More stories

  • in

    Arizona’s abortion ban is a political nightmare for Republicans in the 2024 election

    When the US supreme court overturned Roe v Wade in 2022, Republicans across the country cheered. Freed from Roe’s regulations, GOP lawmakers promptly blanketed the US south and midwest in near-total abortion bans.But today, after a string of electoral losses, stories of women being denied abortions and polls that confirm abortion bans remain wildly unpopular, the political calculus has changed. Republicans are now trying to slow down the car whose brakes they cut – and to convince voters that, if the car crashes, they had nothing to do with it anyway.Nowhere encapsulates the GOP’s backpedal on abortion better than Arizona, whose state supreme court on Tuesday ruled to let an 1864 near-total abortion ban go into effect. That ban, which outlaws abortion in all cases except to save the life of a woman, was passed before Arizona became a state, before the end of the civil war and before women gained the right to vote.Kari Lake, a Republican running to represent Arizona in the US Senate and a diehard ally of Donald Trump, once called that ban “a great law”. But on Tuesday, the inflammatory politician became one of several GOP officials to denounce the ruling, urging the state legislature to “come up with an immediate commonsense solution that Arizonans can support”. On Wednesday, Trump also indicated that he thought Arizona’s near-total ban – whose revival was enabled by a US supreme court ruling he has repeatedly taken credit for – had gone too far. “It’ll be straightened out and as you know, it’s all about states’ rights,” he said.Abortion remains banned past 15 weeks in Arizona, since the 1864 ban is being held up by legal delays. But Arizona is expected to be a key battleground state in the 2024 elections, and abortion rights supporters have gathered more than half a million signatures in support of a ballot measure to enshrine abortion rights into the state constitution. Democrats are hoping that measure will boost turnout and their candidates – including Joe Biden – to victory.In other words, this ban threatens to become a political nightmare for Republicans come November.Lake and Trump are caught in the quandary that is now facing Republicans in Arizona and beyond its borders. For 50 years, the GOP became increasingly wedded to the anti-abortion movement, passing restrictions that cut off access to the procedure and littering the courts with lawsuits to overturn Roe. These restrictions won them votes from anti-abortion advocates, as well as cash from influential advocacy groups. But because Roe stopped many of these restrictions from taking effect, it shielded Republicans from reckoning with the real-world consequences of anti-abortion policies – or with the outrage of voters. Since Roe was overturned, and those real-world consequences have come into focus, abortion rights-related ballot measures have succeeded in several Republican strongholds, including Kansas and Kentucky.Lake didn’t say what that “commonsense solution” might be, but other Republicans have tried to take a stab at it. Juan Ciscomani, who represents Arizona in the US House, called the decision no less than “a disaster” and claimed he was a “strong supporter of empowering women to make their own healthcare choices”. He also, in the same statement, said the 15-week ban “protected the rights of women and new life”.This seems to be the party line that many Arizona Republicans are now congealing around: they will support a 15-week ban, which the state legislature first passed in 2022, but not a near-total ban. This, too, is a gamble. Last year, when Virginia Republicans tried to take control of the state legislature by proposing to “compromise” and ban abortion past 15 weeks of pregnancy, they fell short.Yet the post-Roe electoral firepower of abortion has never been tested in a presidential election. Biden has spent months trying to blame abortion bans on Trump, since he appointed three of the justices who overturned Roe. Trump, meanwhile, alternates between congratulating himself for overturning Roe, both rebuking and flirting with the idea of a national ban, and claiming, as he did earlier this week, that abortion access should now be left up to the states.For Republicans, the only option may be to take a cue from their party’s leader and rewrite their own history. When asked about Lake’s previous support for the 1864 ban, her campaign suggested to the New York Times that Lake was referring to a different law.But in the comments praising it, Lake even referred to the 1864 ban by its statute number, 13-3603. “I’m incredibly thrilled that we are going to have a great law that’s already on the books”, she said. More

  • in

    Voices: Should the NHS be reformed to improve service? Join The Independent Debate

