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      Second child dies of measles in Texas amid rising outbreak

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      A second child with measles has died in Texas amid a steadily growing outbreak that has infected nearly 500 people in that state alone.The US health and human services department confirmed the death to NBC late Saturday, though the agency insisted exactly why the child died remained under investigation. On Sunday, a spokesperson for the UMC Health System in Lubbock, Texas, said that the child had been hospitalized before dying and was “receiving treatment for complications of measles” – which is easily preventable through vaccination.The family of the child in question had chosen to not get the minor vaccinated against the illness.Michael Board, a news reporter at Texas’s WOAI radio station, wrote on Sunday that official word from the state’s health and human services department was that the child died from “measles pulmonary failure” while having had no underlying conditions.Citing records it had obtained, the New York Times described the child as an eight-year-old girl.That marked the second time a child with measles had died since 26 February. The first was a six-year-old girl – also hospitalized in Lubbock – whose parents had not had her vaccinated.The Trump administration’s health secretary, Robert F Kennedy Jr, on Sunday identified the two children to have died with measles as Kayley Fehr and Daisy Hildebrand. Daisy was the one who died more recently, and Kennedy said in a statement that he traveled to her funeral on Sunday to be with her family as well as the community in its “moment of grief”.Kennedy for years has baselessly sowed doubt about vaccine safety and efficacy. He sparked alarm in March among those concerned by the US’s measles outbreak when he backed vitamins to treat the illness and stopped short of endorsing protective vaccines, which he minimized as merely a “personal choice” rather than a safety measure that long ago was proven effective.In his statement on Sunday, Kennedy said: “The most effective way to prevent the spread of measles is the MMR vaccine,” which also provides protection against mumps and rubella. He also said he would send a team to support Texas’s local- and state-level responses to the ongoing measles outbreak.A third US person to have died after contracting measles was an unvaccinated person in Lea county, New Mexico, officials in that state announced in early March.Dr Peter Marks, who recently resigned as the Food and Drug Administration’s vaccine while attributing that decision to Kennedy’s “misinformation and lies”, blamed the US health secretary and his staff for the death of the child being buried on Sunday.“This is the epitome of an absolute needless death,” Marks said Sunday during an interview with the Associated Press. “These kids should get vaccinated – that’s how you prevent people from dying of measles.”Marks also told the AP that he had warned US senators that the country would endure more measles-related deaths if the Trump administration did not more aggressively respond to the outbreak. The Senate health committee has called Kennedy to testify before the group on Thursday.One of that committee’s members is the Louisiana Republican and medical doctor Bill Cassidy, who frequently speaks about the importance of getting vaccinates against diseases but joined his Senate colleagues in voting to confirm Kennedy as the US health secretary.Cassidy on Sunday published a statement saying: “Everyone should be vaccinated.”There is “no benefit to getting measles”, Cassidy’s statement added. “Top health officials should say so unequivocally [before] another child dies.”Measles, which is caused by a highly contagious, airborne virus that spreads easily when an infected person breathes, sneezes or coughs, had been declared eliminated from the US in 2000. But the virus has recently been spreading in undervaccinated communities, with Texas and New Mexico standing among five states with active outbreaks – which is defined as three or more cases.The other states are Kansas, Ohio and Oklahoma. Collectively, as of Friday, the US had surpassed 600 measles cases so far this year – more than double the number it recorded in all of 2024. Health officials and experts have said that they expect the measles outbreak to go on for several more months at least – if not for about a year.Texas alone was reporting 481 cases across 19 counties as of Friday, most of them in the western region of the state. It registered 59 previously unreported cases between Tuesday and Friday. There were also 14 new hospitalizations, for a total of 56 throughout the outbreak.More than 65% of Texas’s measles cases are in Gaines county, which has a population of just under 23,000, and was where the virus started spreading in a tightly knit, undervaccinated Mennonite community.Gaines has logged 315 cases – in just over 1% of the county’s residents – since late January.The Associated Press contributed reporting More

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      in US Politics

      ‘A case study in groupthink’: were liberals wrong about the pandemic?

