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    RFK Jr and his grandchildren swam in DC creek contaminated by sewage

    The US health secretary, Robert F Kennedy Jr, has revealed that he went swimming with his children in a Washington DC creek that authorities have said is toxic due to contamination by an upstream, ageing sewer system.The “Make America healthy again” crusader attracted attention for the Mother’s Day dip in Dumbarton Oaks Park with his grandchildren Bobcat and Cassius, which he posted about on X. He was also accompanied by relatives Amaryllis, Bobby, Kick and Jackson.Rock Creek, which runs through the federal park, is described as unsafe for swimming or wading because it acts as a runoff for excess sewage and storm water during rain storms.Studies of streams in the nation’s capital have revealed “chronic elevated levels of Escherichia coli (E coli) contamination that exceeded DC’s surface water quality standards”, according to one published in 2021.The District of Columbia banned swimming in all waterways in 1971, citing “extraordinarily high levels of pollutants from human and animal waste containing bacteria such as salmonella and hepatitis, and viruses”.Separately, the National Park Service has said: “Rock Creek has high levels of bacteria and other infectious pathogens that make swimming, wading, and other contact with the water a hazard to human (and pet) health. All District waterways are subject to a swim ban – this means wading, too!”Part of the issue is that the District’s combined sewer system was developed before 1900, and – like New York City sewage and rain systems – is designed to combine to ease runoff, bypassing water treatment plants.In Washington, according to Open Data DC: “Release of this excess flow is necessary to prevent flooding in homes, basements, businesses, and streets. [Combined sewer overflows] are discharged to the Anacostia River, Rock Creek, Potomac River or tributary waters at CSO outfalls during most moderate rain events.”Kennedy, an avid outdoorsman, had not responded to a request for comment as of publication time, and has not posted on social media about it.In an interview with Fox News on Sunday, Kennedy described himself as a “renegade”. Joined by other appointees to the federal health agency – including the TV doctor Mehmet Oz, Marty Makary and Jay Bhattacharya – he said: “The entire leadership of this agency are renegades who are, you know, who are juggernauts against convention and who are trying to look for truth, no matter what the cost.”On Sunday, Kennedy joined Donald Trump to unveil a new administration plan to lower high US prescription drug prices. He thanked the US president for standing “up to the oligarchs” and took aim at Vermont senator Bernie Sanders, who has made drug pricing a signature issue of his political platform.“It’s one of these promises that politicians make to their constituents knowing that they’ll never have to do it,” the former 2024 Democratic turned independent presidential candidate said.Sanders later scoffed at the administration’s plan, saying it “will be thrown out by the courts”.Kennedy is known for taking risks of a biological kind. He admitted to transporting a roadkill bear cub to New York’s Central Park, and his daughter Kick described a childhood adventure when her father transported a rotting whale head on top of their car from Nantucket to their Westchester home.Had Kennedy’s foray into the polluted creek produced ill effects, the probable treatment for E coli poisoning would not necessarily have benefited much from the administration’s drug cost reduction plan. Common antibiotics used to treat E coli infections are typically priced $10 to $30 for a course of treatment. More

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    Voices: ‘This will be disastrous’: Independent readers fear social care collapse after visa ban