    Sign up for our free Health Check email to receive exclusive analysis on the week in healthGet our free Health Check emailThe Government has been increasingly turning to private sector capacity to help prop up the NHS – but is this the right approach to cut waiting lists and improve the service?On Monday, Wes Streeting warned the NHS will get no extra funding from Labour without “major surgery” or reform, including more use of the private sector.The shadow health secretary has long been a staunch proponent of NHS reform. He has previously called the health service “not fit for the modern era” and said that “if the NHS doesn’t change, it will die.”His comments have been met with anger from campaign organisation Every Doctor, which has said Mr Streeting is “attempting to make an argument for unnecessary NHS reform and privatisation by pitting one group of voters against another”.Amid the furious back and forth, we want to know what you think. Is the NHS long overdue an organisation overhaul? And should private companies play a part in a restructure?What changes would you make to the NHS to ensure it remains a useful part of British society?Share your thoughts by adding them in the comments – we’ll highlight the most insightful ones as they come in.All you have to do is sign up and register your details – then you can then take part in the discussion. You can also sign up by clicking ‘log in’ on the top right-hand corner of the screen.Make sure you adhere to our community guidelines, which can be found here. For a full guide on how to comment click here.Join the conversation with other Independent readers below. More

  • in

    US supreme court seems skeptical of arguments against abortion drug mifepristone

    The supreme court on Tuesday seemed skeptical of arguments made by anti-abortion doctors asking it to roll back the availability of mifepristone, a drug typically used in US medication abortion. The arguments were part of the first major abortion case to reach the justices since a 6-3 majority ruled in 2022 to overturn Roe v Wade and end the national right to abortion.The rightwing groups that brought the case argued that the justices should roll back measures taken since 2016 by the Food and Drug Administration (FDA) to expand the drug’s availability. A decision in the anti-abortion doctors’ favor would apply nationwide, including in states that protect abortion access, and would probably make the drug more difficult to acquire.Medication abortion now accounts for almost two-thirds of abortions performed in the US.Much of Tuesday’s arguments focused on whether the anti-abortion doctors who sued the FDA, a coalition known as the Alliance for Hippocratic Medicine, have standing, or the right to bring the case in the first place. The doctors claim they will suffer harm if they have to treat women who experience complications from mifepristone, an argument the Biden administration, which appealed the case to the court, has rejected as too speculative.The US solicitor general, Elizabeth Prelogar, who defended the FDA, argued that the doctors do not come within “100 miles” of having the legal right to bring the case, arguing that their case rests on a “long chain of remote contingencies”. Under their argument, Prelogar said, a woman would have to face complications from a medication abortion that were so serious that she needed emergency care at a hospital – an unlikely scenario, given mifepristone’s proven safety record – and then end up in the care of an anti-abortion doctor who was somehow forced into taking care of her in such a way it violated the doctor’s conscience.A number of the justices – even the ones who ruled to overturn Roe two years ago – seemed skeptical that the doctors met the threshold required to establish standing. Justices Amy Coney Barrett and Brett Kavanaugh seemed to seek assurances that the doctors represented by the Alliance for Hippocratic Medicine were already covered by laws that protect doctors from having to undertake cases that violated their consciences.Justice Neil Gorsuch seemed to express concern over the sweeping implications of the doctors’ request of the court. “This case seems like a prime example of turning what could be a small lawsuit into a nationwide legislative assembly on an FDA rule or any other federal government rule,” he said.The supreme court has historically rejected standing arguments based on such potential harm. However, Justice Clarence Thomas raised the