawful executive order because it seeks to override the congressional mandate to condition federal financial assistance on non-discrimination, and this order seeks to require discrimination as a condition of federal funding.”The pause follows a lawsuit filed on 4 February by civil rights organizations including Lambda Legal and the American Civil Liberties Union (ACLU) on behalf of transgender youth. ACLU staff told the Guardian that they anticipated that the preliminary injunction would remain through the court proceedings.Some hospitals that stopped providing care to trans youth after the January directive, such as Children’s Hospital Los Angeles and Children’s Hospital of Richmond, lifted limits on surgeries or hormonal therapy in late February. Kavanaugh said she was “relieved and hopeful” about the preliminary injunction, though it does not roll back South Carolina’s ban on trans youth healthcare, which was signed into law last year.Her 18-year-old trans son Parker and Katherine received treatment at Medical University of South Carolina and then a private clinic in the state for several years until Henry McMaster, the governor of South Carolina, signed into law a ban on gender-affirming care for trans minors in May 2024. Parker is now old enough to receive his care in South Carolina, but the state ban means that the family has had to drive more than five hours each way to Virginia Commonwealth University for Katherine’s doctors’ appointments and medicine every few months.Being dropped as a patient due to the federal ban “puts us in a really tough spot because we’re already having to find care outside of South Carolina. And so that just limits our options,” Kavanaugh said. Katherine’s doctors connected her to a private medical practice in Fairfax, Virginia, that does not receive federal funding, so they were able to avoid a lapse in her care. While the change in providers did not cost more money, it stretched their commute to more than seven hours.In late February, Katherine’s puberty-blocker treatment at Virginia Commonwealth University resumed. In a statement, the hospital said that patients would continue medications, but that surgeries would remain suspended. Trans kids’ treatment remains in limbo as federal challenges wind through the court.‘A psychological toll’Studies have shown that gender-affirming medical care greatly improves trans people’s mental health and quality of life. A 2022 report published in the journal JAMA Network Open analyzed data from a study of 104 transgender and non-binary youth from ages 13 to 20 who received hormonal therapy or puberty blockers at the Seattle Children’s Gender Clinic for a year. Researchers found that 60% of participants reported lower rates of depression and 73% had less odds of suicidal ideation and self harm after receiving gender-affirming hormones and puberty blockers.Black transgender people, who experience the intersecting stigma of being gender diverse and racial minorities, are at even greater risk of poor mental health. A 2022 national survey of 33,993 LGBTQ+ young people by the Trevor Project, a non-profit, found that one in four Black transgender and nonbinary youth attempted suicide in the past year, more than double the rate of their cisgender counterparts.“It’s already difficult to access healthcare and treatment. It’s additionally difficult for folks who belong to other marginalized communities, especially families and children of color, as well as folks who are on various forms of state-funded insurance and may have difficulty selecting their providers to begin with,” Harper Seldin, a senior staff attorney at the ACLU, told the Guardian.“There is already a subset of gender clinics in this country who provide this care. When you lay over on top of that insurance and access based on family means, it’s particularly devastating for families who can’t just pick up and go somewhere else – to another city, state or other country – to get care.”While her trans daughter’s care hasn’t been directly affected by the executive order, Sarah, a Texas mother who asked that her last name not be used to protect her daughter’s privacy, said that her daughter Raven was devastated by the president’s directive. Raven, a 16-year-old Black trans girl in Texas who is using a pseudonym, dropped out of school last month due to her declining mental health, exacerbated by the federal ban. Sarah said that Raven had rarely got out of bed, and when she did, she would show her mom news reports of murdered Black trans girls and women.