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      in UK Politics

      NHS dentistry facing ‘existential crisis’ with more practices going private amid tax hike

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      Your support helps us to tell the storyFrom reproductive rights to climate change to Big Tech, The Independent is on the ground when the story is developing. Whether it’s investigating the financials of Elon Musk’s pro-Trump PAC or producing our latest documentary, ‘The A Word’, which shines a light on the American women fighting for reproductive rights, we know how important it is to parse out the facts from the messaging.At such a critical moment in US history, we need reporters on the ground. Your donation allows us to keep sending journalists to speak to both sides of the story.The Independent is trusted by Americans across the entire political spectrum. And unlike many other quality news outlets, we choose not to lock Americans out of our reporting and analysis with paywalls. We believe quality journalism should be available to everyone, paid for by those who can afford it.Your support makes all the difference.Read moreEngland’s dentists warn that without a serious increase in government funding and an overhaul of contracts, NHS dentistry could cease to exist when the April tax hike forcing more practices to go private to make ends meet.Shiv Pabary, chair of the British Dental Association’s General Dental Practice Committee, said: “The future of NHS dentistry is in [Chancellor] Rachel Reeves’s hands”.Dr Pabary said dentists have been struggling for years to and cover rapidly rising costs with no substantial increase to NHS funding, and April’s increase to National Insurance contributions could force many more dentists to abandon NHS dentistry altogether.“It’s going to be horrendous for many practices,” he said. “And it’s a political choice, it really is, if they want NHS dentistry to exist. Because genuinely, I’ve been in this for 40 years, I think it faces an existential crisis.”It comes as the Liberal Democrats urged the government to exempt the health and social care sector from the National Insurance contribution increase coming in April, saying pharmacists, dentists and other health and care providers will face a combined £3 billion tax hike in the next financial year.The number of dentists providing NHS services is falling More

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      in US Politics

      The daylight savings debate misses the point: let’s make work hours flexible | Lynne Peeples