    Yvette Cooper’s announcement of sweeping new restrictions on overseas care worker visas has sparked fierce backlash, with many readers warning the move risks pushing the UK’s fragile care system to the brink of collapse.Under the changes, care homes will no longer be allowed to recruit staff from abroad, a sector that has long relied on foreign workers to plug chronic staff shortages. Applications for the health and care worker visa have already plunged by 70 per cent in a year, from 129,000 to just 26,000, while more than 100,000 vacancies remain across England’s care sector.The home secretary defended the crackdown as necessary to reduce net migration to “significantly” below half a million, arguing that high levels of overseas recruitment had distorted both the economy and the immigration system without addressing deep-rooted problems in social care.But charities such as Age UK warned that foreign workers have been “keeping many services afloat” and that care home closures could pile further strain on NHS hospitals already stretched to breaking point.Independent readers are divided. Some say the UK must continue attracting overseas carers to meet urgent needs, while others call for better pay and training to encourage British workers into the sector.Here’s what you had to say:Punishing workers while ignoring non-workers?There are indeed people who are entering the country illegally who have no intention of working or integrating with British society. So the Labour government’s solution is to directly target the people who come to this country to work and contribute? Am I missing something? It’s like when they put mandatory “don’t steal DVDs” videos on DVDs you just purchased with your own money in HMV.W0ngC0ughHome care will be hit hard tooAgain, care homes. How this will affect home care is ignored. The company that our county council uses, almost exclusively, sources its staff from Africa. It is owned and run by Ghanaians, I believe. This is going to be disastrous for the care sector. But what do politicians care about the most vulnerable in society anyway?Drone1970This is political suicideLabour are now officially over. This is a disaster of a policy and a disgrace. Everything that is wrong with politics in a nutshell – party first, country last. This will set the NHS back decades. I did like Starmer and was willing to give him the benefit of the doubt. He has been put on the spot and failed on several occasions. Jumped the wrong way too many times for it to be a coincidence. Alas, it will always fail – no matter what Labour do, it will never be enough. This is the death knell for progressive politics. When it comes to actually voting, I vote SNP, so it does not bother me too much in that matter. However, watching my country die because of strutting little Englanders is heartbreaking.Jim987Chasing Reform votersLabour’s chasing of the Reform vote is proving not only to be a moral disaster but could politically keep them out of office for years. But if the aim is to continue to assist the rich in staying rich (as all three main parties do – it’s their job), then it doesn’t matter to the rich who rules as long as they rule in their favour. In fact, across the West as a whole, this is the aim – keep things the same whilst the real world is changing. It won’t last because it can’t last. If you want to grow an economy, whether it’s in Trumpland or Starmerland, you have to invest in infrastructure and services. The big problem is that ALL the essential services are in private hands. Until you renationalise them, you can’t move or have any plans at all. It’s a very poor form of capitalism that can’t or won’t exploit labour from anywhere. And we are now overseen by people who have no idea how capitalism works but magically think that growth will just emerge, because just saying it will make it happen.rishirichBrexit made the fields rotIn the immediate aftermath of Brexit, the hostile environment forced out all the Eastern European migrant agricultural workers. The consequence was that all those previously complaining that “they’re stealing our jobs” failed to take up the vacancies created, and food was left to rot in the fields. This wheeze from the Tory B team will, in my opinion, have a similar effect – except that it won’t be turnips left to rot, it’ll be your granny.PinkoRadicalPay more and invest in workers We need to make blue-collar jobs more attractive by increasing wages and providing CPD and other incentives. The days of relying on cheap foreign workers must end. The damage being done to our country through mass immigration will take decades to heal.saghiaWe need foreign workersI think the problem is that we don’t have enough foreign care home workers. British people would prefer to be on the dole than look after granny. This policy makes no sense. I suppose the assisted dying bill is aimed at lessening the numbers we need. Shame on Labour.VillagelifeonedayBrexit ruined careWe NEED care workers. Brexit decimated our good care workers, and they are now being replaced by many who can hardly speak English. Stopping care workers from abroad is MADNESS. Paying them more just puts the cost up for those who need care. Labour is not the socialist party anymore.Pete135Democracy is collapsing under stupid populismThis just highlights the problem with an awful lot of Western democracies at the moment. Labour is mimicking Reform because they see Reform as “what the people want”. The obvious problem though, is that Reform’s “policies” will benefit absolutely nobody, things will get loads worse, and Labour or anyone else promoting any sensible policies (not that Labour are at the moment) will not get voted for. Reform or the Tories (who are essentially the same) will win, and things will continue to get worse. So the problem, in case you couldn’t work it out, is that the electorate are far, far too dim to even recognise what is in their own interests – let alone vote for it. Democracy is dying because we live in a world where the majority live outside of reality on most topics and cannot be convinced to vote in their own interests. The bad end of the Dunning–Kruger effect has been deliberately exacerbated to garner votes (for Conservatives, because with a well-educated, well-informed public, they would get barely any votes other than from those who are rich or bigoted and can only think short-term). I am not optimistic anything will change in my lifetime, it only seems to get worse, and society is regressing at an increasing rate. Only some massive catastrophe seems likely to snap us out of it. And even then, we will inevitably cycle back to being dumber than dirt as a collective, if we manage to come out the other side anyway.TrevSmith82Care is big businessThe issue is that care has become big business, run for maximising profit rather than giving staff and care receivers the best conditions. Of course, they go abroad to recruit – cheaper labour supplied by agencies – rather than training and making skilled caregivers more rewarded for their work.MintmanThe British people have to wake up and smell the coffee. British industry, farming, healthcare and social services cannot operate without immigrants. Until 2016, the UK was part of the EU, which allowed a reciprocal, structured and controlled movement of workers between member states. But Farage and the Tories did not like that and replaced it with a points system which wasn’t reciprocal and actually increased immigration, not from Europe but from all corners of the globe. And people who come here from Africa and India bring all their families with them.Pomerol95Nobody’s coming off benefits to do this workDid the job for four years. At that time, the only one of us from outside the UK was a lovely lady from Colombia – all the rest of us were local. Now it seems to be 99 per cent overseas workers. To be honest, you would be hard pressed to find a white British person doing the job here in Cornwall. No one is going to come off benefits to do the job – that’s a fact the government has to face up to. To be honest, the country has to face up to that as well.gtvv6Who will care for people?A ban on overseas recruitment in care homes? Who do the government think is going to do the hard work of providing care? Overseas staff have always been critical to both the NHS and social care sectors. It’s time the government stopped rule by Mail headlines and addressed some real issues.rEUjoinToo many not working while jobs are thereWe have 1 million NEETs and millions of people either unemployed or working part-time/low hours and claiming UC/housing benefit. Many of these people don’t want to be care workers (or work much in general) but still want other taxpayers’ money to support them… This has to end. It will take a tough government to do this, but we can’t have so many working-age people not contributing taxes when the jobs are out there and their labour is needed. This country is far too soft.ChrisMatthewsPR is the way to stop ReformThe way to stop Reform is to introduce proportional representation. True, under PR Reform would have more seats in Parliament – BUT so would the Greens and Lib Dems too. This would force the sensible parties to work together for the good of the UK. Farage has no answers to any of the real problems. People voted for his snake oil once before, but it would seem they have forgotten the disaster of Brexit!PateleyladHospitals and care homes rely on overseas staffGo to any hospital or any care home and you will see how important overseas staff are to the health and care sector. The Brits don’t want to work in it, and certainly not for the wages that are paid or the respect that the jobs attract. So, within six months of the new restrictions coming into force, the NHS will be on the brink of collapse because it cannot discharge