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    US health secretary on Alabama’s IVF ruling: ‘Pandora’s box was opened’ after fall of Roe

    The health and human services secretary, Xavier Becerra, said the US must provide federal protections for reproductive rights if Americans hope to avoid further restrictions on in vitro fertilization, contraception and abortion in an exclusive interview with the Guardian.Becerra’s comments come in the wake of an Alabama supreme court decision that gave embryos the rights of “extrauterine children” and forced three of the state’s largest fertility clinics to stop services for fear of litigation and prosecution. The fallout from the decision prompted the Alabama legislature to hastily sign new legislation that will give IVF providers with immunity from civil and criminal suits, which the governor signed into law on Wednesday night.He said the events in Alabama were linked directly to the “take-down” of Roe v Wade, a decision that provided a constitutional right to abortion grounded in privacy and was overturned by conservative US supreme court justices in 2022.“It wasn’t until this new court came in” – that is, that three new supreme court justices were confirmed by former President Trump – “that we saw the attacks on Roe v Wade take hold, and today without Roe v Wade there are women who are trying to have babies in Alabama who are facing the consequences,” said Becerra.He continued: “None of this would be happening in Alabama on IVF if Roe v Wade was still the law of the land, and no one should try to deny that.”Becerra’s comments come ahead of Joe Biden addressing the nation in the State of the Union on Thursday night. Although the White House has not released the speech, a large number of Democratic guests suggest reproductive rights may feature heavily.Among the guests of high-ranking Democrats are Elizabeth Carr, the first person in the US to be born via IVF; Amanda Zurawski, a Texas woman who nearly died of septic shock when she was denied a medically necessary abortion; and Kate Cox, who had to flee Texas for an abortion after she learned her fetus had a fatal chromosomal condition.View image in fullscreenAlso, sitting alongside First Lady Jill Biden as a guest of the president will be Latorya Beasley, from Birmingham, Alabama.She and her husband had their first child, via IVF, in 2022. They were trying to have another child through IVF but Beasley’s embryo transfer was suddenly canceled because of the Alabama court decision.Beasley’s “recent experience is yet another example of how the overturning of Roe v Wade has disrupted access to reproductive health care for women and families across the country,” the White House said on Thursday.More guests include reproductive endocrinologists, an Indiana doctor who provided an abortion to a 10-year-old rape victim, and leaders of reproductive rights groups.Becerra’s comments emphasizing the importance of reproductive rights, Democrats’ guest list for the State of the Union and a recent administration officials’ trips to states with abortion restrictions are the most recent evidence of Democrat’s election bet: that when Republicans married the motivated minority of voters who support the anti-abortion movement, they also divorced themselves from the broader American public, broad margins of whom support IVF, contraception and legal abortion.“As a result of the fall of Roe v Wade – or actually the take-down of Roe v Wade – my daughters have fewer rights in America than their mom did,” said Becerra. “And that happens only when you have a supreme court that acts to overturn a constitutional protection.”While Becerra said his agency would continue to enforce federal laws in Alabama, including laws that provide medical patients a right to privacy and the right to stabilizing emergency care, including emergency abortions, it is ultimately the courts in and politicians of Alabama who need to fix the upheaval their policies caused.“The supreme court in Alabama is the one that has to undo its wrongful decision,” said Becerra. “The state legislature in Alabama should move to provide protections to families that rely on IVF – and serious comprehensive protections, not short-term, piecemeal protections that threaten anyone going through the process or any provider who wishes to provide quality IVF services.”Although Alabama politicians have passed a bill to give IVF providers immunity from civil and criminal suits, national associations of fertility doctors have said the law does not go far enough to address the core problem – the supreme court “conflating fertilized eggs with children”.“Clearly, this goes way beyond abortion,” said Becerra. “It would not surprise me if we also begin to see actions which undermine the ability of women to get basic family planning services,” including contraception.While doctors and patients have reacted with astonishment, anger and sorrow at the Alabama supreme court’s decision, the anti-abortion movement has cheered the decision. “Fetal personhood” has long been the ultimate aim of the movement.For years, Republicans have abetted this aim. As recently as 2023, 124 Republicans co-sponsored the federal Life at Conception Act, which would give embryos the rights of people “at the moment of fertilization, cloning, or other moment when the individual comes into being”. This week, Kentucky Republicans advanced a bill to allow people to claim fetuses as dependents on their taxes.They have also blocked federal legislation to protect IVF – twice. In late February, Senator Tammy Duckworth of Illinois introduced an IVF protection bill. Most recently, its expedited passage was blocked by Republican Senator Cindy Hyde-Smith of Mississippi (a state which, like Alabama, has a near-total abortion ban).Nevertheless, the Alabama decision has been palpably uncomfortable for many members of the party. Former president Donald Trump has said he supports IVF, and views anti-abortion policies as a threat to his campaign. Republicans such as Tommy Tuberville of Alabama and Joni Ernst of Iowa have issued awkward, noncommittal statements about the decision. Ernst supported federal fetal personhood statutes in the past.“When Roe v Wade was struck down by the Dobbs decision the Pandora’s box was opened,” said Becerra. “Now, we see the consequences and how far the loss the protections of Roe go beyond abortion.” More

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    How Covid changed politics | David Runciman