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      In a week, we will spring forward to daylight saving time. Donald Trump, Elon Musk and Vivek Ramaswamy all recently shared their desires to end the biannual flip-flopping of our clocks. The Republican senator Rick Scott recently reintroduced the Sunshine Protection Act, which would lock our clocks on daylight saving time. Scientists, meanwhile, urge us to adopt the opposite: permanent standard time.The DST debate is heating back up. But all this chatter is, once again, largely missing the point–an omission particularly glaring for an administration that claims to be seeking greater efficiency.The time displayed on our walls and wrists carries only the meaning we attach. If we want to rein in our nation’s spending, if we want to make America healthy again, then we should turn attention to our inner clocks. For starters, we should nudge companies and schools to relax or revise rigid schedules – rather than, for example, reverting to pre-pandemic in-office requirements.We are all born with inner clocks, better known as our circadian rhythms. These biological drumbeats sync with our planet’s patterns to drive our bodies to do the right things at the right times: fall asleep, digest food, and fight pathogens, to name a few vital functions. But our internal timekeepers don’t all tick the same. Your 7am might be my 2pm.The upshot: a lot of money could be saved, and illness avoided, if we dropped the traditional one-schedule-fits-all that gives the clock-on-the-wall so much sway.More circadian-friendly schedules mean more people can wake, work, and learn in closer alignment with their inner clocks. They get more sleep. They take fewer sick days. This is especially true for night owls, whose circadian rhythms are most incongruous with the long-established early bird-biased schedules. Sleep loss alone is estimated to cost the US economy upwards of $400bn a year due to absenteeism, accidents, and reduced productivity. That’s around 1.5% of the country’s GDP – and far more than the approximately 1% of the GDP that pays the salaries of all federal civilian employees, whose jobs have been under attack.Impacts on sleep and sickness aside, it also pays to allow people to work or study during their peak hours of productivity and performance. Alertness, cognition, and learning fluctuate across the day. So does our ability to think critically, communicate effectively, and act morally. Risks of costly lapses of attention and reaction ride these waves, too. And, again, the ebbs and flows are unique for every person.A business’s market value is now about 90 percent intangible – tied to assets like IP, relationships and reputation. In other words, companies are investing primarily in employees’ brainpower. A few have begun optimizing those investments by taking advantage of our biological diversity.Magne Skram Hegerberg, secretary general for the Norwegian Association of Lawyers, told me he uses a curious tool to utilize peak brainpower: an army of plush frogs. During their personal power hours, employees will place one of these brightly colored plush animals on their desk or the door to their office. This signals others to “frog off”. Starting times among his workers also now range from 6.30am to 2.30pm. Meetings are held midday, when early birds and night owls overlap. After making these changes, he said, productivity in some areas doubled and, more broadly, innovation, creativity, and problem-solving improved.View image in fullscreenCamilla Kring, founder of the Copenhagen-based B-Society, has advised Hegerberg and other companies including medical giants Medtronic and AbbVie. She has watched job satisfaction rise and sick days plummet. Her end goal, she said, is to create a “new time architecture” that helps everyone better live by their inner clocks. And that includes B-persons, her term for night owls, an often-stigmatized club to which Trump and Musk belong. “You are born with this rhythm,” said Kring. “It’s not something you choose.”Among the few good things to come out of the Covid pandemic was a glimpse into a more sun-synced life. Some studies found that people, especially night owls, tended to get more sleep and maintain healthier circadian rhythms as school and work schedules were relaxed. But much of that greater flexibility is now being reversed. The Trump administration has issued an executive order to end remote work for federal workers, a mandate pushed by Musk, who enforces strict in-office policies at Tesla, SpaceX, and X. Amazon, too, made the move in January. JP Morgan and Dell plan to do the same in March. Emerging policies that restrict where an employee works also tend to define when. And that can result in wasted resources.Sure, there are benefits to having employees in the office. It can reduce loneliness, encourage teamwork, and inspire creativity. But workplaces can still foster flexibility. Business leaders can spread out work hours and schedule meetings, lunches, and other events for the middle of the day. Those gatherings would probably be more pleasant and productive, anyway, with fewer sleep-deprived and circadian-disrupted participants. And who wouldn’t also appreciate a means to stem the recent rebound in traffic congestion?Some secondary schools in Europe similarly offer students the choice of earlier or later electives while concentrating core subjects to midday periods. And a growing number of middle and high schools in the US have delayed their first bell, acknowledging that traditionally early start times are biologically backwards. Rhythms don’t just vary between us; they also change within us, drifting significantly later during adolescence. But overall progress remains slow.The consequences of permanent DST would disproportionately impact teens and other night owls. When required to arrive at a strict time for work or school, DST effectively forces them up an hour earlier than their already-late preference. The later sunrise also means they get less of the morning light that their rhythms rely on to avoid drifting even later. Some early birds, on the other hand, might appreciate the additional evening light with DST. It can nudge their bodies to postpone pumping out melatonin and let them enjoy a night out with friends.But rather than arguing over whether or how to lock the clock, a more efficient use of regulatory resources is to steer society away from strict schedules, as well as non-essential shift work and illogically drawn time zones. (For the record, there is still one wrong answer: Permanent DST would steal an hour of morning light and tack it onto the evening, further blurring the day-night contrast our inner clocks crave.)Neither Trump nor Musk appear conscious of the value and vulnerability of their inner clocks. Trump regularly posts on social media in the early hours of the morning; Musk wore sunglasses throughout last week’s CPAC conference. Still, it is in their power to help themselves and the American people better live and work with–rather than against–their inner clocks, regardless of whether the clock on the wall reads DST or standard time. It is a matter of efficiency that they would be foolish not to embrace.

      Lynne Peeples is a science journalist and author of the new book The Inner Clock: Living in Sync with Our Circadian Rhythms More

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      in US Politics

      Medicaid recipients fear ‘buzzsaw cuts’ for Trump’s agenda: ‘We’re not going to be alive forever’