its patients into residential care homes. And many of those homes will close because they cannot get the staff to operate day to day safely. Unless the government takes powers to force people to work in the sector, there will be a major problem of their own creation… And they had better hope that there are no elections when it happens. The one straw they can grasp is that neither the Tories nor Reform have policies that offer any solution yet.sweepydogBrexiteers must be delighted with their care home dreamWell, fair enough. The Brexiteers always claimed that thousands upon thousands of homegrown talent were simply unable to find employment in the one area they have been looking for for decades: elderly care. So, here it is – an influx of eager, highly skilled and top-motivated – and most importantly of all, Bri’ish! – people have finally been given the chance they have hungered for since we joined the EU. The older Brexiteers, for years having to suffer the indignity of being cared for by people who were born abroad, must be delighted! Best of luck!SeanFTime for social care to have its own cabinet postMaybe it is time that social care had its own cabinet post – it is perhaps now too important to ignore. Under successive governments, always the bridesmaid, never the bride. It needs to have a professional structure with qualifications backed by statutory recognition. Perhaps, if not already the case, some employer NI concessions to help with costs.SteinTraining locals is necessaryIt’s all very well tightening immigration and restricting care workers from abroad. The government should work towards training UK citizens so that locals can fill the jobs where recruitment is a problem. Tinkering with the current laws is not going to work.AHJA simple answer to a complex problemI was a Labour Party member until about three months ago, and I’m beginning to despise them. They’re obsessed with beating Reform but don’t seem to understand why people are voting for Farage. Labour are considering voting for Reform as a cause when in reality, voting for Reform is a symptom. It’s a symptom of people having terrible jobs, no security, decaying towns with crime increasing, the poor and vulnerable getting worse off, waiting nine weeks to see a GP, then all you get is a phone call. These are the root causes of people’s unhappiness, and Reform has a simple reason for those problems – it’s the immigrants. Get rid of the immigrants, and we get rid of the problem. This, of course, is nonsense – a simple answer to a complex problem. Labour’s mistake is to follow Reform in the hope of winning the next election, and that’s why they stay silent on Gaza and find themselves blaming immigrants. If Labour address the root causes of the problems outlined above, they would transform people’s lives and support for Reform would melt away. Instead, they’re going to squander the next four years trying to ape Reform and being scared of the Daily Mail. Starmer is Britain’s Joe Biden – he’ll be an irrelevant footnote in history, the timid man who allowed Farage into Number 10.manatadeskTo fill vacancies, wages must riseIf you want to fill 500,000 vacancies, you’re going to have to put up the wages. Difficult, seeing how most of these care homes are owned by foreign concerns who milk the system and keep costs as low as they can. Most of them, with foreign and British owners, get away with very low wages to boost their profits!tommy2topsFamilies need more support Families need to receive more in the way of government support, encouragement and financial help because, when possible, this is the very best form of care. Care homes should try to offer hostel-type accommodation for nurses, even if just willing locals with a room to let (there could be a tax bonus) – then there would be no shortage of nurses. The aged are the local community and need support at the local level. Volunteers, training made easier for local older workers. And a big shake-up in the way these places are run.AgnesBCare workers are highly skilled, just badly paidCooper is mixing up “low paid” with “low skilled”. Care workers are highly skilled, just badly paid. I’d love for her to do a week (without cameras) working in a care home looking after people with dementia. I bet she wouldn’t make it through a single shift. The reason care homes have to recruit from overseas is because people can make more money working at Tesco or Starbucks. If you’re someone just looking for a job, rather than someone with a vocation for it, why would you work gruelling shifts on your feet for 12 hours at a time with no breaks and risk getting physically assaulted (which does happen regularly to my sibling, who is a carer) at close to minimum wage – when you can work somewhere else for better pay with fewer hours that’s much less physically and mentally demanding? Want to prevent care homes from having to recruit from overseas? Force care homes to pay their staff what they’re worth. Social care is amongst the most expensive in Europe, yet the staff who work in social care in the UK have amongst the lowest wages. The money isn’t going to staff – it’s rolling into the accounts of massive corporations. Time to peg social care staff wages to those of the equivalent staff in the NHS, on AfC pay scales.WellActuallyThe care system must be integral to the NHSUntil the “care system” is seen as an integral part of the NHS, the system will never work. I am old enough to remember convalescent homes, geriatric wards and local “cottage” hospitals that took in those discharged from the acute hospitals. There, they got physio and occupational therapy to prepare them to go home, and before they were released, anything they needed at home – e.g., rails or other safety devices – were fitted. Visits from district nurses and GPs etc. were arranged so they did not need to keep going back and forwards to A&E. All this may cost but it will save in the long run, and any extra money can be found by charging national insurance on people who get their income from shares, bankers’ bonuses etc., and by scrapping the Upper Earnings Limit on NI contributions. This means that the rich pay more, but as they are the cause of so many of the problems we face today, that seems reasonable to me.ListenVeryCarefullyCare homes should pay a living wageCare homes should certainly pay a living wage. Unlike the agricultural sector, these jobs are available, I reckon, in most towns where there are many unemployed. Perhaps the long-term unemployed could or should be encouraged to apply until something better comes along.BritElsewhereLabour scrapped care reforms with nothing to replace themOne of the first things Labour did when they gained power was to scrap the plan the Tories had in place for social care reform. While the social care policy of the Tories was not perfect, at least it was a policy that would have helped many in the UK. Instead, Labour scrapped the social care reforms and didn’t replace them with anything, so we have a terrible system in place, which is a lottery for those unfortunate to get dementia, Alzheimer’s or other illnesses which require ongoing care that cannot be provided at home. This can easily obliterate a lifetime of savings and hard work for ordinary working people.Now, despite the fact that we have a major shortage of care workers, Labour is now going to ban the recruitment of overseas workers who are willing and want to do this work. I’m not sure what Labour is aiming for here. It seems they are intent on losing the next election. I can’t imagine too many pensioners voting for Labour, and pensioners can well determine the outcome of a general election in the UK.RichardtheLionheartIt’s simple: fund social care properlyI always find it amazing just how clueless politicians are. Most of them are well educated but still clueless. Care homes, in most cases, are paid x by the state and need to keep their expenses below x to make a profit or they go bust. It’s why the bulk of care work is minimum wage and usually regarded as a last resort job for a lot of folks. The state can’t afford to pay the rates needed to attract and keep British staff, which is why care homes import labour from countries where wage rates are a lot lower. It’s not rocket science – in fact, the problem is quite simple to solve. Those in work pay more tax, and the state uses it to pay care homes a proper rate. Who wants to work in a care home all hours on minimum wage when you get the same money sweeping the street?NoomieFuelling the rise of Reform‘Policies’ such as this are a disgrace, especially coming from a supposedly Labour government. These attitudes will lead to the true weakening of Labour and will fuel the rise of Reform. Work in care homes is undervalued and underpaid. Many overseas workers come from cultures where the old are respected; we could learn a lot from them. Where exactly does this government think the extra British care home staff will come from? Telling the unemployed to work in care homes is ridiculous – these are jobs that need skill and compassion, not employees who are ‘forced’ to take such positions. Starmer and his cohorts are not the Labour Party that many voted for, as is becoming obvious. Centre-left is fine, but this government is rapidly becoming marginally left of the Conservatives. “To each according to his need, from each according to his ability.”SuneySome of the comments have been edited for this article for brevity and clarity.Want to share your views? Simply register your details below. Once registered, you can comment on the day’s top stories for a chance to be featured. Alternatively, click ‘log in’ or ‘register’ in the top right corner to sign in or sign up.Make sure you adhere to our community guidelines, which can be found here. For a full guide on how to comment click here. More