    Like many people, I have had Covid and I have had long Covid. They are very different experiences. I first caught the disease at the start of the pandemic in March 2020, when its effects were relatively unknown. It was unnerving and highly unpredictable. I did not get particularly sick, but I probably gave the virus to my father, who did. Back then, Covid appeared to be the great divider – the old were far more at risk than the young, and those with pre-existing vulnerabilities most at risk of all – and the great equaliser. Almost everyone experienced the shock and the fear of discovering a novel killer among us. We soon acquired a shared language and a sense of common purpose: to get through this together – whatever this turned out to be.I developed long Covid last year, six months after I had caught glandular fever. The fresh bout of the Covid virus made the effects of the glandular fever far worse: more debilitating and much harder to shake. Some mornings it was a struggle to get out of bed, never mind leave the house. It was as though Covid latched on to what was already wrong with me and gave it extra teeth. The experience was unpredictable in a very different way from the drama of getting sick in 2020: not a cosmic lottery, but a drawn-out bout of low-level, private misery. Good days were followed by bad days for no obvious reason, hopes of having recovered were snuffed out just when it seemed like the worst was past. Long Covid is less isolating than being locked down, but it is also a lonelier business than getting ill at the peak of the pandemic was, if only because other people have moved on.The physical and psychological effects of these different versions of Covid – the short and the long – are oddly parallel to its political consequences. The disease turns out to be its own metaphor. We are all suffering from political long Covid now. The early drama is over. A series of lingering misfortunes has replaced it. As with long Covid, different countries are suffering in different ways, trapped in their own private miseries. The shock of the new has gone, to be replaced by an enduring sense of fatigue.When the pandemic hit, its effects on politics were intensely felt and hard to predict. In some ways, it seemed like the ultimate stress test. Different political systems – and leaders – were exposed in different ways. Those with longstanding vulnerabilities seemed destined to fail. At the same time, the advent of Covid appeared to open up the prospect of new kinds of political solidarity. We were in this together. Covid’s global impact was a reminder of what it is that we all have in common. An acute awareness of our shared vulnerability might create the conditions for a renewed sense of purpose in tackling global problems, including the climate emergency. Maybe a pandemic was just what we needed to remember what was at stake, and to remind some of us how lucky we are.Four years on, the picture looks very different. The immediate experience of the pandemic feels more and more remote, even though public inquiries are now under way, trying to establish just what really happened and who was to blame for what went wrong. Part of the reason for the remoteness is that much of what once looked like high-stakes decision-making has come out in the wash: many outcomes were similar, regardless of the political choices that were made. Maybe it was in the lap of the gods after all.At the same time, the more pernicious but harder to recognise political consequences of Covid are all around us. The immediacy of the threat has passed, but the lingering signs of the damage it did to the body politic are everywhere. The pandemic and its consequences – lockdowns, economic dislocation, inflation, growing frustration with political elites – have found out pre-existing weaknesses in our politics and made them worse. It has given what ails us extra teeth.The early days of Covid gave reason to hope that the massive disruption it entailed might also shift the direction of travel of global politics. That hope turned out to be illusory. In the first phase of the pandemic, it looked to have exposed populist grandstanding for what it was: bleach, it turned out, was no sort of viral disinfectant. But populism remains on the rise around the world, feeding off the many discontents of the lockdown years, and of the years that preceded them.Likewise, Covid did not start any major wars – 2020 and 2021 were two of the most peaceful years for international conflict on record. But a post-Covid world is now as militarily dangerous as at any time since the cold war.Covid did not exacerbate climate breakdown: for a short while, carbon emissions fell as economies shut down. But the world is still getting warmer and the hope that tackling the virus would provide a model for more urgent climate action turns out to have been a pipe dream.The pandemic wormed its way into the weak spots in our political life, just as long Covid finds weaknesses in the human body. It no longer galvanises us, nor is it capable of destroying us. Instead, its symptoms are erratic and hard to fathom, appearing in surprising and seemingly unrelated places. Political long Covid is neither the great divider nor the great equaliser. It’s the great destabiliser.During 2020, when the pandemic forced governments around the world to improvise their responses at breakneck speed, it looked as though it would expose some basic truths about the strengths and weaknesses of different political systems. The biggest and most immediate contrast was between autocratic China and the democratic west. Ruthlessness and decisiveness – which the Chinese political system appeared to possess in abundance – were the order of the day. The democracies struggled to keep up.In March of that year, after Italy became the first European country to grapple with the question of how to keep its population from infecting one another, the Chinese sent a group of health officials to help advise. The Italians were concerned by the fact that, despite putting draconian lockdowns in place, the virus was still spreading. The Chinese explained the problem. These weren’t actually lockdowns as they understood them. People could still leave their homes for emergencies, enforcement was sporadic, and punishment was relatively light. Meanwhile, in Wuhan, the very centre of the Covid outbreak, armed guards stood outside apartment blocks, curfews were brutally enforced and those with the virus could be barricaded inside their homes. Within a matter of weeks, Italy’s death toll was more than double that of China’s.The biggest contrast with China was the US, where a federal system of executive decision-making, a widespread suspicion of government mandates and an incompetent president meant that Covid soon killed far more people than anywhere else. If the US was the flagship for democracy, then it looked like democracy was failing to answer the call.However, it quickly became clear that the global picture was more complicated than any hastily assembled political morality tale might suggest. New Zealand – democratic, liberal and with a robustly independent population – for a long time kept the virus almost completely at bay. The country had the advantage of being an island state that was able to shut its borders. But Britain is also an island, and that made no difference to the government’s ability – or inability – to act. Vietnam, which is not an island, did almost as well as New Zealand. Russia did almost as badly as the US. Some of the worst death tolls were in the countries of eastern Europe, such as Bulgaria and Serbia, which had a mixed legacy of authoritarianism and democracy. Dividing the world up by regime types proved little.Demography turned out to be as important as politics: elderly, unhealthy populations suffered more. Equally, any geopolitical morality tales concealed a more complex set of tradeoffs. A zero-Covid policy, ruthlessly enforced as in China, turned out to be storing up trouble for the future. Even with the advent of effective vaccines – and China’s homegrown versions turned out to be less effective than elsewhere – too many of China’s population remained unprotected from the virus and the much-delayed economic opening left them exposed. China has also displayed a longstanding weakness of autocratic systems: an absence of transparency means we don’t know the ultimate death toll there, because they are not telling. It is simply not possible to compare it with other countries.View image in fullscreenThe wider tradeoffs – the toll that lockdowns have taken on mental health, on treatment for other illnesses, on educational prospects for the children worst affected – make it hard to draw any clear political lessons. Sweden, which was heralded – and viciously derided – for providing a real-time experiment in the efficacy of non-lockdown policies, now presents as mixed a picture as anywhere else: more Covid-related deaths than its Scandinavian neighbours (2,576 deaths per million, compared with Denmark’s 1,630 and Norway’s 1,054) but similar or even lower overall excess mortality rates from all causes, and less educational and economic disruption, though no readily quantifiable economic benefits. Covid was not just a political stress test. It was a series of impossible choices.Four years on, it is also clear that many of the lasting political consequences of the virus have little to do with the relative performance of individual governments. In the UK, the long-term incumbent parties north and south of the border are suffering serious Covid fallout despite adopting opposed approaches to the pandemic. The Tories in Westminster were reluctant lockdowners, the SNP in Edinburgh far more enthusiastic ones. It made little odds for the final outcomes: overall mortality rates were relatively consistent for the UK as a whole and variations had more to do with the underlying population profiles in different parts of the country than with the policy preferences of elected politicians.What lingers is something more familiar: the whiff of corruption and the stench of hypocrisy. Although Rishi Sunak, as chancellor, was responsible for one of the more hare-brained schemes of 2020, “eat out to help out” – which gave diners discounts for getting back into pubs and restaurants, at a time when the virus was still widespread in the population and about to surge back – that is not the reason why he is in such deep political trouble. Instead, the Covid legacy that haunts the Tories stems almost entirely from the parties held in Downing Street during Boris Johnson’s premiership, when the rest of the country was still locked down. Ultimately it is not the contrast between the public performance of different administrations that has come to matter politically, but the contrast between public pronouncements and private practice: not how many died in the end, but how many died while the wine was flowing in Downing Street. Hypocrisy is the political killer.The same is true for the SNP. Nicola Sturgeon, who once appeared caring and decisive in her nightly news conference, now seems sanctimonious and evasive, her WhatsApp messages long deleted, her personal grievances exposed. The harsh light of a public inquiry has revealed the SNP to have been as motivated by petty point-scoring and score-settling as any other self-interested political party.Politics everywhere – in whatever form – takes its toll on its practitioners. The scars accumulate, especially for longstanding administrations. Covid, initially, appeared to be something else: an unprecedented governmental challenge, requiring a new kind of skill set. But in the end, it found a way to expose the regime fatigue that had set in regardless. As Johnson and Sturgeon have discovered, long political Covid is a lonelier business than the exposure they faced in the white heat of the initial outbreak. It works its way through to latch on to personal vulnerabilities and makes them far harder to shake off.What happened to the sense of solidarity that the arrival of Covid appeared to have engendered? In the early days of the pandemic, many governments – including in the UK – were worried that people would soon tire of restrictions on their freedom of movement. Some behavioural models had indicated that widespread disobedience would become the norm after a matter of weeks. Those models turned out to be wrong. Most citizens around the world did as they were told for far longer than might have been expected.This gave rise to a hope that concerted action on an equivalent scale might be possible in other areas, too. If, in the face of a serious threat, the public was willing to act in the common interest, even if that meant making significant personal sacrifices, then perhaps other collective action problems – from mass migration to the climate crisis – might be amenable to a similar spirit of cooperation. Maybe we were more public-spirited than we had given ourselves credit for.Yet no such dividend has been delivered. On the most contentious political questions, we remain as far apart as ever. Environmental policies – particularly when tied to net zero targets – still provoke deep divisions and can stoke widespread anger. A voting public that was so furious with Johnson over breaking his own Covid rules that it effectively helped turf him out of office nonetheless elected a Tory in his Uxbridge and Ruislip constituency when the party turned the issue of the Ulez traffic levy being introduced by the mayor of London, Sadiq Khan, into a symbol of