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      At the age of 62, Marya Parral knows that her, and her husband’s, years of being able to care for their two developmentally disabled sons are numbered, and so they have done everything they can to ensure their children can continue to live independently.For their oldest, Ian, that’s meant placing him in a program on an organic farm that caters to people diagnosed with autism. For Joey, their youngest, who has both autism and Down syndrome, Parral has found a caregiver who can help him deliver newspapers and run errands around their community of Ocean City, New Jersey.Parral said none of this would be affordable without help from Medicaid, the federal government’s insurance program for poor and disabled Americans. But this week, the Republican-controlled House of Representatives approved a budget framework that would make deep cuts to the program, and Parral worries her sons will lose what she has worked so hard to build.“We’re not going to be alive forever. We’re trying to set up a life for them, but that entire life that we’re working so hard to set up for them is dependent on Medicaid,” Parral said. “So it’s really devastating to think about cuts.”Producing a budget is the first step in the Republican-controlled Congress’s drive to enact legislation that will pay for Donald Trump’s priorities. House lawmakers will now spend weeks working to write and pass a bill that is expected to approve $4.5tn in extended tax cuts, as well as funding for Trump’s plan for mass deportations of undocumented immigrants.To pay for it, Republicans are considering a rollback of the federal social safety net, particularly Medicaid, which has nearly 80 million enrollees in all 50 states. The budget plan proposes an $880bn reduction in funding for the insurance over the next 10 years, an amount that experts warn would hollow out the program and have ripple effects across the entire American healthcare system.Megan Cole Brahim, a professor at Boston University School of Public Health and an expert on Medicaid, said the cut was the largest ever proposed, and if enacted would “have far-reaching impacts not just for those who rely on Medicaid, but for entire communities and economies”.“These changes mean millions of Americans – including the low-income, elderly, persons with disabilities, children – will lose health insurance coverage,” she said. “Others may see significant reductions in benefits or limited access to care. The impact on hospitals and health systems will be significant, particularly for safety-net and rural hospitals, which are already on the brink of closure. Patient revenues will fall, uncompensated care will rise. There will be staff layoffs and site closures.”John Driscoll, a healthcare executive and chair of the board of UConn Health in Connecticut, said: “The scale of the buzzsaw cuts to Medicaid would undermine every hospital’s ability to actually support its mission to care for the community, and would be a dangerous cut to the nursing-home infrastructure in the country.”Republican leaders backed the cuts to Medicaid, as well as to similar programs such as one that helps poor Americans afford food, as a way to mollify lawmakers in their party who want the US’s large budget deficit addressed. Still, not everyone is pleased. As the budget was being debated, eight Republican representatives, some of whom Democrats are keen to unseat in next year’s midterm elections, wrote to the House speaker, Mike Johnson, warning that their districts’ large Hispanic populations would be harmed.“Slashing Medicaid would have serious consequences, particularly in rural and predominantly Hispanic communities where hospitals and nursing homes are already struggling to keep their doors open,” they said.All eight ultimately voted for the resolution, but the dissent may be a warning sign for the budget’s prospects of enactment, particularly in the House, where the GOP has a mere three-seat majority. It also remains unclear whether Republicans will try to pass all of Trump’s priorities in one bill, or split them into two.The GOP has made clear they want to fully pay for the extension of Trump’s tax cuts, and Elyssa Schmier, vice-president of government relations for advocacy group MomsRising, said Medicaid and social safety programs are the party’s prime targets for cost savings.“If you’re not going to go after, say, the Pentagon budget, if they’re only going to go to some of these big mandatory spending programs, there’s only so many places that Republicans feel that they can go,” she said.In the days since the budget’s approval, Johnson and Trump have scrambled to downplay the possibility of slashing Medicaid, insisting they intend only to root out “fraud, waste and abuse.”“The president said over and over and over: ‘We’re not going to touch social security, Medicare or Medicaid.’ We’ve made the same commitment,” Johnson told CNN in an interview.Democrats have little leverage to stop the budget, which can be passed with simple majorities in both chambers. But the Democratic senator Ruben Gallego warned that gutting the social safety net to extend tax cuts that have mostly benefited the rich will alienate voters who sided with the GOP last November.“It will be on Donald Trump and Republicans, the fact that he’s going to side with the ultra-rich versus the working poor,” said Gallego, who won election to his seat in Arizona even as Trump captured the state’s electoral votes. “Families that are barely making a living, scratching a living, they’re now going to get kicked off healthcare to give tax cuts to the mega-rich.”The proposed cut to Medicaid would remove billions of dollars in funding from congressional districts nationwide that are represented by lawmakers from both parties, according to an analysis by the liberal Center for American Progress.In California’s San Joaquin valley, the Democratic representative Jim Costa’s district would lose the third-largest amount of funding, according to the data, and Medicaid coverage would be imperiled for more than 450,000 residents.“This reckless budget prioritizes the wealthy while devastating those who need help the most,” Costa said. “I voted no because this resolution is bad for our valley and a threat to the wellbeing of the people I represent.” More