possibility that perhaps the court’s own threshold for standing was too strict.His fellow conservative Samuel Alito also seemed incredulous of Prelogar’s argument. “Is there anybody who can sue and get a judicial ruling on whether what FDA did was lawful?” he asked. “Shouldn’t somebody be able to challenge that in court?”Since the fall of Roe in June 2022, more than a dozen states have banned abortion. The result has been legal and medical chaos. Dozens of women have come forward to say that they were denied medically necessary abortions. Abortion clinics in states that still allow abortion are overwhelmed by the flood of patients fleeing states with bans. More than 1m abortions were performed in the US in 2023, a record high.The availability of medication abortions, which are usually performed using mifepristone as well as another drug called misoprostol, has helped soften the impact of the bans. Telehealth medication abortions, permitted by the FDA since the pandemic, helped ease some of the burden on abortion clinics; shield laws, passed in a handful of states, even allowed providers to offer telehealth abortions to people living in states with abortion bans.But the accessibility of medication abortion also made it the next target of the anti-abortion movement after Roe was overturned. In 2022 the Alliance for Hippocratic Medicine challenged the FDA’s 2000 approval of mifepristone. The group, which includes anti-abortion doctors and is being defended by the Christian powerhouse legal firm the Alliance Defending Freedom, argued that the FDA overstepped its authority and that mifepristone is unsafe. (More than 100 studies have concluded that mifepristone can be safely used to terminate a pregnancy.)A federal judge ruled in favor of the Alliance for Hippocratic Medicine, a move that could have yanked mifepristone off the market entirely. But an appeals court narrowed that ruling, deciding that it was too late to challenge mifepristone’s original 2000 approval.Instead, the appeals court ruled to rewind later measures taken by the FDA that expanded access to mifepristone, including by removing requirements that abortion providers dispense mifepristone in person. A recent analysis found 16% of all US abortions are facilitated through telehealth.Mifepristone’s availability has remained unchanged as litigation has progressed.skip past newsletter promotionafter newsletter promotionDuring oral arguments, Thomas and Alito also raised the specter of the Comstock Act, a 19th-century anti-vice law that bans the mailing of abortion-related materials. Long regarded as a relic, the Comstock Act has now seen a resurgence of post-Roe support among anti-abortion activists who believe it is the key to a de facto nationwide abortion ban.“How do you respond to an argument that mailing your product and advertising it would violate the Comstock Act?” Thomas asked Jessica Ellsworth, a lawyer for Danco Laboratories, a manufacturer of mifepristone.After some back and forth, Ellsworth told Thomas: “That statute has not been forced for nearly 100 years and I don’t believe that this case presents an opportunity for the court to opine on the reach of the statute.”Regardless of what the supreme court decides, Americans will still be able to order mifepristone online from suppliers who help people “self-manage” their own abortions. A study released on Monday found self-managed abortions had soared since Roe fell.Outrage over the overturning of Roe has turned abortion into a key election issue, since most Americans support at least some degree of abortion access. Voters in multiple states, including conservative strongholds, have voted in ballot initiatives in favor of abortion rights; roughly a dozen states are now expected to put abortion-related ballot measures to voters come November. Democrats are hoping that the issue will bolster turnout for their candidates, including Joe Biden.The supreme court is expected to issue a ruling in the mifepristone case by the summer, just months ahead of the 2024 elections.The case’s consequences could stretch far beyond abortion. If the justices greenlight attempts by ideologically driven groups to second-guess the authority of the FDA, the agency’s regulation of all manner of drugs – such as contraception and vaccines – could be challenged in court.Ellsworth, the Danco attorney, argued that the doctors’ argument in the case “is so inflexible it would upend not just mifepristone, but virtually every drug approval”. More