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    Conservatives are trumpeting a new abortion-pill study. One problem: it’s bogus | Moira Donegan

    Almost two-thirds of US abortions are induced with pills. The drug mifepristone blocks the pregnancy hormone progesterone, ending the growth of the fetus. Mifepristone was designed for abortions: its primary purpose, from its development through its regulatory approval and now on the market, has always been to allow women to control their own bodies and lives by ending their pregnancies. Because it exists as a tool of women’s independence, mifepristone has been the object of controversy, misinformation and intense scrutiny for the entirety of its existence. Originally synthesized by French pharmaceutical researchers in 1980, the drug went through a rigorous, prolonged and heavily politicized approval process in the US, and wasn’t approved by the Food and Drug Administration (FDA) for the US market until 2000.The anti-abortion movement – including several prominent Republican lawmakers – is looking to undo that. Since the 2022 Dobbs v Jackson Women’s Health Organization decision that eliminated the nationwide right to abortion, women living in anti-choice states have relied increasingly on mifepristone, particularly pills shipped by mail from providers in pro-choice states who prescribe the drug via telehealth. It is estimated that as many as 20% of abortions in the US are now accessed via telehealth appointments, a technological marvel that has allowed many people living in anti-choice states to avert the worst consequences to their lives, health and dignity that were threatened by the Dobbs decision by circumventing the unjust abortion bans that their states have attempted to impose on them. Dobbs has already been devastating for American women, causing needless deaths, driving up maternal mortality, derailing women’s lives, constraining their prospects, and injuring their standing as equal citizens. The post-2022 explosion of telehealth abortion using mifepristone is the reason why the consequences have not been even worse.Now, Trump’s new FDA commissioner, Marty Makary, is under pressure to restrict access to the drug. Pressed by reporters at the Semafor World Economy Summit late last month, Makaray said that he had “no plans” to review the status of mifepristone. But he added a crucial caveat: that he would reconsider the drug’s accessibility if new information emerged about the drug’s safety. “If the data suggests something or tells us that there’s a real signal, we can’t promise that we’re not going to act on that data,” he said.As if on cue, a conservative thinktank published a new study just days later that purported to find that mifepristone caused serious adverse effects in more than 10% of patients. The study – which contradicts all previous tests of the drug and the resounding consensus of the medical field – was published by the Ethics and Public Policy Center, a rightwing advocacy group that aims to “apply the richness of the Jewish and Christian traditions to contemporary questions of law” and “push back against the extreme progressive agenda while building a consensus for conservatives”.The study was rapidly amplified on conservative social media, and was pushed by several Republican senators who had previously called on Makaray to ban mifepristone at his March confirmation hearing. Missouri’s Josh Hawley, the author of a book on “manhood” who once raised a fist in solidarity with the January 6 insurrectionists, declared in a statement directed at Makaray: “Well, the new data is here. And it’s a signal that can’t be missed: Mifepristone is not safe.” Hawley went on to urge the FDA to restrict access to the drug and revert to pre-pandemic regulations, in which mifepristone could only be dispensed by a doctor after multiple in-person visits: a regulatory regime that would cut off abortion access to millions of women in anti-choice states.But the study that is being proposed as a pretext for restricting abortion access has come under scrutiny from doctors and statisticians for its questionable methodology. Drawing from insurance claim data from 2017 to 2023, the EPPC study claims that 10% of women who take mifepristone experience “sepsis, infection, hemorrhaging, an emergency room visit, or another serious adverse event within 45 days”. This would be alarming if it were true, but it isn’t.Instead, the study seems to have been designed to dramatically overstate the side-effects of mifepristone, in part by counting the normal and intended functioning of the drug – such as vaginal bleeding as the pregnancy terminates and post-medication doctor visits to confirm the completion of the miscarriage – as serious adverse effects. The study also claimed that a vast range of health experiences in the 45 days following the medication – such as mental health symptoms – were caused by the drug, a claim that the data does not support. The EPPC study also seems to include those who were prescribed mifepristone for non-abortion uses, such as miscarriage management, as well as those who took it alone, without the standard misoprostol dose that accompanies it. The study is not peer-reviewed and has not been published in a medical journal, because its authors could not meet the standards that such publication requires: their work is not up to snuff. Dr Stella Dantas, the president of the American College of Obstetricians and Gynecologists, called the paper “seriously flawed” and said that it “manipulates data to drive a myth that medication abortion isn’t safe”.The truth is that abortion pills have a lower rate of serious complications than Tylenol, and that the anti-abortion movement is in fact a great danger to American women’s health. It is because of abortion bans – not abortion access – that women in America are facing dramatically rising rates of “sepsis, infection, hemorrhaging” and death in pregnancy. In Texas alone, the rate of sepsis in pregnant women experiencing second-trimester miscarriages increased by more than 50% in the years since the state’s near-total abortion ban went into effect, and experts say that the laws prohibiting abortion are the cause. The adverse effects that the anti-abortion movement sees in mifepristone’s availability is not a matter of women’s health, which they are indifferent to. It is women’s freedom.