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      in US Politics

      Trump cuts reach FDA workers focused on food safety and medical devices

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      The Trump administration’s effort to slash the size of the federal workforce reached the Food and Drug Administration this weekend, as recently hired employees who review the safety of food ingredients, medical devices and other products were fired.Probationary employees across the FDA received notices on Saturday evening that their jobs were being eliminated, according to three FDA staffers who spoke to the Associated Press on condition of anonymity because they were not authorized to speak publicly.The total number of positions eliminated was not clear on Sunday, but the firings appeared to focus on employees in the agency’s centers for food, medical devices and tobacco products – which includes oversight of electronic cigarettes. It was not clear whether FDA employees who review drugs were exempted.On Friday, the US Department of Health and Human Services announced plans to fire 5,200 probationary employees across its agencies, which include the National Institutes of Health, the FDA and the Centers for Disease Control and Prevention.People who spoke with the AP on condition of anonymity on Friday said the number of probationary employees to be laid off at the CDC would total nearly 1,300. But as of early Sunday afternoon, about 700 people had received notices, according to three people who spoke on condition on anonymity because they were not authorized to speak publicly. They said none of the CDC layoffs affected the doctors and researchers who track diseases in what’s known as the Epidemic Intelligence Service.The FDA is headquartered in the Maryland suburbs outside Washington DC and employs nearly 20,000 people. It’s long been a target of newly sworn-in health secretary Robert Kennedy Jr, who last year accused the agency of waging a “war on public health” for not approving unproven treatments such as psychedelics, stem cells and chelation therapy.Kennedy also has called for eliminating thousands of chemicals and colorings from US foods. But the cuts at FDA include staffers responsible for reviewing the safety of new food additives and ingredients, according to an FDA staffer familiar with the firings.An HHS spokesperson did not immediately respond to a request for comment on Sunday afternoon.Nearly half of the FDA’s $6.9bn budget comes from fees paid by companies the agency regulates, including drug and medical device makers, which allows the agency to hire extra scientists to swiftly review products. Eliminating those positions will not reduce government spending.A former FDA official said cutting recent hires could backfire, eliminating staffers who tend to be younger and have more up-to-date technical skills. The FDA’s workforce skews toward older workers who have spent one or two decades at the agency, and the Government Accountability Office noted in 2022 that the FDA “has historically faced challenges in recruiting and retaining” staff due to better money in the private sector.“You want to bring in new blood,” said Peter Pitts, a former FDA associate commissioner under George W Bush. “You want people with new ideas, greater enthusiasm and the latest thinking in terms of technology.”Mitch Zeller, former FDA director for tobacco, said the firings are a way to “demoralize and undermine the spirit of the federal workforce”.“The combined effect of what they’re trying to do is going to destroy the ability to recruit and retain talent,” Zeller said.The FDA’s inspection force has been particularly strained in recent years after a wave of departures during the Covid-19 pandemic, and many of the agency’s current inspectors are recent hires. It was not immediately clear whether those employees were exempted.FDA inspectors are responsible for overseeing thousands of food, drug, tobacco and medical device facilities worldwide, though the AP reported last year that the agency faced a backlog of roughly 2,000 uninspected drug facilities that hadn’t been visited since before the pandemic.The agency’s inspection force have also been criticized for not moving faster to catch recent problems involving infant formula, baby food and eyedrops. More

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      in US Politics

      Saying ‘women’ is not allowed, but ‘men’ and ‘white’ are OK? I’m (not) shocked | Arwa Mahdawi