bureaucratic meddling in the affairs of local communities. Lockdown was one thing. But environmental protections are something else: readily weaponised as evidence of elite interference in ordinary people’s lives.Anti-immigrant sentiment, including among many of the older voters who most dutifully complied with Covid restrictions, continues to fuel populism around the developed world. Geert Wilders won the popular vote in last year’s Dutch general election on a platform that combined migrant-bashing with net zero scepticism. But unlike some other far-right politicians, Wilders is no Covid sceptic. He had also been one of the first Dutch politicians to complain about his country’s slow rollout of its Covid vaccination programme.View image in fullscreenWhy does Covid solidarity not translate to other areas? In part, it is the lack of any comparable sense of urgency. Net zero targets are there to stave off long-heralded but also long-distant threats of catastrophe. At its height, Covid threatened to crash public health systems in a matter of days. But there is another difference. Public support for government restrictions during Covid was about controlling collective behaviour when it threatened our personal safety. The danger was other people: keep them in to keep us safe. Climate action is so much harder to sell because it seems to represent an infringement of personal freedom for the sake of some far less immediate collective benefit. In that sense, Covid compliance has more in common with anti-immigrant sentiment. Keep them out to keep us safe.Throughout the pandemic, public opinion in the UK tended to be critical of the government for being too eager to lift restrictions rather than too keen to impose them. In a pandemic the majority of British people want other people to be told what to do, even if it means being told what to do themselves.This has not been the case everywhere. In large parts of the US, the public proved deeply resistant to the many varieties of mandated behaviour, particularly when it came to mask-wearing, which became a proxy for a whole host of other resentments and frustrations. The pandemic latched on to what unites us and what divides us. It did nothing to change the contours of those divisions.The truth is that public cooperation during Covid did not reveal civic capabilities of which we had been unaware. Publics obeyed the injunctions of democratic politicians because those politicians were already doing their best to respond to the choices of the public. Successfully observed lockdowns were as much a reflection of ongoing behaviour as they were a constraint upon it. Likewise, when lockdowns failed, it was often because political leaders, themselves pandering to perceived public opinion, failed to endorse them wholeheartedly.Covid didn’t generate the political response required to change the way we live. In most cases, it gave us the political response that we asked for.The area where Covid made the biggest immediate political difference was in public finance. Politicians suddenly found the money that was needed to stave off disaster, conjuring it up any way they could. The magic money tree turned out to exist after all. In a genuine crisis, despite everything that had been said about the insurmountable limits on public spending, there proved to be both a will and a way to surmount them.As chancellor in 2020, Sunak launched a furlough scheme that guaranteed 80% subsidies to almost everyone in employment: the closest the UK has ever come to instituting a kind of universal basic income. In the US, a rolling series of extensive relief and stimulus packages included direct cash payments to all households, mortgage relief, tax holidays and giant subsidies to businesses. As a result, people stayed in work and businesses stayed afloat, while public debt in both countries soared. At the same time, governments around the world spent heavily to support vaccine development programmes. Conventional practice in the pharmaceutical industry meant there was invariably a multi-year gap between finding a new treatment and bringing it to market. But again, these constraints turned out to be dispensable. Effective vaccines arrived within a year of the outbreak.Was this, then, the model for an alternative political future, in which vastly accelerated public spending can drive innovation while protecting citizens from disruption? Could it be the means of tackling the climate crisis?In reality, the response to Covid was less like a trial run for a new climate politics and more like the response to a war. The emergency measures were put in place for the attritional phase of the pandemic, when the threat of collapse was real. They have been steadily wound down ever since. Meanwhile, the spending on vaccine research was only a part of wider government programmes that tended to be far less efficient and highly wasteful. As in any actual war, successful weapons programmes are the exception, not the norm. Most of the money gets siphoned off by schemes that go nowhere.View image in fullscreenAs a result, the legacy of government action on Covid has been lingering dissatisfaction rather than a new sense of political possibility. The symptoms of political long Covid include public frustration with the bill that has to be paid. Part of the cause for that frustration is widespread inflation, stoked by looser public finances, which has fuelled anger with governments around the world and created electoral volatility. Javier Milei might not be president of Argentina without Covid-fuelled inflation. Donald Trump might not be making a comeback without it, either.At the same time, stories of the waste and corruption that inevitably went along with unfettered government spending continue to surface. In the UK, the face of government pandemic spending is not Kate Bingham, the head of the highly effective UK vaccines taskforce, but the Tory peer Michelle Mone, who is accused of having used a VIP fast-lane to bypass standard procurement processes and secure government contracts for a company to supply PPE worth more than £200m, much of which apparently turned out to be useless (though the company denies this). The price of sidelining politics as normal is that when politics as normal resumes, the corner-cutting doesn’t look so good.In the aftermath of the first and second world wars, when government spending among the belligerents was colossal, and waste and corruption were widespread, lasting social transformation nonetheless followed in their wake. The foundations of a new kind of welfare state were laid by the scale of wartime public investment, along with a sense that public sacrifices needed to be repaid.The pandemic has not been the same. In part, it is a question of scale. The $12bn the US federal government spent supporting vaccine research is a drop in the ocean of public spending. Even the trillions of dollars the US government made available in various forms of aid pales compared with the legacy of pre-existing programmes such as Medicare and Medicaid. The levels of US public debt in 2024 are similar as a percentage of GDP to what they were in 1945, in the immediate aftermath of second world war. But that has more to do with the long-term burdens of welfare programmes and defence spending than with the response to Covid.In a war, the young fight and give up their lives to keep the old safe, who in return pledge to make life better for the those who are being asked to make the ultimate sacrifice. It is part of what creates a sense of mutual obligation between the generations. In Covid, it was the old who lost their lives, but it was still the young who made many of the sacrifices, in lost employment and educational opportunities. That makes the tradeoff more complicated. Its legacy has not been a new intergenerational compact. If anything, political differences between the generations are wider than ever, and Covid has exacerbated them. The young have not been repaid for their sacrifice with the kinds of promises that tend to follow an actual war: better housing, greater educational access, full employment. This is in part because the price paid by the younger generation has proved far harder to quantify than the physical toll the disease took on the old. Who owes whom for what? This was a war with no obvious winners.Except, perhaps, those politicians who saw what might come next. In October 2022, as his invasion of Ukraine was stalling, Vladimir Putin told his government coordination council in Moscow that the lesson was clear: Russia needed to translate Covid urgency into military urgency. “We faced certain difficulties and the need to upgrade our work, give it a new momentum and a new character when we were responding to the coronavirus pandemic,” he said. Those lessons had to be taken forward in prosecuting the war. “We need to get rid of those archaic procedures that are preventing us from moving forward at the pace the country needs.” As a first step, Putin declared martial law in the four regions controlled by Russian forces.Covid was not an actual war, though it often felt like one. Nor was Covid a dry run for how to deal with the challenge of the climate crisis, though it occasionally felt like that too. Now we know that Covid was, for some politicians, a dry run for war itself.Covid did not fundamentally change the way we live. The French writer Michel Houellebecq, when asked what impact Covid would have on the future, said: “The same, but worse.” That is perhaps too bleak. It is not all worse. In some respects, life has returned to its previous patterns, for better and for worse. The drivers of change remain the same, even if some of them have accelerated.The pandemic dramatically accelerated some social transformations that were already under way. Working from home was something being facilitated by new technology long before 2020. The pandemic did not create hybrid working, nor did it begin the steady hollowing out of downtown office space. But it brought them forward by about a decade.Politics, too, is similar enough to what went before that it seems unlikely future historians will see 2020-21 as representing a sea-change in world affairs. The US and China are more hostile to each other than they were, though the hostility had been growing for more than a decade before 2020. The Middle East is more unstable than it was, electoral politics more fractious, authoritarians more assertive, the planet hotter, the disparities greater. This is somewhat different. But none of it is new. And there is no vaccine for political long Covid, any more than there is for the longer form of the disease itself. Its effects are too sporadic and its triggers still too poorly understood for that.But in one respect, the political consequences of Covid in 2024 might yet come to look decisive in the history of the 21st century. The politician who paid the highest electoral price for the pandemic was Donald Trump. At the start of 2020 he was well set for re-election: the US economy was relatively strong, his base was relatively happy (above all with his nominations to the supreme court), and the Democrats were unable to agree on a candidate to oppose him. Covid changed all that. Trump handled it badly – he never got his message straight – and even some of his supporters noticed. The economy suffered. The Democrats rallied behind Joe Biden, who did not have to suffer the physical stresses of a full campaign because most forms of campaigning were impossible. Trump lost, but only narrowly – without Covid he would almost certainly had won.For the many people inside and outside the US who found Trump beyond the pale, his removal from office looked like one of the few blessings of the pandemic. Yet had Trump won in 2020 he would have been, like most second-term US presidents, something of a lame duck. He had achieved little by way of serious reform in his first term: a second term would have likely been even more underwhelming, since Trump runs on resentment, which re-election would have done much to defuse. Now, in 2024, we would be looking at the back of Trump, and at a new generation of candidates, some of whom might have been offering something new.Instead, a narrow defeat in 2020 – coupled with his insistence that he had been robbed – has given Trump all the resentment he needs. It is Biden who has inherited the problems of a post-Covid world and the challenge of defending his administration from the resentments that have built up. A second Trump term coming after an interlude of four years, during which time he and his supporters have been making sure they won’t get fooled again, and his opponents have been looking for ways to have him jailed, is a far more serious prospect. The stakes are much higher. The damage could be far greater.This year is the busiest year around the world in the history of electoral democracy: more than 4 billion people are entitled to vote in elections from India to Ireland to Mexico. It is one sign that Covid, which put so many democratic freedoms on hold, did not do so permanently. But the US presidential election in November still has the potential to outweigh all that. Trump is by no means certain to win. Yet if he does, and if he decides this time to make good on his promise to change the way the US is governed, by hollowing out the administrative state and by withdrawing US support for Ukraine and for Nato, then Covid will have had a truly lasting impact on global politics. At that point, political long Covid will be hard for any of us to escape. More