    Moira Donegan is a Guardian US columnist More

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    Casey Means: influencer, RFK Jr favorite – and Trump’s pick for surgeon general

    Donald Trump nominated Casey Means, a wellness influencer and medical doctor with an inactive license for US surgeon general this week – the president’s second nominee to serve as “the nation’s doctor”.Trump abruptly withdrew his first nominee, Dr Janette Nesheiwat, before her Senate confirmation hearing, amid criticism from the right and confusion about her medical credentials.His new nominee, Means, is a 37-year-old Los Angeles-based medical entrepreneur who shot to prominence in right-leaning wellness circles by criticizing mainstream medicine and advocating for a healthier food supply.In a social media post, Trump said that Means “has impeccable ‘Maha’ credentials”.Means’s nomination is a testament to the influence of health secretary Robert F Kennedy Jr in the administration. Just a day after Trump nominated Means, he told reporters: “I don’t know her. I listened to the recommendation of Bobby.”Kennedy is the figurehead of “Make America healthy again” (Maha), a loosely defined wellness movement embraced by the right alongside vaccine skepticism, new food politics and criticism of the medical establishment.Means’s brother, self-described former food lobbyist Calley Means, already works for the administration. He serves as a senior adviser to Kennedy and as one of the secretary’s leading online mudslingers.However, major hurdles remain for Means’s nomination – including her inactive medical license and criticism from the same rightwing forces that helped tank Trump’s first nominee.“We should not toss out the window everything Casey is saying, but I would proceed with caution given her training,” said Gabby Headrick, as assistant professor and director of nutrition programs at George Washington University’s Milken School of Public Health.“Typically and historically, the person appointed to that role and confirmed is someone who has an active medical license, someone who has completed residency, and has held a leadership role in a medical institution. Casey Means does not have the resumé … She also is not trained in nutrition.”Means also faces opposition from the far right. Activist Laura Loomer, who was critical of Trump’s first nominee, is skeptical of Means – calling her “unfit” for surgeon general and promoting events with Means’s critics.Loomer previously described Nesheiwat as “a pro-Covid vaccine nepo appointee who is currently embroiled in a medical malpractice case”. Covid vaccines and the technology that underpins them have become a target of right-leaning politicians.Similarly, anti-vaccine activists have sought to reassure the “medical freedom” base of Means’s bone fides. The anti-vaccine activist John Leake argued in a newsletter: “I have not seen any evidence that Casey Means is serving the vaccine cartel with her stated objective of scrutinizing the food supply.”Means describes herself as a “medical doctor, New York Times bestselling author, tech entrepreneur … aspiring regenerative gardener, and outdoor enthusiast who lives in a state of awe for the miracle and mystery of existence and consciousness”.She and her brother wrote a bestselling book called Good Energy: the Surprising Connection Between Metabolism and Limitless Health. The pair shot to fame on the political right around the time that Kennedy dropped out of the race and endorsed Trump. They began appearing at Maha events, on former Fox News host Tucker Carlson’s podcast, on The Joe Rogan Show and on HBO’s Real Time with Bill Maher.Casey Means’s public statements about how Americans should be wary about microplastics and agricultural chemicals and the importance of organic produce could easily serve as liberal dinner-party chatter. They also show how Maha has adopted concerns once considered the dominion of the left.“The thing that is so imperative for people to understand is that the reasons we’re having surgery, the reasons why we’re getting sick, the reasons American competitiveness is plummeting, the reasons why our kids are chronically ill … are all from preventable issues,” Means told Carlson.Means has adopted more inflammatory aspects of Kennedy’s agenda – including questioning the value of vaccines and criticizing Ozempic, the blockbuster GLP-1 drug.“I bet that one vaccine probably isn’t causing autism. But what about the 20 that they’re getting before 18 months?” she said on Rogan’s podcast.Nutrition experts such as Headrick have applauded Good Energy for its effort to elevate disease prevention. But Means ignores the “root causes” of chronic conditions, she says.“Not once in this book does Casey Means point out that millions of Americans do not have access to a full-service grocery store,” said Headrick.Means graduated from Stanford University in 2014 with a medical degree, and attended residency at Oregon Health & Science University the next year, but she left in 2018 before the five-year program finished. She said she left because she became disillusioned with medicine, while professors and former classmates said it was due to stress and anxiety, per the Los Angeles Times. Her medical license lapsed in 2024, according to the Oregon medical board.By 2019, she and a few others founded Levels, a business based around selling continuous glucose monitors and a subscription health tracking app. The devices, once available only to diabetics, have become popular in the “bio-hacking” movement. Such apps also collect reams of data on their customers, a valuable asset.“I am terrified about any company having this granular a look at my life and my medical information,” said Albert Fox Cahn, the executive director of the Surveillance Technology Oversight Project.“This should be someone committed to protecting [and] promoting public health, and I’m terrified to see this administration double down on its willingness to treat health as just another commodity.”One of her co-founders is Sam Corcos, who has become a key figure in the Elon Musk-led “department of government efficiency” inside the Internal Revenue Service. The unofficial department helped eliminate more than 280,000 federal workers, including nearly a quarter of the federal health workforce. The company’s backers have also included Trump advisers.Similarly, Calley Means has also invested in health technology. He co-founded TrueMed, a business that helps people purchase wellness devices – including Levels glucose monitors – through taxpayer-subsidized health savings accounts (HSAs) and flexible spending accounts (FSAs). About one in five Americans has access to an HSA, according to the American Bankers Association. Republicans have proposed expanding the accounts for decades.Although Means’s lack of a medical license would normally be disqualifying, health law experts said they would not rule out the administration attempting an end-run around the requirement.“A medical license requires that the individual maintains her medical knowledge through mandatory continuing medical education,” Gostin told NPR. “She is not licensed and therefore should be ineligible to become surgeon general of the United States.” More