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      From banning books to policing wordsThanks to the intolerant left, nobody can say the word “women” anymore! Do you remember when that was a major talking point in certain quarters? Prominent columnists wrote endless pieces declaring that the word “women” had “become verboten”. The thought police, these people claimed, were forcing everyone to say “bodies with vaginas” and “menstruators” instead. Even the likes of Margaret Atwood tweeted articles with headlines like: “Why can’t we say ‘woman’ anymore?”That, of course, was complete nonsense. While there was certainly a push for more inclusive language, nobody with any influence was trying to ban the word “women”.Now, however? Now, it’s a very different story. Thanks to Donald Trump’s sweeping executive orders attacking “gender ideology” and DEI programs, the word “women” – along with a number of other terms – is quite literally being erased. The likes of Nasa have been busy scrubbing mentions of terms related to women in leadership from public websites in an attempt to comply with Trump’s executive orders, for example. Agencies like the Centers for Disease Control and Prevention (CDC) have taken down numerous webpages related to gender in the wake of Trump’s orders – although a federal judged ordered on Tuesday that they should be reinstated.Meanwhile, the National Science Foundation (NSF) has an internal list of hot-button words (which include “women”, “gender”, “minority”, “biases”) that they are cross-referencing against active research projects and grant applications. The Washington Post reports that once one of these very dangerous words is identified, staff then have to go through a flowchart to see whether a research project should be flagged for further review.The National Institutes of Health and multiple university research departments are going through a similar dystopian exercise. Researchers at the University of California at San Diego, for example, have said their work is now at risk if it contains language deemed potentially problematic, including the word “women”.Rebecca Fielding-Miller, a UCSD public health scientist, told KPBS that the list of banned words circling in scientific communities was Orwellian and would hamper important research. “If I can’t say the word ‘women,’ I can’t tell you that an abortion ban is going to hurt women,” Fielding-Miller said.Fielding-Miller also noted that it was illuminating to see which words hadn’t been flagged as problematic. “I guess a word that’s not on here is ‘men’, and I guess a word that I don’t see on here is ‘white’, so I guess we’ll see what’s going on with white men and what they need,” Fielding-Miller added.Amid all the anxiety about what you are allowed to say in this brave new world, a lot of researchers are erring on the side of caution. Some scientists have said that they are considering self-censoring to improve their chances of getting grants. Others are gravitating towards “safe” topics – like, you know, issues that concern white men. This is a dance we’ve seen many times before: Republicans will advance ambiguous, and possibly unconstitutional, legislation. Because no one knows what the hell is going on or how they might get punished for violating these vague new laws, people self-censor and aggressively police themselves.So, I guess this is where we are now: Republicans aren’t just banning books, they’re policing words. An administration effectively fronted by Elon Musk – a self-proclaimed “free speech absolutist” – is so touchy about the language that we use that scientists are now self-censoring. It’s so prescriptive about what things are called that it’s blocking journalists from events for continuing to refer to the Gulf of Mexico instead of the Gulf of America. It’s so obsessed with controlling how we think that it’s erasing references to trans people from the website for the Stonewall national monument. Under the disingenuous guise of “restoring freedom of speech”, the Trump administration has made clear it is intent on controlling the very words we use.Errol Musk, who impregnated his former stepdaughter, says Elon is a bad dadElon Musk seems to get some of his extreme views about pro-natalism from his father, Errol, who also has multiple children. Errol has even fathered two kids with his former stepdaughter, who was only four years old when he married her mother. I bring this up because Errol is currently in the news calling Elon a terrible father. He’s certainly not wrong about that – the Tesla billionaire seems to treat his kids like props rather than people – but his statements bring to mind certain adages about pots and kettles as well as glass houses.Investigation launched into human egg trafficking ringThailand and Georgia have said they are investigating a human-trafficking ring accused of harvesting human eggs from Thai women who came to Georgia thinking they’d be surrogates. Instead, they were reportedly held captive and had their eggs harvested. This story is just the latest example of the way in which the global egg trade has given rise to black markets and abuse. Last year, for example, a Bloomberg Businessweek investigation reported that Greek police had identified up to 75 cases of alleged theft of eggs taken from the ovaries of IVF patients at a clinic on Crete.Infant mortality rates rise in US states with abortion bans, study findsJust your latest reminder that anti-abortion activists are in no way “pro-life”.Domestic violence study that strangled rats should not have been approved, animal advocates argueThe rats were non-fatally strangled as part of research that aimed to improve the detection of brain injury resulting from intimate partner violence.The Syrian feminists who forged a new world in a land of warThe Guardian has a fascinating piece on the autonomous region of Rojava, in north-eastern Syria, which has a government with arguably the most complete gender equality in the world.A pregnant woman in the West Bank was shot by Israeli soldiersSondos Shalabi, 23, was eight months pregnant. Her killing comes as Israeli settlers are unofficially annexing large areas of the occupied West Bank and escalating violence has displaced around 40,000 Palestinians. The West Bank is becoming another Gaza.How Sasha DiGiulian broke climbing’s glass ceilingThe big-wall climber talks to the Guardian about sexism in climbing – including a tendency for routes that women have climbed getting “immediately downgraded by male climbers”.The ‘puppygirl hacker polycule’ leaks numerous police filesThe group told the Daily Dot there are not “enough hacks against the police”, adding: “So we took matters into our own paws.”The week in pawtriarchyPalmerston is a black-and-white cat who was – until recently – retired after a long and distinguished career as chief mouser for the UK’s Foreign and Commonwealth Office in London. The “DiploMog” has emerged from retirement to start work work as feline relations consultant to the new governor of Bermuda. If only the US would learn from this: government needs more cats and fewer Doges. More