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    ‘We did it in cattle’: Alabama Republicans’ bungled response to IVF patients

    On Wednesday morning, some 200 Alabama in vitro fertilization (IVF) patients, doctors and advocates descended on the Alabama state house. Wearing orange and pink shirts for infertility awareness, they carried a variety of handmade signs: “You can’t cuddle an embryo”. “I just want to be a mom”.For these people and thousands of others in the state, the last two weeks have been tumultuous.Following the Alabama supreme court’s recent ruling that frozen embryos are considered “children”, IVF clinics in the state have paused their services, leaving people who were in the process of treatment in limbo. Embryo shipping companies have also stopped servicing the state, which means that patients who want to transfer their frozen embryos out of Alabama are unable to do so.The rally concluded with some direct conversations between advocates and lawmakers. In one such interaction, the Republican state representative Ben Harrison told families that a “solution” would be to freeze the sperm and egg separately, instead of freezing embryos, likening the former procedure to a process used on cows.“My personal opinion is that we keep them apart and only bring them together for what you need and what you’re willing to implant,” Harrison said. “We did it in cattle all the time.”The interaction pointed to the disconnect between families who are undergoing the IVF process, doctors who provide IVF services and lawmakers who may not understand the intricacies of and science behind IVF, but who ultimately can decide whether or not it remains legal.Dr Mamie McLean of Alabama Fertility in Birmingham has become one of the most vocal opponents of the supreme court decision. Flanked by other doctors and IVF patients, she spoke to those attending the rally before they headed into the state house.“As an infertility physician, I am used to difficult conversations, but these last two weeks have been absolutely heartbreaking,” she said. “Due to the uncertainty posed by the supreme court ruling, we have had to cancel embryo transfers for patients who are longing and praying for a child. We call on the state of Alabama to provide immediate, complete and permanent access to IVF care for the women and families of Alabama.”Resolve, the national infertility group that helped organize the rally, provided pamphlets and advised attendees on how to speak to legislators. “What happens here today in these offices will be looked at by the rest of the country,” said Barbara Collura, the group’s president and CEO. “This potentially could be a roadmap for other states to restrict access to IVF or a roadmap for how to protect access to IVF and family building. Please use your voice.”Collura said that some desperate families were leaving the state for treatment.“You’re on these medications for weeks and they cost a lot of money. It’s not covered by insurance for most of these people,” she said of the drugs used during IVF treatment. “You can’t just stop and start up next week, plus we don’t know when this will get fixed.”‘It could end my journey’Elizabeth Goldman, who stood with McLean and other advocates during the rally, was diagnosed with Mayer-Rokitansky-Küster-Hauser syndrome when she was 14. The rare disorder means that she was born without a uterus; doctors told her she would never be able to carry her own child. When the University of Alabama launched a uterus transplant program in 2020, Goldman applied, moving with her husband from Mobile to Birmingham (near the school’s campus) in the hope of being able to have a child. After receiving the uterus transplant and undergoing several rounds of IVF treatment and transfers, Goldman was able to conceive. Her daughter, who was with her at the rally, was born in October 2023.Transplant patients are able to keep the uterus for just one or two deliveries, because of the volatility of a foreign organ, Goldman said. She estimates that she has taken about 20,000 pills since her transplant 22 months ago to keep her body from rejecting the uterus.Her medical team cleared her to carry a second child, and had planned to proceed with her transfer this March. But the supreme court decision has put that at a standstill. Goldman was on her way to a transfer appointment when she found out through a notification that her clinic had closed.“With all of the transplant meds I take, it can start to cause kidney damage and other health problems,” she said. “It’s not a life-saving transplant, but a life-giving transplant. So basically, right now I’m healthy. My kidneys are good. But if it continues to drag on, it could end my journey.”Jamie Heard and Deidra Smith drove to the rally from Birmingham hoping to speak to legislators face to face. Heard used IVF to give birth to her now two-year-old son. She had already started her cycle for a second child when the news of the supreme court’s decision broke. Her clinic cancelled her appointments in the middle of treatment.“It was heartbreaking,” Heard said. “The emotions for the past few days – I feel like I’ve been grieving a loved one, that’s how heavy my emotions have been.”Brittany Pettaway and her husband Byron, of Montgomery, currently have eight frozen embryos. She said that this was their only chance of becoming parents. They attended the rally hoping that legislators would make things go “back to literally how it was two weeks ago”.“We’re just trying to protect that right, and what should be a natural, God-given ability to do,” she said. “It’s surreal, I feel like I’m waiting for someone to say it was a joke, a really horrible emotional nightmare.”‘I don’t know what the answer is’After the rally ended, advocates queued outside to make their way into the state house to speak to legislators directly. The floors with offices for senators and representatives were full of people dressed in orange and pink.Outside one office, a group of families engaged the Alabama state auditor, Andrew Sorrell, in a conversation about their struggles. As auditor, Sorrell reports the state’s receipts, claims and payments, taxes and revenues to the governor.“I don’t know exactly what the answer is, but we’ve got to find some way to protect the IVF industry while also maintaining our pro-life stance,” he said.Sorrell suggested women only make as many embryos as they want to use. The advocates explained “the numbers game”, in which a family may produce dozens of eggs, but ultimately only have one or two viable, healthy embryos. Sorrell also suggested the state pay to make it easier for people to adopt frozen embryos.Following the near immediate backlash to the court’s decision, Republicans across the country initially were mum on the issue. But as clinics across Alabama began to close, they turned heel, speaking out in support of IVF. Alabama’s attorney general promised not to prosecute IVF clinics or patients, while the former president Trump also spoke in support of the procedure. On Wednesday, several bills that would preserve IVF moved forward in the Alabama legislature. One bill, which will progress to the Alabama senate after it received a vote of 94-6 on Thursday, would protect clinics from lawsuits.But there is no comprehensive solution to preserving IVF in the state and, in the meantime, patients and families, even those mid-treatment, are left waiting. More