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    Trump health cuts create ‘real danger’ around disease outbreaks, workers warn

    Mass terminations and billions of dollars’ worth of cuts at the Department of Health and Human Services (HHS) have gutted key programs – from child support services to HIV treatment abroad – and created a “real danger” that disease outbreaks will be missed, according to former workers.Workers at the HHS, now led by Robert F Kennedy Jr, and in public health warned in interviews that chaotic, flawed and sweeping reductions would have broad, negative effects across the US and beyond.While Donald Trump’s administration is cutting the HHS workforce from 82,000 to 62,000 through firings and buyouts, grant cuts by Elon Musk’s so-called “department of government efficiency” (Doge) have also had a stark impact on state governments – and resulted in firings at state public health agencies.At the South Carolina department of public health, for example, more than 70 staff were laid off in March due to funding cuts.“Disease surveillance is how we know when something unusual is happening with people’s health, like when there are more food-poisoning cases than usual, or a virus starts spreading in a community,” an epidemiologist at the department, whose role was eliminated, said. “It’s the system that lets us spot patterns, find outbreaks early, and respond before more people get sick.”“When you lose public health staff, you lose time, you lose accuracy, you lose responsiveness, and ultimately that affects people’s health,” they added. “Without us, outbreaks can fly under the radar, and the response can be delayed or disorganized. That’s the real danger when these roles get cut.View image in fullscreen“It’s invisible work, until it’s not. You may not think about it day to day, but it’s protecting your drinking water, your food, your kids’ schools and your community.”A spokesperson for South Carolina’s public health department declined to comment on specifics, but noted employees hired through grants are temporary. “When funding for grants is no longer available, their employment may end, as happened with some temporary grant employees who were funded by these grants,” they said.In Washington, the HHS has been cut harder by Doge than any other federal department. Hundreds of grants to state, local and tribal governments, as well as to research institutions, have been eliminated, worth over $6.8bn in unpaid obligations.The HHS receives about a quarter of all federal spending, with the majority disbursed to states for health programs and services such as Medicare and Medicaid, the insurance programs; medical research; and food and drug safety. Trump’s budget proposal calls for cutting the department’s discretionary spending by 26.2%, or $33.3bn.RFK Jr, who has a history of promoting conspiracy theories and medical misinformation, was nominated by Trump and approved by the Senate along party lines, with Mitch McConnell the sole Republican dissenter.Following a reduction in force of 10,000 employees on 1 April, Kennedy Jr claimed 20% of the firings were in error and that those workers would be reinstated, though that has not happened.An HHS spokesperson blamed any such errors on data-collection issues, and did not comment on any other aspects of the Guardian’s reporting.Aids relief program ‘dismantled’At the Centers for Disease Control and Prevention, an operating division of the HHS, employees working on maternal and child health at the President’s Emergency Plan for Aids Relief (Pepfar) program were shocked to be included in the reduction in force, as earlier in the administration their work had received a waiver for parts of the program from federal funding freezes.All federal experts on HIV prevention in children overseas were fired as part of the reduction in force.“Our concern initially was that it was a mistake with the name. We hoped around that time it came out that there were 20% errors, that we would be included,” said an epidemiologist who was included in the reduction in force, but requested to remain anonymous as they are currently on administrative leave. They also noted that they were in the middle of planning and delivering a new pediatric HIV treatment medication set to be dispersed this year, and that that work was now at risk.View image in fullscreenThey said 22 epidemiologists in the branch of their CDC division had been fired. Pepfar was created in 2003 by George W Bush to prevent mother-to-child HIV transmission and credited with saving 26 million lives.“We were very shocked on April 1 that we were put immediately on admin leave,” said another epidemiologist affected by the reduction in force at the CDC. “We really feel our branch being cut was a mistake. The state department had said services were a priority and needed to continue, but then we were cut by HHS.”They noted HIV treatment had already stopped in regions of countries that had been reliant on USAID programs, such as Zambia.“It is one of the most successful global health programs in history, data driven with high levels of accountability and the dollars spent achieve impact. Our concern now is, yes, they are continuing Pepfar in name, but they are dismantling all the systems and structure that allowed it to succeed,” they added. “The US made a huge investment in this program in 20 years and a lot of it is now undone. We’ve now disrupted those systems that could have reduced and eventually removed US investment in these programs.”‘Long-term impact’ on US familiesInside the HHS, the Administration for Children and Families is responsible for enforcing court-ordered child-support payments. For every dollar it receives in federal funding, ACF says it is able to collect $5 in child support.A child-support specialist with the HHS, who requested to remain anonymous for fear of retaliation, said reductions in force at the department have increased workloads on those who were not fired by multiple times, making it so state and tribal agencies have no way of ensuring they are compliant with federal requirements.“The regional staff with direct oversight of the program are gone,” they said. “There are entire regions that have two staff members managing a quarter of the work for the program with no management, no support, no knowledge of the program.”After the Trump administration took office, the agency was under an unofficial stop-work order, where staff were not permitted to provide guidance or support to grantees or even answer phones, until late February, the specialist said. A reduction in force followed on 1 April, when, the child-support specialist claimed, about half the ACF staff working on child support were fired.Their department is responsible for overseeing child-support programs at state, tribal and local levels. States “could very well lose millions of dollars in funding” if ACF does not provide key training and assistance and the states do not have qualified staff, the specialist cautioned. “And that is the long-term impact to vulnerable children and families in the country.”They added: “The entire function of the program is to give economic stability to children and families, so that they do not depend on any other government program, or their reliance on these programs is lower, because the children are supported by both parents.”‘A living hell’At the Centers for Medicare and Medicaid Services, also within the HHS, one of 300 workers terminated as part of a reduction in force claimed it had been illegal, and had not followed any proper procedures. The National Treasury Employees Union has filed a grievance over how the firings were carried out, including incorrect information on notices.They explained that, on 1 April, they received a generic letter informing them of an intent of reduction in force. Hours later, they were locked out of their government logins. “We started emailing the management that was left, trying to get clarification on what our status was. Nobody could give us an answer,” the worker said.On 7 April, they discovered through their paystub that they had been placed on administrative leave, despite never receiving a notice. They didn’t receive an RIF notice until weeks later, after requesting it.“Based on my tenure, and as a disabled veteran, I should at least have a chance of reassignment,” they said. “I’m not mad about losing my job. It happens. I’ve been laid off. The first time was in the private sector, and it was way more humane, more empathetic, and I was given different offers.“This, on the other hand, is unbridled hate. This administration has gone out of their way to make it a living hell for all of its public servants.” More