“She has told me that she’s afraid of being killed if she leaves the house,” Sarah said. “She really only will leave the house with me. But that’s very few and far between, because she’s just incredibly depressed.”Since dropping out of school, Sarah said that Raven’s depression and anxiety significantly decreased, and she plans to start GED test preparation classes over the summer.In November 2024, the LGBTQ+ non-profit Human Rights Campaign Foundation released a report that showed that half of the 36 transgender people killed in the last 12 months were Black trans women. That reality has made it terrifying for Raven to live as a Black trans girl, Sarah said.Raven’s medical providers have increased her antidepressants dosage, and she now checks in with her psychiatrist every three weeks. Since last year, Raven has had to fly to Colorado every six months to receive gender-affirming care due to a Texas ban on treatment for minors. She has received grants from the non-profit Campaign on Southern Equality to fund the travel for medical treatment, which has helped defer some of the exorbitant costs of seeking out-of-state care.Sarah said that she has researched living in other nations and would be willing to order medicine from Canada if Raven could no longer get medical treatment in Colorado. Gender-affirming care has drastically improved Raven’s life. “She feels more herself,” Sarah said. “If she didn’t have it, I don’t think she would choose to stay alive.”Navigating medical care restrictions has caused anxiety for parents who are shouldering the burden of the policies’ twists and turns for their children. A Georgia-based parent, Peter Isbister, said that he had chosen not to share the news of the executive order with his 11-year-old trans son Lev, who is using a pseudonym out of fear of harassment: “It’s taken a psychological toll on his parents, not on him.”An endocrinologist is currently monitoring Lev’s hormone levels to determine when he will be put on puberty blockers. Isbister, an attorney and founder of the peer support network Metro Atlanta TransParent, has to contend with the federal executive order and a looming ban on puberty blockers for minors in Georgia.“If the bill passes in Georgia, then we as a family are going to really have to study up more seriously on how it works to be an out-of-state person to get care in California, New Mexico, Massachusetts or wherever,” Isbister said. “And the more states that restrict access to care, the harder that’s going to be.”As a result of the federal and state policies, Isbister said that he has talked with an immigration attorney about acquiring Canadian citizenship for his son. But at least for now, Lev’s clinic continues to provide him care.While Isbister was “heartened” by the judge’s injunction on the executive order, he said that it is “wrenching and in my view unjust that my ability to provide my kid healthcare should be an issue for our federal courts”. More

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      Trump picks Brooke Rollins to lead Department of Agriculture

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      Donald Trump has chosen Brooke Rollins, president of the America First Policy Institute, to be agriculture secretary.“As our next Secretary of Agriculture, Brooke will spearhead the effort to protect American Farmers, who are truly the backbone of our Country,” the US president-elect said in a statement.Trump’s nomination of Rollins marks the completion of his top cabinet picks for his incoming administration.If confirmed by the Senate, Rollins would lead a 100,000-person agency with offices in every county in the country, whose remit includes farm and nutrition programs, forestry, home and farm lending, food safety, rural development, agricultural research, trade and more. It had a budget of $437.2bn in 2024.The nominee’s agenda would carry implications for American diets and wallets, both urban and rural. Department of Agriculture officials and staff negotiate trade deals, guide dietary recommendations, inspect meat, fight wildfires and support rural broadband, among other activities.“Brooke’s commitment to support the American Farmer, defense of American Food Self-Sufficiency, and the restoration of Agriculture-dependent American Small Towns is second to none,” Trump said in the statement.In response to her nomination, Rollins wrote on X: “Thank you, Mr. President, for the opportunity to serve as the next U.S. Secretary of Agriculture. It will be the honor of my life to fight for America’s farmers and our Nation’s agricultural communities. This is big stuff for a small-town ag girl from Glen Rose, TX — truly the American Dream at its greatest.”She added: “Who’s ready to make agriculture great again!”The America First Policy Institute is a right-leaning thinktank whose personnel have worked closely with Trump’s campaign to help shape policy for his incoming administration. Rollins chaired the Domestic Policy Council during Trump’s first term.As agriculture secretary, Rollins would advise the administration on how and whether to implement clean fuel-tax credits for biofuels at a time when the sector is hoping to grow through the production of sustainable aviation fuel.The nominee would also guide next year’s renegotiation of the US-Mexico-Canada trade deal, in the shadow of disputes over Mexico’s attempt to bar imports of genetically modified corn and Canada’s dairy import quotas.Trump has said he again plans to institute sweeping tariffs that are likely to affect the farm sector.He was considering offering the role to the former US senator Kelly Loeffler, a staunch ally whom he chose to co-chair his inaugural committee, CNN reported on Friday.In a separate announcement on Saturday, Trump urged Randy Fine, a former gambling industry executive and current Florida state senator, to run in a special election to represent the state’s sixth congressional district in the House of Representatives.Trump’s endorsement of Fine comes after he named Mike Waltz, Florida’s current sixth congressional district representative, to serve as his national security adviser.Writing on Truth Social, Trump called Fine “an incredible voice for MAGA”.“Should he decide to enter this Race, Randy Fine has my Complete and Total Endorsement. RUN, RANDY, RUN!” Trump added. More