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    Newsom launches abortion ads in Republican states to fight ‘war on women’

    California’s governor, Gavin Newsom, is launching a series of new advertisements in Republican states targeting Republican efforts to criminalize having an abortion and “a war on travel” for reproductive care.The first advertisement by Campaign for Democracy, Newsom’s political action committee (Pac), will air this week in Tennessee, where lawmakers are considering legislation that would make it illegal for anyone who helps a minor obtain an abortion without permission from their parents. Anyone found guilty of the offense could face between three and 15 years in prison.Newsom’s ad opens with a young woman handcuffed to a hospital bed as she cries out for help. “Trump Republicans want to criminalize young women who travel to receive the reproductive care they need,” a voiceover says. “Don’t let them hold Tennessee women hostage.”Newsom unveiled the ad on NBC News’s Meet the Press on Sunday. The Pac plans to air them in other states like Alabama, Mississippi and Oklahoma that are considering similar measures.“I worry about the United States supreme court, that again, set the tone and tenor for the debate we’re having today. And again, it’s not just a war on travel. It’s not just a war on reproductive healthcare. It’s also a war on women more broadly defined, including as we know, contraceptives,” Newsom said on Sunday.Trump has reportedly expressed private support for an abortion ban after 16-weeks of pregnancy, according to the New York Times. “Know what I like about 16?” Trump told one of these people, who was given anonymity to describe a private conversation. “It’s even. It’s four months,” he has said, according to the times.Newsom was skeptical Trump would stick to 16 weeks. “He supports a national ban. And if you’re Lindsey Graham and others, they’re going to bring that down well below 16. He will sign a national ban,” he said on Meet the Press.Republicans this week have been scrambling to articulate a position on IVF after a ruling from the Alabama supreme court said that frozen embryos are children. At least three clinics in the state have stopped providing IVF services.Trump on Friday said he supports IVF and urged Alabama Republicans to “act quickly to find an immediate solution to preserve” it. The National Republican Senate Committee, the campaign arm of senate Republicans, has also urged GOP candidates to support IVF.The Texas governor, Greg Abbott, a Republican who leads a state where abortion is essentially banned and has implemented some of the nation’s harshest anti-abortion laws, also treaded carefully when he was asked on Sunday how Texas would respond to the Alabama ruling.“President Trump put out a statement on this and I think that is a goal that we all kind of want to achieve. That is, we want to make it easier for people to have babies, not make it harder,” he said during an appearance on CNN’s State of the Union. “The IVF process is a way of giving life to even more babies.”Byron Donalds, a Florida Republican who is an ally of Trump, said on Sunday he could support a bill with national protections for IVF.“Like any type of bill that gets drafted on Capitol Hill, I want to see the devil in the details. But, yes, I could – I feel I could broadly support that. Because, like I said, IVF is something that is so critical to a lot of couples. It helps them breed great families. Our country needs that,” he said on Meet The Press. More