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      Were conservatives right to question Covid lockdowns? Were the liberals who defended them less grounded in science than they believed? And did liberal dismissiveness of the other side come at a cost that Americans will continue to pay for many years?A new book by two political scientists argues yes to all three questions, making the case that the aggressive policies that the US and other countries adopted to fight Covid – including school shutdowns, business closures, mask mandates and social distancing – were in some cases misguided and in many cases deserved more rigorous public debate.In their peer-reviewed book, In Covid’s Wake: How Our Politics Failed Us, Stephen Macedo and Frances Lee argue that public health authorities, the mainstream media, and progressive elites often pushed pandemic measures without weighing their costs and benefits, and ostracized people who expressed good-faith disagreement.View image in fullscreen“Policy learning seemed to be short-circuited during the pandemic,” Lee said. “It became so moralized, like: ‘We’re not interested in looking at how other people are [responding to the pandemic], because only bad people would do it a different way from the way we’re doing’.”She and Macedo spoke to the Guardian by video call. The Princeton University professors both consider themselves left-leaning, and the book grew out of research Macedo was doing on the ways progressive discourse gets handicapped by a refusal to engage with conservative or outside arguments. “Covid is an amazing case study in groupthink and the effects of partisan bias,” he said.Many Covid stances presented as public health consensus were not as grounded in empirical evidence as many Americans may have believed, Macedo and Lee argue. At times, scientific and health authorities acted less like neutral experts and more like self-interested actors, engaging in PR efforts to downplay uncertainty, missteps or conflicts of interest.It’s a controversial argument. Covid-19 killed more than a million Americans, according to US government estimates. The early days of the pandemic left hospitals overwhelmed, morgues overflowing, and scientists scrambling to understand the new disease and how to contain it.Still, Macedo and Lee say, it is unclear why shutdowns and closures went on so long, particularly in Democratic states. The book argues that in the US the pandemic became more politically polarized over time, after, initially, “only modest policy differences between Republican- and Democratic-leaning states”.After April 2020, however, red and blue America diverged. Donald Trump contributed to that polarization by downplaying the severity of the virus. Significant policy differences also emerged. Ron DeSantis, the Republican governor of Florida, moved to re-open physical schools quickly, which progressives characterized as irresponsible.Yet in the end there was “no meaningful difference” in Covid mortality rates between Democratic and Republican states in the pre-vaccine period, according to CDC data cited in the book, despite Republican states’ more lenient policies. Macedo and Lee also favorably compare Sweden, which controversially avoided mass lockdowns but ultimately had a lower mortality rate than many other European countries.The shutdowns had foreseeable and quantifiable costs, they say, many of which we are still paying. Learning loss and school absenteeism soared. Inflation went through the roof thanks in part to lockdown spending and stimulus payments. Small businesses defaulted; other medical treatments like cancer screenings and mental health care suffered; and rates of loneliness and crime increased. The economic strain on poor and minority Americans was particularly severe.Covid policies escalated into culture wars, amplifying tensions around other social issues. Teachers’ unions, which are often bastions of Democratic support, painted school re-openings as “rooted in sexism, racism, and misogyny” and “a recipe for … structural racism”, the book notes, despite the fact that minority and poor students were most disadvantaged by remote learning.These measures also had a literal price. “In inflation-adjusted terms,” Macedo and Lee write, “the United States spent more on pandemic aid in 2020 than it spent on the 2009 stimulus package and the New Deal combined” – or about what the US spent on war production in 1943.View image in fullscreenYet of the $5tn that the US Congress authorized in 2020 and 2021 for Covid expenditure, only about 10% went to direct medical expenses such as hospitals or vaccine distribution, according to the book; most of the spending was on economic relief to people and businesses affected by shutdowns. Ten per cent of that relief was stolen by fraud, according to the AP.The pandemic was an emergency with no modern precedent, of course, and hindsight is easy. But In Covid’s Wake tries to take into account what information was known at the time – including earlier pandemic preparedness studies. Reports by Johns Hopkins (2019), the World Health Organization (2019), the state of Illinois (2014) and the British government (2011) had all expressed ambivalence or caution about the kind of quarantine measures that were soon taken.“We take a look at the state of the evidence as it was in early 2020,” Lee said. “It was clear at the time that the evidence was quite unsettled around all of this, and if policymakers had been more honest with the public about these uncertainties, I think they would have maintained public trust better.”The Johns Hopkins Center for Health Security hosted a wargaming exercise in October 2019, shortly before the pandemic began, to simulate a deadly coronavirus pandemic; the findings explicitly urged that “[t]ravel and trade … be maintained even in the face of a pandemic”. Similarly, a WHO paper in 2019 said that some measures – such as border closures and contact tracing – were “not recommended in any circumstances”.