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      RFK Jr could lead US health and food safety in a second Trump term

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      Robert F Kennedy Jr could assume some control over US health and food safety in a second Trump administration, according to reports on Saturday, alarming Democrats who believe the former environmental lawyer and independent presidential candidate could be empowered to act on his vaccine-sceptical views.According to the Washington Post, Kennedy has met with Trump transition officials to help draw up an agenda for a new administration and could take a broad “health tsar” position that would not require confirmation by the Senate.Kennedy, who ended his White House bid and endorsed Trump, and his advisers have also been drafting 30-, 60- and 90-day plans for a second Trump term, the outlet reported, citing a source “familiar” with the planning process.Kamala Harris slammed the idea, saying Friday that Kennedy is “the exact last person in America who should be setting healthcare policy for America’s families and children”.The Democratic candidate further described Kennedy as “someone who has routinely promoted junk science and crazy conspiracy theories”.Last week, Kennedy warned in a post on X that the “FDA’s war on public health is about to end. This includes its aggressive suppression of psychedelics, peptides, stem cells, raw milk, hyperbaric therapies, chelating compounds, ivermectin, hydroxychloroquine, vitamins, clean foods, sunshine, exercise, nutraceuticals and anything else that advances human health and can’t be patented by Pharma.”He added: “If you work for the FDA and are part of this corrupt system, I have two messages for you: 1 Preserve your records, and 2 Pack your bags.”Ted Kennedy Jr, a cousin of RFK Jr and a healthcare lawyer, said he was “deeply concerned” about Trump’s choice.“We can’t put anyone in charge of healthcare who doesn’t understand how doctors and scientists develop best practices and keep us safe, and has no medical background and no knowledge about how health care is organized, delivered and paid for,” he told Stat.But Trump seems determined. He told rightwing figure Tucker Carlson last week that Kennedy was “going to work on health and women’s health”.“He really wants to with the pesticides and the, you know, all the different things. I said, he can do it,” Trump said. “He can do anything he wants. He wants to look at the vaccines. He wants – everything. I think it’s great. I think it’s great.”“He’s a great guy. I’ve known him a long time. And all he wants to do – it’s very simple – he wants to make people healthy,” Trump told NBC News on Friday. Campaign officials previously told the outlet that Kennedy might spearhead an “Operation Warp Speed for childhood chronic disease”, a reference to the Trump administration’s $20bn Covid vaccine development program.But the discussion over a potential role for Kennedy in a new Trump administration has also raised the topic of the response to the 2020-21 Covid-19 pandemic that has been largely absent from the campaign trail.JD Vance, Trump’s vice-presidential pick, expressed scepticism about the Covid vaccine during a sit-down with podcaster Joe Rogan released on Thursday.“I took the vax, and you know, I haven’t been boosted or anything, but the moment where I really started to get red-pilled on the whole vax thing was the sickest that I have been in the last 15 years by far was when I took the vaccine,” the Ohio senator told Rogan.Kennedy, who has also expressed doubts about Covid vaccines, told a rally last week that Trump had promised him “control” of public health agencies like the Department of Health and Human Services and the Department of Agriculture.Howard Lutnick, the Trump transition team co-chair, confirmed to CNN this week that he’d spent two-and-a-half hours with Kennedy “and it was the most extraordinary thing”.“I said: ‘So, tell me. How’s it going to go?’ And he said: ‘Why don’t you just listen to me explain things,’” Lutnick said. He did not deny that Kennedy was correct to say he would lead public health agencies in a Trump administration.“I think it’ll be pretty cool to give him the data. Let’s see what he comes up with,” Lutnick added.In a statement, Trump campaign spokesperson Karoline Leavitt said there were “no formal decisions” about potential Trump administration appointments. But she added that the former president “has said he will work alongside passionate voices like RFK Jr to make America healthy again by providing families with safe food and ending the chronic disease epidemic plaguing our children”, referring to type 2 diabetes. More

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      Louisiana’s move to criminalize abortion pills is cruel and medically senseless | Moira Donegan