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    Anti-abortion centers raked in $1.4bn in year Roe fell, including federal money

    Anti-abortion facilities raked in at least $1.4bn in revenue in the 2022 fiscal year, the year Roe v Wade fell – a staggering haul that includes at least $344m in government money, according to a memo analyzing the centers’ tax documents that was compiled by a pro-abortion rights group and shared exclusively with the Guardian.These facilities, frequently known as anti-abortion pregnancy centers or crisis pregnancy centers, aim to convince people to keep their pregnancies. But in the aftermath of Roe’s demise, the anti-abortion movement has framed anti-abortion pregnancy centers as a key source of aid for desperate women who have lost the legal right to end their pregnancies and been left with little choice but to give birth.Accordingly, abortion opponents say, the centers need an influx of government cash.“Those are the centers that states rely on to assist expecting moms and dads,” Mike Johnson, the speaker of the US House of Representatives, told anti-abortion protesters at the March for Life in January. The Louisiana Republican praised the centers for providing “the important material support that expecting and first-time mothers get from these centers”.Earlier this year, under Johnson’s leadership, the House passed a bill that would block the Department of Health and Human Services from restricting funding for anti-abortion pregnancy centers. State governments are also in the midst of sending vast sums of taxpayer dollars to programs that support anti-abortion pregnancy centers. Since the demolition of Roe, at least 16 states have agreed to send more than $250m towards “alternative to abortion” programs in 2023 through 2025. Those programs funnel money towards anti-abortion pregnancy centers, maternity homes and assorted other initiatives meant to dissuade people from abortions.Still, abortion rights supporters say, much of the anti-abortion pregnancy center industry remains shrouded in mystery – including their finances.“Stewards of both taxpayer and charitable funds should insist on a real impact analysis of the industry, whether investments that are being made are achieving their desired outcomes and are cost-effective,” said Jenifer McKenna, the crisis pregnancy center program director at Reproductive Health and Freedom Watch, the group behind the analysis of tax documents. “Taxpayers deserve performance standards and hard metrics for use of their dollars on these centers.”The analysis by Reproductive Health and Freedom Watch examined 990 tax documents, which most US tax-exempt organizations must file annually, from 1,719 anti-abortion pregnancy centers in fiscal year 2019 and from 1,469 in fiscal year 2022. The analysis confirms that the anti-abortion pregnancy center industry is growing: while the centers’ revenue in 2022 exceeds $1.4bn, it was closer to $1.03bn in 2019, even though more centers were included in the earlier analysis.Centers reported receiving hundreds of millions of dollars in donations from private funders between 2018 and 2022. While only a relatively small fraction of the centers reported receiving grants from state and federal governments in both 2022 and 2019, that number is on the rise, according to the Reproductive Health and Freedom Watch analysis memo. In 2022, the centers said they received $344m in such grants, but they received less than $97m in 2019.Just 21 centers identified the federal grants that they received in 2022, the analysis found. Those grants included the Fema-funded Emergency Food and Shelter Program, which is primarily meant for organizations that alleviate hunger and homelessness, and the Temporary Assistance for Needy Families, a program for low-income families.This accounting does not represent the full financial picture of the anti-abortion pregnancy center industry. More than 2,500 anti-abortion pregnancy centers are believed to dot the United States – a number that far outstrips the number of abortion clinics in the country.‘What did they do with all that money?’Much of the modern, publicly available information on anti-abortion pregnancy centers comes from one of their biggest cheerleaders: the Charlotte Lozier Institute, which assembles reports on the industry and operates as an arm of Susan B Anthony Pro-Life America, one of the top anti-abortion organizations in the United States.In 2019, the Charlotte Lozier Institute said that 2,700 anti-abortion pregnancy centers provided consulting services to 967,251 new clients on-site. In 2022, the Institute said 2,750 centers provided consulting services for 974,965 new clients – an increase of 0.08%.Even though the US supreme court overturned Roe at the halfway point of 2022, it did not appear to result in a crush of new clients – despite anti-abortion advocates’ argument that the pregnancy centers need an infusion of funding to handle post-Roe clients.“The new client numbers alone don’t fully tell the story,” a bevy of Charlotte Lozier Institute scholars – Moira Gaul, Jeanneane Maxon and Michael J New – said in an email to the Guardian, adding that anti-abortion centers and groups have seen an increase in violence following the fall of Roe. (The abortion clinics that remain post-Roe have also faced rising violence. That has not stoppered the demand for their services, as rates of abortions have risen since Roe’s demise.)Anti-abortion pregnancy centers are seeing a dramatic rise in calls for certain kinds of help. Data from the Charlotte Lozier Institute reports show that centers handed out 64% more diapers, 52% more baby clothing and 43% more wipes in 2022, compared to 2019. Demand for new car seats and strollers also increased by about a third.All of these items would presumably go to new parents. The fall of Roe led to an estimated 32,000 more births, particularly among young women and women of color, a 2023 analysis found.The total dollar value of these goods and services was about $358m, according to the Charlotte Lozier Institute report. Reproductive Health and Freedom Watch found that the roughly 1,500 centers included in the group’s 2022 analysis reported expenses of more than $1.2bn on their 990 tax documents.“They took in – according to the 990s – $1.4bn, and they spent $1.2bn on expenditures,” McKenna said. “What did they do with all that money? There’s so many questions begged by their own reporting.”The Charlotte Lozier scholars said there were other expenses not listed in the report, such as maternity clothing, property-related payments, fundraising, marketing and staff salaries. Data from their report indicates that, between 2019 and 2022, the number of volunteers who work at the centers fell while the number of paid staffers rose. (Volunteers still make up the overwhelming bulk of the workforce.)“Most non-profits prefer to use staff when possible. Centers are attracting more professionals that desire to help women,” the scholars said. “Many centers are now in a place where they can pay them so they are less reliant on volunteers.”The institute’s report on anti-abortion pregnancy centers in 2022 is a very different document to the reports that it released to cover the centers in 2019 and 2017. The earlier reports span dozens of pages; the 2022 report is only four. A longer report is now in the works, the Charlotte Lozier scholars said, which will include information about government funding of centers.A lack of regulationAlthough anti-abortion pregnancy centers may appear to be local mom-and-pop organizations, in reality many are affiliated with national organizations like NIFLA, Care Net and Heartbeat International. These centers thrive in a kind of regulatory dead zone, providing medical services like ultrasounds. But many are not licensed as medical facilities, leaving them unencumbered by the rules or oversight imposed on typical medical providers.“They are changing their names a lot and changing their names in ways like including ‘clinic’ or ‘medical’ or ‘healthcare’ into their names and dropping things like ‘Care Net’ and other types of wording that might instantly identify them as a CPC,” said Andrea Swartzendruber, an associate professor at the University of Georgia College of Public Health who tracks anti-abortion pregnancy centers.These centers, she said, are “changing their names in ways that make them seem more like medical clinics”.The Charlotte Lozier Institute scholars said “calls for governmental regulation are nothing new” post-Roe and that “such efforts have been ongoing for decades”.“They have been found to be politically motivated and have been largely unsuccessful,” the scholars said. “Abortion facilities are in need of far greater government regulation.”Anti-abortion pregnancy centers’ taxes can also be deeply intricate. The analysis by Reproductive Health and Freedom Watch found that the centers used a variety of tax codes to describe themselves, frequently describing themselves as organizations that provide “family services” or “reproductive healthcare”. They were sometimes listed as organizations that work to outlaw abortions, or as explicitly Christian, religious organizations.The National Committee for Responsive Philanthropy, a charity watchdog group, has previously found that many centers share tax identification numbers with much larger organizations that do multiple kinds of charity work, such as non-profits run by Catholic dioceses. By sharing numbers, these organizations are effectively collapsed into one legal and tax entity, the committee said.The Charlotte Lozier Institute scholars told the Guardian that “this is not our understanding at all”. NIFLA, Care Net and Heartbeat International do not share tax identification numbers with affiliated centers, they said.Just because these particular groups do not share tax identification numbers does not preclude centers from sharing them with other organizations. For example, Care Net is affiliated with a string of Florida pregnancy centers – which, rather than sharing Care Net’s tax ID, are instead listed on tax documents for a wide-ranging charity run by a local Catholic diocese.Anti-abortion pregnancy centers tend to be faith-based. Given the industry’s religious bent, courts have proven reluctant to restrict centers in order to avoid treading on their free speech rights.In 2018, the US supreme court ruled to toss a California law that would have forced centers to disclose whether they were a licensed medical provider. Then, last year, a federal judge in Colorado paused a law that would have banned “abortion reversal”, an unproven drug protocol that aims to halt abortions and is often offered by anti-abortion pregnancy centers. (The first randomized, controlled clinical study to try to study the “reversal” protocol’s effectiveness suddenly stopped in 2019, after three of its participants went to the hospital hemorrhaging blood.)“More regulation could lead to better reporting, which would also then help with reducing all of these risks,” said Teneille Brown, a University of Utah College of Law professor who studies anti-abortion pregnancy centers. “Then the consumers could get some sense of like, ‘Oh, this clinic has had a bunch of violations,’ and if there were regulation, they could actually even shut them down.” More