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      in US Politics

      ‘A scary time to be a scientist’: how medical research cuts will hurt the maternal mortality crisis

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      On Tuesday, a few days after the Trump administration announced its plan to slash billions of dollars in funding for biomedical and behavioral research, an investigator at a maternal health research center in Pennsylvania told Dr Meghan Lane-Fall that the cuts may lead her to leave academia altogether.Lane-Fall urged her not to make any sudden moves. “It’s not like nothing has happened. No one’s threatened her job,” said Lane-Fall, a professor at the University of Pennsylvania. “But if she looks six months down the line, it looks uncertain.”She did advise her colleague to update her resume.Among the many fields of research threatened by the funding cuts is the growing effort to curb the US maternal mortality rate, which is far worse than in other rich nations. Not only could the cuts delay vital breakthroughs but women’s health experts warn they could also push promising young scientists out of the field.“Above and beyond the stalling of progress, we’re going to see this hollowing out of the workforce that’s been working on this research,” Lane-Fall said. “That will reverberate for years, if not decades.”Late last week, the Trump administration declared that the National Institutes of Health (NIH) would only reimburse 15% of researchers’ “indirect costs”, which can pay for expenses such as staff and laboratory maintenance. Normally, such costs hover at around 50% for elite universities. If indirect costs are capped at such a low percentage, scientists and the institutions where they work say they will not be able to carry out research.A court ordered that the Trump administration suspend the policy earlier this week, but this change – which was reportedly the work of the Elon Musk-run “department of government efficiency” (Doge) – casts into doubt the future of the NIH, the planet’s premier public funder of biomedical research. In 2023, the NIH spent more than $35bn on grants. If implemented, the new policy would endanger at least $4bn worth of funding, but its impact could go much further, imperiling the ability of research institutions – especially smaller ones – to do their work at all. The US maternal mortality rate almost doubled between 2018 and 2022, with rates of deaths among Black and Indigenous expecting or new mothers increasing at a disproportionally fast clip. States that Donald Trump won may be hit especially hard by NIH cuts: they are home to some of the country’s worst maternal mortality rates.To address this crisis, the NIH in 2023 launched a seven-year, $168m initiative to set up more than a dozen research centers to investigate and improve maternal health outcomes, as well as help train new maternal health researchers. The future of these centers – one of which is co-led by Lane-Fall – are now in question.“We’re working with agencies across 20 Michigan counties – that have more than 7 million people in them – to be able to improve services so that moms don’t get sick and die,” said Dr Jennifer E Johnson, a Michigan State University public health professor who helps run one of the research centers in Flint, Michigan. “To do that, we need offices. We need electricity. We need lights, heat, IT, infrastructure, people to create and sell the contracts. All of the support for that would be cut dramatically.”Normally, Johnson said, NIH reimburses about 57% of the indirect costs for Michigan State University’s grants, including hers. It’s not feasible, she said, for the university to cover those costs on its own or for her center to lower its indirect costs so substantially.“If we can’t turn on the lights and we can’t pay the rent and we can’t get people hired – I don’t know what we would do,” Johnson said. “The research is the car. All the infrastructure costs are the road. You can go a little while, but if there’s no maintenance on that, it’s a problem.”Several of the institutions that host the maternal health centers – which tend to focus on improving maternal mortality among people of color and rural communities – are set to lose millions over the NIH cuts. Stanford University officials have said the school, whose center aims to reduce the risk of dangerous postpartum hemorrhages, would take a $160m loss. The University of Utah, which studies how drug addiction impacts pregnancy, would lose $45m.The Guardian reached out to dozens of researchers who have NIH grants to study the health of women, children and parents. Many declined to speak, often