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      This week, Louisiana moved to expand the criminalization of abortion further than any state has since before Roe v Wade was decided. On Thursday, the state legislature passed a bill that would reclassify mifepristone and misoprostol – the two drugs used in a majority of American abortions – as dangerous controlled substances.Under both state and federal classifications, the category of controlled substances includes those medications known to cause mind-altering effects and create the potential for addictions, such as sedatives and opioids; abortion medications carry none of this potential for physical dependence, habit-forming or abuse. The move from Louisiana lawmakers runs counter to both established medical opinion and federal law. Jeff Landry, the anti-choice Republican governor, is expected to sign the bill. When he does, possession of mifepristone or misoprostol in Louisiana will come to carry large fines and up to 10 years in prison.Louisiana already has a total abortion ban, with no rape or incest exceptions. But the Louisiana lawmakers are pursuing this new additional criminalization measure because while abortion bans are very good at generating suffering for women, they are not very good at actually preventing abortions. Data from the Guttmacher Institute suggests that the United States saw an 11% increase in abortions between 2020 and 2023 – a possible indication that pregnant people are still managing to obtain abortions in spite of post-Dobbs bans. As was the case in the pre-Roe era, women have continued to seek out ways to end their pregnancies, even in defiance of abortion ban laws.In the pre-Roe era, illegal abortions were often unsafe, and abortion bans caused a public health crisis: many hospitals had to open septic abortion wards, where women who had had incompetent or careless illegal abortions were treated for frequently life-threatening conditions. But the post-Dobbs reality is that advances in communications technology and medicine mean that illegal abortions need no longer be unsafe ones. Now, women living in states with abortion bans can access safe, effective abortion care in the comfort of their own homes, and often law enforcement and anti-choice zealots are none the wiser. Women can perform their own abortions, safely and effectively, without regard to the law’s opinion on whether they should be free to. They can do this because they can access the pills.The criminalization measure, then, is part of an expanding horizon of invasive, sadistic and burdensome state interventions meant to do the impossible: to stop women from trying to control their own lives. The Louisiana bill nominally will not apply to pregnant women – they’re exempted from criminal punishments for possession of the medications. But it will take square aims at the vital, heroic efforts of feminists, medical practitioners and mutual aid networks that have been distributing the pills in Louisiana: the people who have adhered to the principles of bodily autonomy and women’s self-determination even amid a hostile climate. These people’s courage and integrity is the greatest threat to the anti-choice regime, and so it is these people whom Louisiana’s new medical criminalization law will be used against first.But pro-abortion rights and women’s rights activists are not the only ones who will be hurt by the new law. For one thing, the criminalization of possession is likely to scare many Louisiana abortion seekers out of ordering the pills online, even if the bill itself technically excludes them from prosecution. These abortion seekers, dissuaded and threatened out of seeking the most reliable and safe method of self-managed abortion, may then turn to less safe options.But the new drug classification also has implications for a wide array of healthcare treatments. Mifepristone and misoprostol are not only used in elective abortions. They are also the standard of care for spontaneous miscarriages – the management of which has already become legally fraught for doctors in Louisiana, causing women to suffer needlessly and endanger their health. Misoprostol is used in labor, too, and in the treatment of some ulcers. The drugs’ needless, cruel and medically senseless reclassification as “controlled” substances will make these medical practices more difficult in a state that already has one of the worst rates of maternal mortality in the country. That’s part of why more than 200 Louisiana physicians signed a letter opposing the bill.The Republican legislators who have pushed the new criminalization do not pretend to actually believe that abortion drugs are habit-forming. Thomas Pressly, the state senator who introduced the bill, frankly said that his aim was to “control the rampant illegal distribution of abortion-inducing drugs”.But there is something to the notion that abortion access might be “habit-forming”. In the Roe era, after all, women began to conceive of themselves as full persons, able to exercise control over their own destinies – as adults, that is, with all the privileges and entitlements of citizenship. They formed a habit of independence, a habit of imagining themselves as people entitled to freedom, equality, self-determination and respect. It is these habits that the Republican party is trying to break them of.