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    ‘They hate God’: US anti-abortion activists aim to fight back on 51st Roe anniversary

    Within the subterranean levels of a fancy hotel in downtown Washington, just a few days before the 51st anniversary of Roe v Wade, the anti-abortion movement was trying to mount a comeback.Kevin Roberts stood on stage in a cavernous ballroom aglow with neon shades of blue, purple and pink. As president of the Heritage Foundation, Roberts leads one of the main thinktanks behind recent conservative attacks on abortion. And he is not happy with how things are going.“We meet today amid a pro-abortion media narrative of smug triumphalism,” Roberts told hundreds of young abortion foes, who had gathered in the ballroom from across the country to hear him and other anti-abortion leaders speak.“You’ve heard the story. Less than two years after the supreme court overturned Roe, the abortion-industrial complex is celebrating an unprecedented political winning streak. Across the country, pro-life bills have failed. Abortion referenda have passed. Democrat leaders are crowing while too many Republican leaders are cowering from the fight.”Roberts was speaking at the annual National Pro-Life Summit, a one-day organizing camp for high school- and college-aged anti-abortion activists. This year, the summit faced a monumental task: organizers and attendees alike hoped to reinvigorate a movement that, 18 months ago, soared to the height of its power with the overturning of Roe – and then, in the months that followed, has repeatedly crashed-landed back on earth.Since Roe’s demise, seven states have voted on abortion-related ballot referendums. In each case, voters have decisively moved to protect abortion rights, even in ruby-red states like Kentucky, Kansas and Montana.The stakes are even higher in 2024. Not only are roughly a dozen more states gearing up to potentially vote on abortion-related referendums, but the future of the White House is on the line. If abortion hurts Republicans the election – as it’s widely thought to have done in the 2022 midterms – anti-abortion activists may see the GOP brand their movement as ballot-box poison.The National Pro-Life Summit is generally a peek into what the anti-abortion movement is telling itself about itself – and at present, it is not happy with Republicans. For years, the anti-abortion movement has corralled voters for Republicans. On Saturday, they repeatedly condemned the GOP for failing to adequately support their cause.The last Republican president appointed the justices who overturned Roe, while red states have enacted more than a dozen near-total abortion bans since the ruling fell. But many Republicans have begun to back away from the issue. Before the 2022 elections, several quietly downplayed their stances, while dozens of House Republicans have delayed signing onto a bill to nationally ban abortions.“Our friends in the Republican party need to touch some grass,” said Kristan Hawkins, the president of Students for Life of America, the organization behind the summit. “Those who say now that we shouldn’t be talking, that Republican candidates, those seeking for office, should hide from the abortion issue – they continue to be wrong. We won’t win if we put our head in the sand.”Democrats are already attempting to use Roe’s impact on doctors to win votes, as Joe Biden’s re-election campaign has launched a blitz of events and ads timed to the Roe anniversary on Monday. Vice-President Kamala Harris will kick off a tour devoting to spotlighting abortion access, while Biden will assemble a meeting of his reproductive health taskforce.His administration has also announced plans to expand access to contraception under the Affordable Care Act as well as an initiative to spread information about a law that, the administration says, guarantees Americans’ legal rights to emergency abortions, even in states that ban the procedure.A thin lineThe mood on Saturday wasn’t totally dour.Attendees could buy baseball caps that read “I’m just out here saving babies,” sweatshirts that bore an image of a newspaper front page that proclaimed “ROE REVERSED”, as well as red hats adorned with the words “Make America Pro-Life Again” in the unmistakable style of Trump’s Maga hats. Young people excitedly posed for group photos in front of a backdrop that read, “EQUAL RIGHTS FOR THE PREBORN!” An illustrated fetus was curled up in one corner.Yet, in speech after speech, activists told young people that they were the victims of vast forces arrayed against them. They accused abortion rights supporters of spreading misinformation about ballot referendums and said they were simply outspent by the opposition. In Ohio, abortion rights supporters reported receiving about three times as much money as a coalition that opposed abortion rights.“These people love chaos. That is the left. The left is inherently chaotic at its core,” said Will Witt, a conservative influencer who, like Roberts, spoke at the morning address to all attendees.After quoting from the Bible in an effort to demonstrate that God originated order, Witt continued: “This is why the left, this is why these pro-choicers, this is why they hate God. Because God represents order in the world, whereas they love chaos.”The summit speakers were attempting to walk a fine line. At the same time that they were attempting to convince attendees that they were the victims of a world turned against them, they also had to make the case that opposition to abortion is a majority view – and one issue that can get Republicans elected.“Our opinion on this issue, the issue, is not outside of the mainstream, no matter how many times ABC wants to try to tell me it is,” Hawkins told attendees at a workshop dedicated to understanding what went wrong with the abortion referendums. Most millennials and members of Gen Z, she added, “want some sorts of limits on abortion”.Polling on abortion is complex, since respondents’ answers can vary widely depending on how a question is asked or how much context is provided. Most Americans believe that abortion should be restricted after the first trimester of pregnancy, according to polling from Gallup. However, over the last two decades, more and more people have become open to keeping abortion legal later into pregnancy. Republicans in Virginia failed to take control of the state legislature last year after they ran on a promise of banning abortion past 15 weeks of pregnancy.Gallup has also found that, since 2020, more Americans identify as “pro-choice” than “pro-life”. More people have started to call themselves “pro-choice” since the US supreme court overturned Roe in 2022.Hawkins is not in favor of only “some sorts of limits on abortion”.“I want to see no abortions be legal, ever,” she said in an interview. She rejected the notion that abortions performed to save women’s lives qualify as abortions. “When you’re looking at a case where a woman’s life is at risk, where the physician believes that she can no longer safely carry her child in her womb, or she may lose her life – we wouldn’t consider that an abortion unless the abortionist goes in with the intention to killing the child.”Instead, she said, it’s a “maternal-fetal separation”.Hawkins’ point was an effort to contend with a phenomenon that has been particularly damaging for the movement: stories from women who have sued after they said they were denied medically necessary abortions.Every state with an abortion ban has some kind of exception for cases of medical emergencies, but doctors in those states have widely said that the exceptions are so vague as to be unworkable. In a recent study of 54 OB-GYNs in states with post-Roe abortion restrictions, more than 90% said that the law prevented them from adhering to the best clinical standards of care.‘You vote pro-life’Last year, when the National Pro-Life Summit held a straw poll asking attendees about their preferred 2024 president candidate, Ron DeSantis won. This year, with DeSantis a day away from dropping out of the presidential primary, Hawkins cheerfully proclaimed the latest straw poll victor: Donald Trump.As much as their leaders may lock heads with Republicans or Trump – who has suggested that hardline abortion stances hurt Republicans – they are ultimately unlikely to withhold votes from the GOP. Even Trump’s former vice-president, Mike Pence, who was a target of the January 6 riot and who spoke at the summit, indicated that people need to simply get on with it.“That’s why we have primaries. We sort ’em out at every level. But after the primary’s over, you vote pro-life,” Pence said. “You go get behind men and women who are going to stand for the right to life.”A booth for the Heritage Foundation was emblazoned with logos for its “Project 2025”, which includes a playbook for the next conservative president. It recommends that the US government stop funding or promoting abortion in international programs, turbocharge the government’s existing “surveillance” efforts to collect data about abortion, and enforce the 19th-century Comstock Act to ban the mailing of abortion pills. That would effectively result in the removal of abortion pills from the market, which Hawkins said is a policy goal of hers.“If Donald Trump would be elected again, the people he would appoint to his presidential administration would not be abortion activists,” Hawkins said in an interview. “Hands down, that’s a guarantee. And they’re going to be coming to Washington to protect the people and the people includes the pre-born children.” More