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    What is chlorinated chicken and will it be sold in the UK after Trump trade deal?

    The government has insisted Britain’s food standards would not be compromised after the UK and the US agreed on a trade deal to eliminate a series of tariffs.Agriculture is a key part of the new trade deal announced on Thursday by Sir Keir Starmer and Donald Trump. Tariffs have been reduced on US products, including beef and ethanol, in return for moves that help British cars and steel.After the deal was announced, government sources insisted imports of hormone-treated beef or chlorinated chicken, previously described as red lines for the UK in any agreement, would remain illegal.The agreement on beef provides a tariff-free quota for 13,000 tonnes of US exports, but the government said there would be no drop in food standards as a result of the deal. It also includes access to British beef exports to the US.Chlorine-washed chicken – a controversial method of cleaning farmed animals to kill bacteria – was a major product being touted as part of the deal.While evidence suggests the chlorine wash itself is not harmful, critics argue treating chicken with the chemical will allow for poorer hygiene earlier on in the production process.However, Liz Webster, founder of Save British Farming, told The Independent: “The British public is rightly appalled by chlorinated chicken and hormone-fed beef. We are an animal-loving nation that values high standards, and we must not trade them away.”Packs of ‘Brexit Selection Freshly Chlorinated Chicken’ sit on display at ‘Costupper’ Brexit Minimart pop-up store, set up by the People’s Vote campaign group, in November 2018 More

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    Trump nominates Dr Casey Means, influencer close to RFK Jr, for surgeon general

    Donald Trump has tapped Dr Casey Means, a wellness influencer with close ties to Robert F Kennedy Jr, the US health secretary, as nominee for surgeon general after withdrawing his initial pick for the influential health post.The US president said in a social media post on Wednesday that Means has “impeccable ‘MAHA’ credentials” – referring to the “make America healthy again” slogan – and that she will work to eradicate chronic disease and improve the health and wellbeing of Americans.“Her academic achievements, together with her life’s work, are absolutely outstanding,” Trump said. “Dr Casey Means has the potential to be one of the finest Surgeon Generals in United States History.”The news signals Trump’s withdrawal of his original pick for the post: Janette Nesheiwat, a former Fox News medical contributor. It marks at least the second health-related pick from Trump to be pulled from Senate consideration. Nesheiwat had been scheduled to appear before the Senate health, education, labor and pensions committee on Thursday for her confirmation hearing.Means and her brother, former lobbyist Calley Means, served as key advisers to Kennedy’s longshot 2024 presidential bid and helped broker his endorsement of Trump last summer. The pair made appearances with some of Trump’s biggest supporters, winning praise from conservative pundit Tucker Carlson and podcaster Joe Rogan. Calley Means is currently a White House adviser who appears frequently on television to promote restrictions on Snap benefits, removing fluoride from drinking water and other Maha agenda items.Casey Means has no government experience and dropped out of her surgical residency program, saying she became disillusioned with traditional medicine. She founded a health tech company, Levels, that helps users track blood sugar and other metrics. She also makes money from dietary supplements, creams, teas and other products sponsored on her social media accounts.In interviews and articles, Means and her brother describe a dizzying web of influences to blame for the nation’s health problems, including corrupt food conglomerates that have hooked Americans on unhealthy diets, leaving them reliant on daily medications from the pharmaceutical industry to manage obesity, diabetes and other chronic conditions.Few health experts would dispute that the US diet – full of processed foods – is a contributor to obesity and related problems. But Means goes further, linking changes in diet and lifestyle to a raft of conditions including infertility, Alzheimer’s, depression and erectile dysfunction.“Almost every chronic health symptom that Western medicine addresses is the result of our cells being beleaguered by how we’ve come to live,” Means said in a 2024 book co-written with her brother.Food experts say it’s overly simplistic to declare that all processed foods are harmful, since the designation covers an estimated 60% of US foods, including products as diverse as granola, peanut butter and potato chips.“They are not all created equal,” said Gabby Headrick, a nutrition researcher at George Washington University’s school of public health. “It is much more complicated than just pointing the finger at ultra-processed foods as the driver of chronic disease in the United States.”Means has mostly steered clear of Kennedy’s debunked views on vaccines. But on her website, she has called for more investigation into their safety and recommends making it easier for patients to sue drugmakers in the event of vaccine injuries. Since the late 1980s, federal law has shielded those companies from legal liability to encourage development of vaccines without the threat of costly personal injury lawsuits.She trained as a surgeon at Stanford University but has built an online following by criticizing the medical establishment and promoting natural foods and lifestyle changes to reverse obesity, diabetes and other chronic diseases.If confirmed as surgeon general, Means would be tasked with helping promote Kennedy’s sprawling Maha agenda, which calls for removing thousands of additives and chemicals from US foods, rooting out conflicts of interest at federal agencies and incentivizing healthier foods in school lunches and other nutrition programs.Nesheiwat, Trump’s first pick, is a medical director for an urgent care company in New York and has appeared regularly on Fox News to offer medical expertise and insights. She is a vocal supporter of Trump and shares photos of them together on social media. Nesheiwat is also the sister-in-law of former national security adviser Mike Waltz, who has been nominated to be Trump’s ambassador to the United Nations.Nesheiwat also recently came under criticism from Laura Loomer, a far-right ally of Trump who was instrumental in ousting several members of Trump’s national security council. Loomer posted on Twitter/X earlier this week that “we can’t have a pro-COVID vaccine nepo appointee who is currently embroiled in a medical malpractice case and who didn’t go to medical school in the US” as the surgeon general.Independent freelance journalist Anthony Clark reported last month that Nesheiwat earned her medical degree from the American University of the Caribbean School of Medicine in St Maarten, despite saying that she has a degree from the University of Arkansas School of Medicine.The surgeon general, considered the nation’s doctor, oversees 6,000 US Public Health Service Corps members and can issue advisories that warn of public health threats.In March, the White House pulled from consideration the nomination of former Florida Republican Dave Weldon to lead the Centers for Disease Control and Prevention. His skepticism on vaccines had raised concerns from key Republican senators, and he withdrew after being told by the White House that he did not have enough support to be confirmed.The withdrawal was first reported by Bloomberg News. More