      Moira Donegan is a Guardian US columnist More

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      We need to talk about America’s mental health crisis – and its larger causes | Robert Reich

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      I want to talk about an uncomfortable topic that needs much more open discussion than it’s receiving: the United States’ extraordinarily high level of anxiety.A panel of medical experts has recommended that doctors screen all patients under 65, including children and teenagers, for what the panel calls anxiety disorders.Lori Pbert, a clinical psychologist and professor at the University of Massachusetts Chan medical school, who serves on the panel, calls mental health disorders “a crisis in this country”.A recent New York Times article discussed what’s called “persistent depressive disorder”, or PDD, which an estimated 2% of adults in the United States have experienced in the past year.Nearly 50,000 people in the US lost their lives to suicide last year, according to a new provisional tally from the National Center for Health Statistics. (The agency said the final count would likely be higher.)The suicide rate, now 14.3 deaths per 100,000 Americans, has reached its highest level since 1941, when the US entered the second world war.Men aged 75 and older had the highest suicide rate last year, at nearly 44 per 100,000 people, double the rate of people aged 15-24. While women have been found to have suicidal thoughts more commonly, men are four times as likely to die by suicide.Suicide rates for Native Americans are almost double the rates for other Americans.(Some good news: suicide rates for children aged 10 to 14 have declined by 18%, and for those between 15 and 24 by 9%, bringing suicide rates in those groups back to pre-pandemic levels.)What’s going on?Maybe the widespread anxiety and depression, along with the near record rate of suicide, should not be seen as personal disorders.Maybe they should be seen – in many cases – as rational responses to a society that’s becoming ever more disordered.After all, who’s not concerned by the rising costs of housing and the growing insecurity of jobs and incomes?Who (apart from Trump supporters) isn’t terrified by Trump’s attacks on democracy, and the possibility of another Trump presidency?Who doesn’t worry about mass shootings at their children’s or grandchildren’s schools?Who isn’t affected by the climate crisis?Add increasingly brutal racism. Mounting misogyny. Anti-abortion laws. Homophobia and transphobia. Attacks on Asian Americans, Hispanic Americans, Jews, Arab Americans and other minority groups. And the growing coarseness and ugliness of what we see and read in social media.Consider all this and it would almost be stranger if you weren’t anxious, stressed and often depressed.Studies show that women have nearly double the risk of depression as men. Black people also have higher stress levels – from 2014 to 2019, the suicide rate among Black Americans increased by 30%.Are women and Black people suffering from a “disorder”? Or are they responding to reality? Or both?White men without college degrees are particularly vulnerable to deaths from suicide, overdoses and alcoholic liver diseases, with contributions from the cardiovascular effects of rising obesity.Are they suffering from a “disorder”, or are they responding to a fundamental change in American society? Or both?In their book Deaths of Despair and the Future of Capitalism, economists Anne Case and Angus Deaton argue that “the deaths of despair among whites would not have happened, or would not have been so severe, without the destruction of the white working class … .”Part of the problem, they say, is that the less educated are often underpaid and disrespected, and feel that the system is rigged against them.skip past newsletter promotionafter newsletter promotionEven if we had far more mental health professionals, what would they do against these formidable foes? Prescribe more pills? If anything, Americans are probably already overmedicated.Don’t get me wrong. I’m not arguing against better access to mental health care. In fact, quite the opposite. Increased staffing and improved access to mental health care are very much needed.Mental health care is harder to find now than before the pandemic. About half of people in the US live in an area without a mental health professional, federal data shows, and some 8,500 more such professionals would be needed to fill the gap. Most people rely on family doctors for mental health care.Officials are trying to widen familiarity with a national suicide and crisis lifeline that last year received a nationwide number, 988.But in addition to providing more and better access to mental health care, and a suicide and crisis hotline, shouldn’t we try to make our society healthier?Americans experience the least economic security of the inhabitants of any advanced nation. A healthy society needs more job security and stronger safety nets.The distribution of income and wealth in the United States is the most unequal of any other advanced nation. A healthy society ensures that no one working full-time is poor, and levies high taxes on the wealthy to help pay for what society needs.Guns and assault weapons are easier to buy in the United States than in any other advanced nation. A healthy society bans assault weapons and makes it difficult to buy guns.A lower percentage of Americans has access to affordable medical care than in any other advanced nation. A healthy society keeps its people healthy.The United States puts more carbon dioxide into the air per capita than almost any other advanced nation. A healthy society better protects the environment.Big money plays a larger role in American politics than it does in almost any other advanced nation. A healthy society does not allow big money to buy politicians.Some American politicians – like Donald Trump – gain power by stirring up racism, xenophobia and homophobia. A healthy society does not elect these sorts of people.The list could be much longer, but you get the point. The anxiety disorders suffered by Americans are real, and they apparently are growing. But instead of regarding them solely as personal disorders, maybe we need to understand them at least partly as social disorders – and get to work remedying them as a society.Granted, it would be difficult to achieve any of these criteria for a healthy society.But without seeking to achieve them, no number of mental health professionals, and no amount of medications or hotlines, will be enough to substantially reduce the stress, anxiety, depression and suicidal thoughts that so many Americans are now experiencing.In the US, you can call or text the National Suicide Prevention Lifeline on 988, chat on 988lifeline.org or text HOME to 741741 to connect with a crisis counselor. In the UK and Ireland, Samaritans can be contacted on freephone 116 123, or email jo@samaritans.org or jo@samaritans.ie. In Australia, the crisis support service Lifeline is 13 11 14. Other international helplines can be found at befrienders.org
      Robert Reich, a former US secretary of labor, is a professor of public policy at the University of California, Berkeley, and the author of Saving Capitalism: For the Many, Not the Few and The Common Good. His newest book, The System: Who Rigged It, How We Fix It, is out now. He is a Guardian US columnist. His newsletter is at robertreich.substack.com More