“And yet we did all of that in short order,” Macedo said, “and without people referring back to these plans.”He and Lee also believe there was a strong element of class bias, with a left-leaning “laptop class” that could easily work from home touting anti-Covid measures that were much easier for some Americans to adopt than others. Many relatively affluent Americans became even wealthier during the pandemic, in part due to rising housing values.At the same time, the laptop class was only able to socially isolate at home in part because other people risked exposure to provide groceries. Stay-at-home measures were partly intended to protect “essential workers”, but policymakers living in crisis-stricken major metropolitan areas such as New York or Washington DC did not reckon with why social distancing and other measures might be less important in rural parts of the country where Covid rates were lower.Lockdowns were intended to slow Covid’s spread, yet previous pandemic recommendations had suggested they only be used very early in an outbreak and even then do not buy much time, Macedo said.View image in fullscreenPolicymakers and experts often embraced stringent measures for reasons that are more political than medical, Macedo and Lee argue; in a pandemic, authorities are keen to assure anxious publics that they are “in charge” and “doing something”.In strange contrast, policymakers and journalists in the US and elsewhere seemed to take China as a model, the book argues, despite the fact that China is an authoritarian state and had concealed the scale of the outbreak during the crucial early days of the pandemic. Its regime had obvious incentives to mislead foreign observers, and used draconian quarantine measures such as physically welding people into their homes.When the WHO organized a joint China field mission with the Chinese government, in February 2020, non-Chinese researchers found it difficult to converse with their Chinese counterparts away from government handlers. Yet the WHO’s report was “effusive in its praise” of China’s approach, the book notes.“My view is that there was just a great deal of wishful thinking on the part of technocrats of all kinds,” Lee said. “They wanted there to be an answer – that if we do X and Y, we can prevent this disaster. And so they’re kind of grasping at straws. The Chinese example gave them hope.” She noted that Covid policymakers might have been better served if there had been people assigned to act as devil’s advocates in internal deliberations.Lee and Macedo are not natural scientists or public health professionals, they emphasize, and their book is about failures in public deliberation over Covid-19, rather than a prescription for managing pandemics.But they do wade into the debate about Covid-19’s origin, arguing that the “lab leak” hypothesis – that Covid-19 accidentally leaked from the Wuhan Institute of Virology, rather than spontaneously leaping from animals to humans – was unfairly dismissed.The Wuhan Institute studied coronaviruses similar to the one responsible for Covid-19, had a documented history of safety breaches, was located near the outbreak, and is known to have experimented on viruses using controversial “gain-of-function” methods funded by the US, which involve mutating pathogens to see what they might look like in a more advanced or dangerous form.Perhaps because Trump had fanned racial paranoia by calling Covid-19 the “China virus” and rightwing influencers were spreading the notion that it had been deliberately engineered and unleashed on the world by China, many scientists, public health experts and journalists reacted by framing the idea of a lab leak – even an accidental one – as an offensive conspiracy theory. Dr Anthony Fauci and other top public health figures were evasive or in some cases dishonest about the possibility of a lab leak, Macedo and Lee say, as well as the fact that a US non-profit funded by the National Institutes of Health allegedly funded gain-of-function research at the Wuhan Institute.Since then, though, the CIA and other US intelligence agencies have cautiously endorsed the lab leak theory, and the discourse around Covid has softened somewhat. The economist Emily Oster sparked immense backlash by arguing against school closures in 2020. Now publications such as New York Magazine and the New York Times have acknowledged the plausibility of the lab leak hypothesis, for example, and there is growing consensus that school closures hurt many children.The reception to In Covid’s Wake has been more positive than Macedo and Lee expected – perhaps a sign that some of their arguments have penetrated the mainstream, if not that we’ve gotten better as a society at talking about difficult things. “The reception of the book has been much less controversial [and] contentious than we expected,” Macedo said.Yet the wounds fester and debates continue. Some readers of the New York Times were furious when The Daily, the newspaper’s flagship podcast, recently interviewed them, with subscribers arguing that the episode was not sufficiently critical of their stance. And some coverage of the book has criticized it for underplaying the danger of the disease.Macedo and Lee said that a few of their colleagues have expressed concern that their critique could fuel political attacks on science – a worry that crossed their minds too. “Our response is that the best way to refute criticisms that science and universities have been politicized is to be open to criticism and willing to engage in self-criticism,” Macedo said.“We need to make sure these institutions are in the best possible working order to face the challenges ahead. And we think that’s by being honest, not by covering over mistakes or being unwilling to face up to hard questions.” More