  • in

    Judge imposes gag order on Trump in hush-money trial – as it happened

    The judge in Donald Trump’s hush money criminal case has imposed a gag order that forbids him to attack witnesses, prosecutors or jurors involved in the criminal trial that’s due to begin next month, the New York Times has just reported.The Manhattan district attorney, Alvin Bragg, asked the judge, Juan Merchan, to impose the order.The trial in New York is scheduled to begin on 15 April.More details soon.The supreme court heard arguments in a case brought by a conservative group that sought to restrict access to abortion medication mifepristone. The justices seemed skeptical of claims that the drug should be restricted due to its health risks and the Food and Drug Administration’s regulatory decisions, after an attorney representing the drug’s manufacturer warned that a court ruling against it could have ripple effects across the entire pharmaceutical industry. Meanwhile, an attorney for the Biden administration said cutting off access would “inflict grave harm on women across the nation”. By the hearing’s end, only conservative justice Samuel Alito sounded open to the challenge, and a ruling in the case is expected this summer.Here’s what else happened today:
    Donald Trump is reportedly prohibited from attacking witnesses, prosecutors or jurors in his trial on hush money-related charges under a gag order handed down by judge Juan Merchan.
    Robert F Kennedy Jr announced attorney and philanthropist Nicole Shanahan as his running mate in an event in Oakland, California.
    Joe Biden said the federal government will “move heaven and earth” to reopen the port of Baltimore and rebuild the Francis Scott Key Bridge, which collapsed early this morning after being struck by a container ship.
    Ken Paxton, Texas’s attorney general and a force in the conservative legal world, reached a deal with prosecutors to resolve securities fraud charges.
    A federal appeals judge who ruled against mifepristone last year has ties to one of the groups trying to keep it off the market.
    Donald Trump-supporting Super Pac Make America Great Again Inc unleashed an attack on Robert F Kennedy Jr, after he announces Nicole Shanahan as his running mate.“Robert F Kennedy Jr is a far-left radical that supports reparations, backs the Green New Deal, and wants to ban fracking. It’s no surprise he would pick a Biden donor leftist as his running mate,” said spokesperson Alex Pfeiffer.Third party candidates with dedicated followings can add an element of unpredictability to tight presidential races – just ask Al Gore. But despite Team Trump’s vitriol, polls have shown Kennedy may sap support from Biden in states where he’s on the ballot.The Democratic National Committee has gone on the attack against Kennedy’s campaign, including by filing a complaint accusing him of improperly coordinating with a political action committee:Independent presidential candidate Robert F Kennedy Jr has announced attorney and wealthy philanthropist Nicole Shanahan as his running mate.He made the announcement in Oakland, California, at an event attended by hundreds of supporters, as well as protesters outraged by his opposition to vaccines.Wendy Bloom, a registered nurse who has worked in pediatric cancer units for 37 years, said she disagrees with many of Kennedy’s ideas, and was particularly enraged by his opposition to vaccines.“Besides being anti-vaccines, he’s not pro-science, and anti-research,” she said. She also dismissed the choice of Shanahan as a running mate.“His choice of VP tells us everything we need to know,” Bloom said. “She has no experience. She’s just a wealthy individual can help raise money. Voters deserve someone with experience.”Kennedy supporter Marilyn Chin, 71, said she voted Democrat for most of her life, but is now supporting Kennedy.“Get out of the duopoly,” she said. “Don’t vote Republican, don’t vote Democrat, start looking for something else.”In seeking a gag order against Donald Trump, Manhattan district attorney Alvin Bragg’s office argued the former president had a “longstanding history of attacking witnesses, investigators, prosecutors, judges, and others involved in legal proceedings against him”, the New York Times reports.Judge Juan Merchan agreed, writing in the order that, “his statements were threatening, inflammatory, denigrating.”The Times notes that earlier today, Trump called his former fixer Michael Cohen “death”, in a post on Truth Social – just the sort of statement that Merchan’s gag order is meant to prohibit.The supreme court heard arguments in a case that sought to restrict access to abortion medication mifepristone, and seemed skeptical of claims that the drug should be restricted due to its risks and the Food and Drug Administration’s regulatory decisions. An attorney representing the drug’s manufacturer warned that a court ruling against the drug could have ripple effects across the entire pharmaceutical industry, while an attorney for the Biden administration said cutting off access would “inflict grave harm on women across the nation”. By the hearing’s end, only conservative justice Samuel Alito sounded open to the challenge, and a ruling in the case is expected this summer.Here’s what else happened today:
    Joe Biden said the federal government will “move heaven and earth” to reopen the port of Baltimore and rebuild the Francis Scott Key Bridge, which collapsed early this morning after being struck by a container ship.
    Ken Paxton, Texas’s attorney general and a force in the conservative legal world, reached a deal with prosecutors to resolve securities fraud charges.
    A federal appeals judge who ruled against mifepristone last year has ties to one of the groups trying to keep it off the market.