citing the ongoing uncertainty of the situation. “I’m honestly not sure what to say as like most of my colleagues I was taken off guard and it’s really unclear how this will play out now that courts are involved,” one scientist, from Missouri, wrote in an email.While Republicans have generally been supportive of Musk’s slash-and-burn approach to the government in the last few weeks, some members of Congress have expressed alarm about the NIH cuts. “It’s pretty drastic. So I’m thinking we need to look at this,” Shelley Moore Capito, the West Virginia senator, told the Washington Post. Alabama senator Katie Britt said she planned to work with Robert F Kennedy Jr, the new leader of the Department of Health and Human Services, to address the impact. “A smart, targeted approach is needed in order to not hinder life-saving, groundbreaking research at high-achieving institutions like those in Alabama,” she told AL.com.One of the agencies behind the maternal health centers is the NIH’s Office of Research on Women’s Health – whose website has been hollowed out by the Trump administration’s recent, widespread purges of government websites. Links to pages on the Office of Research on Women’s Health website about “funding opportunities and notices”, “research programs and initiatives” and “supporting women in biomedical careers” have all vanished.“It is a scary time to be a scientist in the United States,” said Johnson, who is also concerned about recent reports of efforts at the National Science Foundation – an NIH sibling agency that focuses on scientific and engineering research – to scrutinize projects that include words like “women”, “disability” and “underrepresented”. Johnson continued: “All of a sudden, we’re working in a world where we’re not sure we’re going to be allowed to say what the data clearly shows.”On Monday, the day the new policy was supposed to take effect, the Association of American Medical Colleges sued to halt it.“Even at larger, well-resourced institutions, this unlawful action will impose enormous harms, including on these institutions’ ability to contribute to medical and scientific breakthroughs,” the association, which represents several of the US medical schools that host maternal health centers, said in its lawsuit. The association continued: “Smaller institutions will fare even worse – faced with more unrecoverable costs on every dollar of grants funds received, many will not be able to sustain any research at all and could close entirely.”A federal judge then ordered Trump to suspend the cuts, writing in a court order that implementing the cuts would cause “immediate and irreparable injury”. A hearing in the case is set for 21 February.However, it is unclear whether Trump will obey. Although the administration is legally required to heed court orders, a federal judge ruled in another case this week that Trump had defied an order to halt a separate freeze in federal funding. Disregarding court orders may tee up a showdown between the executive and judicial branches of the government – and a constitutional crisis.Regardless of when, how or if NIH grants function in the future, Lane-Fall believes the chaos unleashed by the Trump administration has already led science to suffer. Lane-Fall had to pause plans to hold a conference and told some postdoctoral students that they cannot yet move forward with research projects. She’s now worried that maternal health centers – who have built partnerships with local groups that champion doulas, breastfeeding among Black women and more – will not be able to compensate those groups.“One really important trend in maternal and child health research is that we are working now more with communities than we ever have before, because we understand that there’s a lot of lived experience and expertise in communities. Part of what makes that partnership possible is that we’re able to compensate them for their time,” Lane-Fall said. “When we go to those communities and we say: ‘We promised you money, but it might not be there’ – that is devastating.”Dr Nancy E Lane is haunted by the idea that the confusion will lead women’s health scientists to leave academia. A University of California, Davis, doctor who specializes in osteoporosis and osteoarthritis, Lane was part of a 2024 report calling for more NIH funding for women’s health. Between 2013 and 2023, just 8.8% of NIH grant dollars focused on investigating it.“My career has tremendously benefited from the resources from the National Institutes of Health. It’s what made me who I am,” Lane said. “How much will the current generation put up with this before they’ll just throw their hands up?” More