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      in US Politics

      Trump administration eviscerates maternal and child health programs

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      Multiple maternal and child health programs have been eliminated or hollowed out as part of the Department of Health and Human Services (HHS) layoffs, prompting alarm and disbelief among advocates working to make Americans healthier.The fear and anxiety come as a full accounting of the cuts remains elusive. Federal health officials have released only broad descriptions of changes to be made, rather than a detailed accounting of the programs and departments being eviscerated.“Pediatricians, myself included, are losing sleep at night – worried about the health of the nation’s children,” said Dr Sue Kressly, president of the American Academy of Pediatrics.“The one that stands out to me is the Maternal and Child Health Bureau. There is no way to make our country healthier by eliminating expertise where it all starts, and it all starts at maternal and child health.”The health secretary, Robert F Kennedy Jr, announced HHS would eliminate 10,000 jobs as part of a restructuring plan. Together with cuts already made by Elon Musk’s unofficial “department of government efficiency”, HHS is likely to lose 20,000 workers – roughly one-quarter of its workforce.“We aren’t just reducing bureaucratic sprawl,” Kennedy said. “We are realigning the organization with its core mission and our new priorities in reversing the chronic disease epidemic.”Piecemeal and crowd-sourced information, which has filled the vacuum left by a lack of information from the health department, appears to show maternal health programs slated for elimination, many without an indication of whether they will be reassigned. The Guardian asked HHS to comment on the cuts but did not receive a response.The picture of cuts was further muddied on Thursday when Kennedy told reporters, according to Politico: “We’re going to do 80% cuts, but 20% of those are going to have to be reinstalled, because we’ll make mistakes.”In the aftermath of the height of the Covid-19 pandemic, there’s been much conservative criticism of public health agencies, particularly the Centers for Disease Control and Prevention (CDC). Pandemic policy continues to be an animating force within the Republican party, whose supporters are cynical about the value of federal public health programs following federal vaccine mandates.The cuts to maternal health programs may serve a second purpose for Republicans.Such programs have come under fire in some conservative states, in part because the experts involved investigate deaths that could have been prevented with abortion services – now illegal or severely restricted in nearly two dozen conservative states.As part of the restructuring, the administration announced 28 divisions would be folded into 15, including the creation of a new division, called the “Administration for a Healthy America”, or “AHA”.The administration argued the “centralization” would “improve coordination of health resources for low-income Americans and will focus on areas including, primary care, maternal and child Health, mental health, environmental health, HIV/Aids and workforce development”.Meanwhile, experts in HIV/Aids, worker health and safety, healthcare for society’s most vulnerable, and experts in maternal and child health have received “reduction in force” notices, a federal term for layoffs, or have been placed on administrative leave with the expectation of being eliminated.“It certainly appears there was a particular focus on parts of HHS that dealt with women’s or reproductive health,” said Sean Tipton, chief policy officer at the American Society for Reproductive Medicine, about the cuts.He added: “How in the world you can justify the CDC eliminating the division of maternal mortality is beyond me.”Among the divisions hard-hit was the Health Resources and Services Administration (HRSA), an operating division of HHS like the CDC, which housed the the Maternal and Child Health Bureau. HRSA lost as many as 600 workers.The CDC’s division of reproductive health, which studies maternal health, appeared to have been nearly eliminated, according to multiple reports, with some of the division’s portfolio also expected to be folded into AHA.skip past newsletter promotionafter newsletter promotionThe entire staff of a gold-standard maternal mortality survey, a program that was called the Pregnancy Risk Assessment Monitoring System, was also put on leave, Stat reported. The epidemiologist in charge of the CDC survey, Jennifer Bombard, wrote to colleagues on Tuesday: “[T]he entire CDC PRAMS team, including myself, has received the Reduction in Force (RIF) notice from HHS today.”A HRSA hotline that had fielded calls from new moms seeking mental health support was also cut, Stat reported. Layoffs at the Administration for Children and Families have jolted providers of federally backed high-quality childcare for low-income families, a program called Head Start.The CDC’s only experts on infertility were laid off, just days after Trump described himself as the “fertilization president” at an event marking Women’s History Month. The team had collected congressionally mandated statistics on fertility clinics’ success rates. Without the workers, it is unclear who at the department will help fertility clinics comply with the law.“I’m astounded, sad, perplexed,” said Barbara Collura, president of Resolve: The National Infertility Association. “Infertility impacts one in six people globally, and now we don’t have anybody at the CDC who knows anything about infertility and IVF?”A division of the CDC called the National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention also appeared to be gutted, with the director Jonathan Mermin placed on administrative leave. Among the center’s many tasks, it worked to curb the spread of congenital syphilis, a debilitating disease that is on the rise in the US.The March of Dimes, an influential non-profit whose mission is to improve the health of mothers and babies, said the cuts “raise serious concerns” at a time when maternal mortality rates remain “alarmingly high”.“As an OB-GYN and public health leader, I can’t overstate the value these resources and programs – and our partners across CDC, HRSA, and NIH – have brought to families and frontline providers,” said Dr Amanda Williams, the interim chief medical Officer at the March of Dimes.“We rely on the data, research, clinical tools and partnerships built by the Division of Reproductive Health (DRH) and HRSA to protect maternal and infant health – especially in communities hit hardest.”Heads of National Institutes of Health (NIH) centers were also forced out – and, apparently, offered reassignment to the Indian Health Service to be stationed in Alaska, Montana or Oklahoma, the journal Nature reported. Such large-scale reassignments are unprecedented, according to Stat.Among those to be placed on leave was one of the federal government’s pre-eminent leaders of research, the director of the National Institute of Allergy and Infectious Diseases (NIAID) Dr Jeanne Marrazzo. Marrazzo had expertise in sexually transmitted infections and women’s reproductive tract infections – a background that gave health advocates hope of curbing the US’s sky-high STD rates. Dr Diana Bianchi, director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, was also forced out.“These cuts are significant,” Kressly said. “And the policy and program changes that are made because the cuts impact real people in real communities, and I’m not just talking about the people who lost their jobs.” More