    The judge in Donald Trump’s hush money criminal case has imposed a gag order that forbids him to attack witnesses, prosecutors or jurors involved in the criminal trial that’s due to begin next month, the New York Times has just reported.The Manhattan district attorney, Alvin Bragg, asked the judge, Juan Merchan, to impose the order.The trial in New York is scheduled to begin on 15 April.More details soon.Liz Cheney, the Donald Trump foe who ended up being forced out of Congress due to her opposition to the former president, also described NBC’s elevation of McDaniel as a danger, the Guardian’s Martin Pengelly reports:The Republican National Committee chair turned NBC politics analyst Ronna McDaniel “enabled criminality and depravity” in her support for Donald Trump’s attempt to overturn the 2020 election, the former congresswoman Liz Cheney said as controversy swirled over McDaniel’s media role.“Ronna facilitated Trump’s corrupt fake elector plot and his effort to pressure Michigan officials not to certify the legitimate election outcome,” Cheney, a Republican who was vice-chair of the House January 6 committee, wrote on social media.“She spread his lies and called January 6 ‘legitimate political discourse’. That’s not ‘taking one for the team’. It’s enabling criminality and depravity.”McDaniel rose in Republican politics as a member of the powerful Romney family before reportedly dropping the name at Trump’s behest and becoming RNC chair in 2017.In February 2022, the RNC said Cheney and Adam Kinzinger, the other anti-Trump Republican on the committee that investigated the deadly attack on Congress on 6 January 2021, were engaged in the “persecution of ordinary citizens engaged in legitimate political discourse”.Cheney lost her seat in Congress that year. Kinzinger chose to retire. McDaniel was eased out of the RNC last month, to be replaced in part by Lara Trump, the former president’s daughter-in-law.The White House said that meetings over the last two days between the US national security adviser, Jake Sullivan, and Israel’s defense minister, Yoav Gallant, have been “productive”.The Israeli prime minister, Benjamin Netanyahu, yesterday canceled a high-level delegation from Israel to the White House to discuss Rafah, with the visit meant to take place today. He withdrew his agreement for talks after the US abstained from – rather than vetoed – a UN security council resolution calling for an immediate ceasefire in Gaza and the release of hostages held by Hamas.Gallant was already in Washington for longer-planned talks at a lower level. Meanwhile, in the Middle East earlier today, Israel recalled its negotiators from Doha, in Qatar, after deeming mediated talks on a Gaza truce “at a dead end” due to demands by Hamas, Reuters reported earlier, citing an Israeli official.White House press secretary Karine Jean-Pierre said to reporters board Air Force One moments ago: “We are committed to supporting Israel in its fight against Hamas … We cannot expect Israel to live under active threat.” She added that it was critical for Israel to do “whatever is possible” to protect civilians in Rafah.There, about 1.7 million Palestinians are trapped under Israeli siege and suffering bombardment and food deprivation as international talks about a ceasefire and access for more aid founder.Aid agencies and international bodies including United Nations officials have said that people stranded further north in Gaza are on the brink of famine.The White House press secretary, Karine Jean-Pierre, has just been speaking with reporters aboard Air Force One, on the way to Raleigh, North Carolina.Joe Biden and the vice-president, Kamala Harris, are holding a joint event there to talk about healthcare.Reporters were firing off their questions, in a short gaggle on a short flight. Jean-Pierre is confirming the US president’s position is he will “move heaven and earth” to reopen the port and rebuild the bridge.She’s being asked about the state of US infrastructure but emphasizes that although the government pledges to work with Congress for funding to rebuild the bridge, the search and rescue effort that’s still under way in Baltimore is the main focus.Here’s what Yale University historian Timothy Snyder had to say about the danger of NBC News hiring former RNC chair Ronna McDaniel, as told by the Guardian’s Martin Pengelly:The former Republican National Committee chair turned NBC politics analyst Ronna McDaniel “tried to disassemble our democracy” by supporting Donald Trump’s electoral fraud lies and should not be given such a media role, a leading historian said amid uproar over the appointment.“What NBC has done is they’ve invited into what should be a normal framework someone who doesn’t believe that framework should exist at all,” Timothy Snyder, a Yale professor and author of On Tyranny, told MSNBC, part of the network now employing McDaniel.“What NBC has done of its own volition is bring into a very important conversation about democracy, one which is going to take place for the next seven months or so, someone who … tried to disassemble our democracy. Who personally took part in an attempt to undo the American system.”NBC announced the hire on Friday. Carrie Budoff Brown, the senior vice-president for politics, said McDaniel would contribute analysis “across all NBC News platforms”.On Sunday, McDaniel told Meet the Press Joe Biden won the 2020 election “fair and square”, adding that she did “not think violence should be in our political discourse”.NBC News will drop former Republican National Committee chair Ronna McDaniel after an outcry from its top talent over her promotion of Donald Trump’s false claims of fraud in the 2020 election, Puck reports:McDaniel’s hiring by the network attracted criticism from former lawmakers and historians, who argued they were elevating a voice who had helped Trump attack US democracy. On Sunday, McDaniel acknowledged that the 2020 election had not been stolen, though maintained it was acceptable to say there were “problems” with the vote:Joe Biden did not say when he expected the Francis Scott Key Bridge to be rebuilt or, more crucially for the nation’s economy, the port of Baltimore to be able to resume operations.The president also gave no update on the six people still missing from the collapse, but said the search and rescue operation to find them is a “top priority”.For the latest on this developing story, follow our live blog:Joe Biden says he has instructed the federal government to “move heaven and earth” to rebuild the Francis Scott Key Bridge in Baltimore and reopen its economically vital port.The government will also cover the cost of the reconstruction, the president added in a speech from the White House.“I’m directing my team to move heaven and earth to reopen the port and rebuild the bridge as soon as humanly possible,” Biden said.“We’re going to work with our partners in Congress to make sure the state gets the support it needs. It’s my intention that federal government will pay for the entire cost of reconstructing that bridge, and I expect the Congress to support my effort. It’s gonna take some time, and people of Baltimore can count on us so to stick with them at every step of the way till the port is reopened and the bridge is rebuilt.”The port is currently closed due to the span’s collapse, which occurred early this morning after the cargo ship Dali collided with it. The president noted that 15,000 workers rely on the its operations, and “we’re gonna do everything we can to protect those jobs and help those workers”.As we wait for Joe Biden to begin his speech on the collapse of the Francis Scott Key Bridge, here are some scenes from earlier today in Baltimore: More