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    The Trump administration is defending abortion pill access in court. What?

    The Trump administration on Monday asked a federal court to dismiss a lawsuit that takes aim at the abortion pill mifepristone – a move that stunned many observers for what seemed a defense of the drug by a president who has overseen the most dramatic rollback of abortion rights in modern US history.At first blush, it may seem a victory for abortion access – but experts worry that, in reality, the move preserves the administration’s ability to play coy about any future plans to attack abortion rights.When Donald Trump first returned to the White House earlier this year, US anti-abortion activists had high hopes for the man who helped orchestrate the downfall of Roe v Wade. They thought he might use a 19th-century anti-vice law to effectively ban abortion nationwide. Failing that, they imagined that he might use the power of the Food and Drug Administration to roll back access to mifepristone or even yank it from the market entirely.Instead, over the last few months, the Trump administration has attempted to dodge the issue entirely. The Monday request, to a Texas judge who has become a reliable vote for abortion opponents, continued that pattern.The lawsuit seeks to roll back several FDA regulatory changes that have, over the last decade, considerably expanded access to mifepristone, one of two drugs typically used in US medication abortions. It revives a lawsuit that led to a stinging 9-0 defeat for abortion rights opponents when the court ruled the lawsuit’s plaintiffs, a group of anti-abortion doctors, did not have the legal standing to sue in the first place.Rather than let the matter die, the Republican attorneys general of Idaho, Kansas and Missouri moved to take over the case as its new plaintiffs. Judge Matthew Kacsmaryk of the US district court for the northern district of Texas, where the case is being heard, agreed to let the attorneys general move forward.However, in its Monday filing, the Trump administration argued that there is no reason why the case should proceed in Texas.“At bottom, the states cannot keep alive a lawsuit in which the original plaintiffs were held to lack standing, those plaintiffs have now voluntarily dismissed their claims, and the states’ own claims have no connection to this district,” the administration wrote.Abortion rights supporters have long pointed to one reason why the case was filed in Texas: Kacsmaryk. A Trump appointee with a track record of abortion opposition, Kacsmaryk once took the unprecedented step of ruling to reverse the FDA’s 2000 approval of mifepristone, which would lead to its removal from the market.Nicole Huberfeld, a health law professor at Boston University’s School of Public Health, found it “a little funny” that the Trump administration’s filing seemed to call out its own side for judge-shopping.It is possible that Trump, who was never exactly a true believer in the anti-abortion movement, has now soured on it. While the movement helped propel him to the White House in 2016, it became something of an albatross for him in 2024, as outrage over Roe’s collapse led abortion rights to become one of the election’s top issues.Yet Huberfeld found the filing more notable for what it did not say: namely, it shied away from revealing the Trump administration’s plans for mifepristone. She believes the administration may try to change mifepristone access through the FDA, and that the legal reasoning in Monday’s filing could be used against a future lawsuit by blue states against new restrictions.“They’re basically saying that the states don’t get to just challenge FDA policy because they want to,” Huberfeld said. “Which, in my view, is a set-up for anticipating that blue states may try to challenge any changes on mifepristone rules.”FDA Commissioner Martin Makary could, for example, move to reverse regulations that permit people to dispense abortion pills through telehealth – which accounts for about a fifth of all US abortions – or eliminate mifepristone’s approval. Project 2025, the notorious playbook of policy proposals authored by the conservative thinktank the Heritage Foundation, urged the FDA to do exactly that.Last month, Makary told the Semafor World Economy Summit that he had “no plans to take action” on mifepristone. However, he added: “There is an ongoing set of data that is coming into the FDA on mifepristone. So if the data suggests something or tells us that there’s a real signal, we can’t promise we’re not going to act on that data.”Decades of studies, conducted in more than a dozen countries, have found that mifepristone is safe and effective. However, anti-abortion groups have repeatedly pushed studies that claimed to find that mifepristone is dangerous. (Some of those studies have been retracted.)“My guess is that the Trump administration is trying to walk the fine line of not looking like it’s threatening access to mifepristone while also, potentially, through the FDA trying to limit access to mifepristone,” Huberfeld said. “In other words, I don’t think the FDA’s actually going to be hands-off.” More