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    Biden abortion ad marks campaign shift to emphasize reproductive rights

    The Biden re-election campaign rolled out a new campaign ad Sunday, signaling a shift in emphasis to reproductive rights that the White House hopes will carry and define Democrats through the 2024 election cycle.The campaign ad, titled Forced, is designed to tie Donald Trump directly to the abortion issue almost 18 months after his nominees to the supreme court helped to overturn a constitutional right to abortion enshrined in Roe v Wade, which would have turned 51 this week.Dr Austin Dennard, a Texas OB-GYN and mother of three tells the camera her story about traveling out of her state to terminate her pregnancy after learning her fetus had a fatal condition, calling her situation “every woman’s worst nightmare”.In Texas, she said, her choice “was completely taken away and that’s because of Donald Trump overturning Roe v Wade”.The launch of the ad comes as anti-abortion activists descended on Washington DC this weekend. One event, the National Pro-Life Summit, activists came to celebrate anti-abortion activism in the US. At another, the March for Life, marchers called for advocacy against abortion rights.Vice-President Kamala Harris is now being placed to the forefront of the administration’s messaging on reproductive rights, a position Biden has said he is not “big on” because of his Catholic faith, though he believes the landmark 1973 decision “got it right”.On Monday, Harris will embark on a nationwide tour to focus attention on the administration’s efforts to protect the right of women to choose. Her tour will start in Wisconsin, where abortion rights propelled a Democratic victory in a key state supreme court election.A statement from Harris’s office said the vice-president will “highlight the harm caused by extreme abortion bans and share stories of those who have been impacted in Wisconsin and across the country”.“She will also hold extremists accountable for proposing a national abortion ban, call on Congress to restore the protections of Roe, and outline steps the Administration is taking to protect access to health care,” the statement added.Democrats this year are hoping to emphasize that a second Trump presidency would establish new personal health restrictions.“Donald Trump is the reason that more than 1 in 3 American women of reproductive age don’t have the freedom to make their own health care decisions. Now, he and MAGA Republicans are running to go even further if they retake the White House,” Julie Chavez Rodriguez, Biden-Harris 2024 campaign manager, said in a statement to The Hill.On Sunday, the Michigan governor, Gretchen Whitmer, told CBS Face the Nation that “it would be good” if Biden talked about abortion more than he does. “I know that one tenet of his belief system is that women and only women with their families and healthcare professionals are the one who know what decision is right for them.”Asked if the president needs to take up that message more forcefully, Whitmer said: “I don’t think it would hurt. I think people want to know that this is president that is fighting … but maybe to use more blunt language would be helpful.” More

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    Why are there so few Black sperm donors in the US? – podcast

    When Angela Stepancic decided to have a baby with her wife, the couple were full of hope. Her partner was keen to carry their child, so the pair began looking for potential sperm donors to help them conceive. But they soon hit a problem: at the four main cryobanks in the US, there were only a dozen Black sperm donors. The reporter and assistant professor of journalism Lisa Armstrong explains to Hannah Moore that Black women in the US are twice as likely to face infertility, and half as likely to seek help for it. The lack of donors is one more barrier Black people can face when trying to start a family. There is too little research into the reasons for the shortage, explains Armstrong, but a complicated application system and invasive questioning are thought to be part of the problem, as well as a history of systematic racism. In the end, says Stepancic, she was so frustrated by the lack of black donors and the industry’s lacklustre attempts to combat it that she set up her own cryobank for Black, Brown and Indigenous people. She realised, she says, that ‘we need to do this for ourselves’. More