  • in

    Netanyahu’s Likud party says Israel ‘not a banana republic’ after Chuck Schumer calls for new elections – live

    Israeli prime minister Benjamin Netanyahu’s Likud party has responded to Chuck Schumer’s calls for new elections, saying that Israel is “not a banana republic”.It went on to say, “Contrary to Schumer’s words, the Israeli public supports a total victory over Hamas, rejects any international dictates to establish a Palestinian terrorist state, and opposes the return of the Palestinian Authority to Gaza.”“Senator Schumer is expected to respect Israel’s elected government and not undermine it. This is always true, and even more so in wartime,” it added.Here’s a recap of the latest developments:
    Prosecutors in Donald Trump’s hush-money case said they were not opposed to a 30-day delay in the trial, currently set to begin on 25 March, due to a recent disclosure of thousands of pages of documents by federal prosecutors.
    Kamala Harris visited a Planned Parenthood clinic in Minnesota, marking what her office said was the first time a president or vice-president has toured a facility that performs abortions, as the White House escalates its defense of reproductive rights in this year’s election.
    Senate majority leader Chuck Schumer called for Israel to hold new elections, saying he believed the prime minister, Benjamin Netanyahu, had “lost his way” and risked turning the country into a pariah with its bombardment of Gaza and the worsening humanitarian crisis it caused. Schumer also called for Palestinian Authority president Mahmoud Abbas to step down.
    Republican Senate minority leader Mitch McConnell hit back at Schumer’s comments calling for new Israeli leadership, describing them as “grotesque and hypocritical”. Republican House speaker Mike Johnson said Schumer’s comments were “highly inappropriate”. House Republican conference chair Elise Stefanik said Schumer “does not stand with Israel”.
    Israel’s ruling Likud party responded to Schumer by defending Netanyahu’s public support and saying Israel is “not a banana republic”.
    Israel’s ambassador to the United States, Michael Herzog, said Schumer’s remarks were “unhelpful” and “counterproductive to our common goals”.
    Dozens of American Muslim and Palestinian-American organizations and leaders in Chicago turned down a White House meeting over the lack of policy change on Israel’s ongoing killings in Gaza.
    Donald Trump attended a hearing in Fort Pierce, Florida, as a federal judge heard arguments from the former president’s lawyers to dismiss the classified documents prosecution.
    Jim Jordan, the chair of the House judiciary committee, threatened Fulton county district attorney Fani Willis with contempt of Congress if she does not comply with his committee’s investigation into her office.
    Joe Biden came out in opposition to the planned sale of Pittsburgh’s US Steel to Japan’s Nippon Steel.
    The Manhattan district attorney’s office said they will not oppose Donald Trump’s request to delay his hush money trial by 30 days, citing newly disclosed evidence from the US attorney’s office.Jury selection was scheduled to begin on 25 March, marking the former president’s first criminal trial. But in a court filing on Thursday, Manhattan district attorney Alvin Bragg wrote:
    Although the People are prepared to proceed to trial on March 25, we do not oppose an adjournment in an abundance of caution and to ensure that defendant has sufficient time to review the new materials.
    The Biden administration imposed sanctions on three extremist Israeli settlers in the occupied West Bank who are accused of harassing and attacking Palestinians.Two Israeli outposts were also targeted in the latest sanctions, which the US state department said had been bases for violence against Palestinians.Washington has repeatedly asked Israel to hold violent settlers accountable and complained that its actions allowing settlement expansion diminish hopes for a two-state solution.In response, Israel’s far-right national security minister Itamar Ben-Gvir said the sanctions were “further proof that the US administration does not understand who is an enemy and who is its supporter”, adding:
    The settlers are the best of our sons who build, settle and bring security to the country, they deserve a salute not a knife in the back.
    Dozens of American Muslim and Palestinian-American organizations and leaders in Chicago have turned down a White House meeting over the lack of policy change on Israel’s ongoing killings in Gaza.In a letter sent to White House officials, the organizations said:
    “First, there is no point in more meetings … With a genocide that has flattened Gaza … the White House has not only refused to call for a ceasefire, but also enabled this blatant campaign of ethnic cleansing to take place by providing financial and military means, as well as diplomatic support at the United Nations. A meeting of the minds is nowhere in sight.
    Second, there is no confusion as to our consistent demand for an immediate and permanent ceasefire to end the mass murder of civilians and stave off the worst humanitarian crisis in modern times. We believe another meeting would only act to whitewash months of White House inaction followed by meek handouts …
    … we demand, at minimum, an immediate and permanent ceasefire, complete Israeli withdrawal from Gaza, ultimately ending the siege and blockade of Gaza, allowing the natural flow of humanitarian aid, reinstating funding to UNRWA, a cessation of weapons sales or transfers to Israel, and accountability measures for all war crimes, crimes against humanity, the crime of genocide, and justice and liberation for the Palestinians.
    That is what history will judge us by, not more token meetings when every day is of the essence.”
    In addition to his calls for new Israeli elections, Chuck Schumer is also calling for Palestinian Authority president Mahmoud Abbas to step down.According to Schumer, Abbas must step down for a “new generation of Palestinian leaders who’ll work towards attaining peace with a Jewish state”.“The PA under new leadership must reform to viably serve as the basis for a Palestinian state with the trust of the people,” he added.Schumer has already sparked backlash among Republican leaders and the Israeli government over his calls from earlier today for new elections in Israel.In a series of tweets on Thursday, Chuck Schumer is maintaining his calls for new Israeli elections, saying Israeli prime minister Benjamin Netanyahu has “lost his way by allowing his political survival to take precedence”.Schumer went on to accuse Netanyahu of pushing support for Israel “to new lows” and said that Israel “can’t survive if it becomes a pariah”.Israeli prime minister Benjamin Netanyahu’s Likud party has responded to Chuck Schumer’s calls for new elections, saying that Israel is “not a banana republic”.It went on to say, “Contrary to Schumer’s words, the Israeli public supports a total victory over Hamas, rejects any international dictates to establish a Palestinian terrorist state, and opposes the return of the Palestinian Authority to Gaza.”“Senator Schumer is expected to respect Israel’s elected government and not undermine it. This is always true, and even more so in wartime,” it added.Chuck Schumer is continuing to defend his calls for new Israeli elections, writing in another post on X:
    “People on all sides are turning away from a two-state solution—including Israel’s PM Netanyahu who has been rejecting Palestinian statehood and sovereignty.
    As the highest-ranking Jewish elected official in America and a staunch defender of Israel, I say:
    This is a grave mistake.”
    House Republican conference chair Elise Stefanik has joined a handful of Republican leaders who have criticized Chuck Schumer over his calls for new Israeli elections.In a statement on Thursday, Stefanik said: “Instead of meddling in elections of a sovereign nation, Chuck Schumer should follow House Republicans’ lead in supporting our ally in their darkest hour. The obstacle to peace is … Chuck Schumer … Chuck Schumer does not stand with Israel. House Republicans do.”Since 7 October, Israeli prime minister Benjamin Netanyahu and his war cabinet have faced increasing opposition and condemnation over their handling of the hostage crisis and Israel’s subsequent war on Gaza where its forces have killed more than 30,000 Palestinians while forcibly displacing about 2 million survivors.Despite fierce criticisms from Republican leaders, Chuck Schumer is sticking to his word over his calls for new Israeli elections. In a post on X, Schumer wrote:
    “At this critical juncture, I believe a new election in Israel is the only way to allow for a healthy and open decision-making process about the future of Israel, at a time when so many Israelis have lost their confidence in the vision and direction of their government.”
    John Cornyn, the Republican senator of Texas, said Senate majority leader Chuck Schumer was “out of line” in his comments calling for Israel to hold new elections.Schumer was “undermining” America’s “closest ally and the only democracy in the Middle East,” Cornyn posted to X. He added:
    This is a blatant attempt to appease extremists in his party to the detriment of our relationship with Israel. More

  • in

    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

  • in

    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

  • in

    ‘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