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      in US Politics

      The Guardian view on supporting vaccines: humans can work miracles – so why wouldn’t we? | Editorial

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      It is easy to become so used to scientific and social advances that we take them for granted. But sometimes we should pause to celebrate – to feel genuine awe – at the wonders that we have seen. Amid all the wars, the disasters and the crimes of the last half century, we have witnessed nothing short of a miracle.Vaccination, in addition to clean water, sanitation and improved nutrition, has been one of the greatest contributors to global health. It is responsible for much of the astounding fall in child mortality, which plummeted by 59% between 1990 and 2022. It has saved more than 150 million lives, mostly of infants, since the Expanded Programme on Immunisation was launched by the World Health Organization in 1974. Initially designed to protect children against diseases including smallpox, tuberculosis, polio and measles, the scheme has since been extended to cover more pathogens. Then, in 2000, came the Global Alliance for Vaccines and Immunisation (Gavi), a public-private organisation that provides financial and technical support for vaccination in poorer countries and negotiates with manufacturers to lower costs.The results have been remarkable. Prevention is better – and cheaper and easier – than cure. Smallpox was declared eradicated in 1980. Almost all the world is now polio-free. Cases of many other diseases have been slashed. Much more can be done: an estimated 5 million children have been protected against malaria since routine vaccinations were launched a year ago. And from a scientific perspective, we are entering a golden age of vaccines.Yet this is a dangerous moment in other ways. The climate crisis is spurring disease outbreaks. Conflict has dramatically increased the number of unprotected children. Vaccine scepticism has grown. Now cuts to funding threaten to turn the clock back. The trashing of USAid will hinder delivery and has halted a groundbreaking programme to create new malaria vaccines. Robert F Kennedy Jr – who once claimed that “no vaccine is safe and effective” and who tried to persuade the US government to rescind authorisation for the coronavirus vaccine at the height of the pandemic – was confirmed this week as health secretary.Now the UK, one of Gavi’s founding donors and the country which has given most to its core programme, is considering a significant cut to its support. This would be a grave error. While some aspects of Gavi’s approach have faced sensible scrutiny in the past, it has vaccinated over 1 billion children and done so cost-effectively: 97 pence in every pound it is given goes on vaccine programmes. Its success is also evident in the number of countries which have graduated from being beneficiaries to paying their own way; some, including Indonesia, are becoming donors in turn. And Gavi’s stockpiles help to keep people safe in wealthier countries too, as well as ensuring that poorer nations are healthier and more stable.For all these reasons, Gavi has long enjoyed bipartisan support in the UK, which has given it more than £2bn over the last four years. Now, more than ever, its funding must be sustained. The world is full of apparently intractable conflicts and complex moral dilemmas. Few decisions are truly simple for governments. But this one is a no-brainer. It should astonish us that we can so easily save lives. It should be self-evident that we must continue to seize that opportunity. More

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      in US Politics

      Judge pauses Trump’s order restricting healthcare for transgender youth

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      A federal judge on Thursday temporarily blocked Donald Trump’s recent executive order aimed at restricting gender-affirming healthcare for transgender people under age 19.The judge’s ruling came after a lawsuit was filed earlier this month on behalf of families with transgender or non-binary children who allege their healthcare has already been compromised by the president’s order. A national group for family of LGBTQ+ people and a doctors organization are also plaintiffs in the court challenge, one of many lawsuits opposing a slew of executive orders Trump has issued as he seeks to reverse the policies of former president Joe Biden.Judge Brendan Hurson, who was nominated by Biden, granted the plaintiffs’ request for a temporary restraining order following a hearing in federal court in Baltimore. The ruling, in effect for 14 days, essentially puts Trump’s directive on hold while the case proceeds. The restraining order could also be extended.Trump’s executive order “seems to deny that this population even exists, or deserves to exist”, Hurson said.Shortly after taking office, Trump signed an executive order directing federally run insurance programs to exclude coverage for gender-affirming care. That includes Medicaid, which covers such services in some states, and Tricare for military families. Trump’s order also called on the Department of Justice to vigorously pursue litigation and legislation to oppose the practice.The lawsuit includes several accounts from families of appointments being canceled as medical institutions react to the new directive.Attorneys for the plaintiffs argue Trump’s executive order is “unlawful and unconstitutional” because it seeks to withhold federal funds previously authorized by Congress and because it violates anti-discrimination laws while infringing on the rights of parents.Like legal challenges to state bans on gender-affirming care, the lawsuit also alleges the policy is discriminatory because it allows federal funds to cover the same treatments when they are not used for gender transition.Some hospitals immediately paused gender-affirming care, including prescriptions for puberty blockers and hormone therapy, while they assess how the order affects them.Trump’s approach on the issue represents an abrupt change from the Biden administration, which sought to explicitly extend civil rights protections to transgender people. Trump has used strong language in opposing gender-affirming care, asserting falsely that “medical professionals are maiming and sterilizing a growing number of impressionable children under the radical and false claim that adults can change a child’s sex”.Major medical groups such as the American Medical Association and the American Academy of Pediatrics support access to gender-affirming care.Young people who persistently identify as a gender that differs from their sex assigned at birth are first evaluated by a team of professionals. Some may try a social transition, involving changing a hairstyle or pronouns. Some may later also receive puberty blockers or hormones. Surgery is extremely rare for minors. More