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      in UK Politics

      Chlorinated chicken: Is it bad for you and will it be sold in British supermarkets?

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      British negotiators are in “intense discussions” with the United States on closer trade ties, the chancellor has said, in an attempt to ease the impact of Donald Trump’s looming tariffs.One of the products being touted as part of the free trade deal is chlorine-washed chicken – a controversial method of cleaning farmed animals to kill bacteria.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.Reform UK leader Nigel Farage said he would agree to allow American chlorine-washed chicken to be sold in the UK as part of a free trade deal with the US. He said, as part of a deal, US President Trump “would want US agricultural products to be sold in Britain”.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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      in US Politics

      Mehmet Oz confirmed by US Senate to lead Medicare and Medicaid

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      Former heart surgeon and TV pitchman Dr Mehmet Oz was confirmed on Thursday to lead the Centers for Medicare and Medicaid Services (CMS).Oz became the agency’s administrator in a party-line 53-45 vote.The 64-year-old will manage health insurance programs for roughly half the country, with oversight of Medicare, Medicaid and Affordable Care Act coverage. He steps into the new role as Congress is debating cuts to the Medicaid program, which provides coverage to millions of poor and disabled Americans.Oz has not said yet whether he would oppose such cuts to the government-funded program, instead offering a vision of promoting healthier lifestyles, integrating artificial intelligence and telehealth into the system, and rethinking rural healthcare delivery.During a hearing last month, he told senators that he did favor work requirements for Medicaid recipients, but that paperwork shouldn’t be used to reaffirm that they are working or to block people from staying enrolled.Oz, who worked for years as a respected heart surgeon at Columbia University, also noted that doctors dislike Medicaid for its relatively low payments and some don’t want to take those patients.He said that when Medicaid eligibility was expanded without improving resources for doctors, that made care options even thinner for the program’s core patients, which include children, pregnant people and people with disabilities.“We have to make some important decisions to improve the quality of care,” he said.Oz has formed a close relationship with his new boss, Robert F Kennedy Jr. He’s hosted the health secretary and his inner circle regularly at his home in Florida. He’s leaned into Kennedy’s campaign to “make America healthy again” (Maha), an effort to redesign the nation’s food supply, reject vaccine mandates and cast doubt on some long-established scientific research.The former TV show host talks often about the importance of a healthy diet, aligning closely with Kennedy’s views.skip past newsletter promotionafter newsletter promotionWhile Oz has faced some criticism for promoting unproven vitamin supplements and holistic treatments – staples of the “Maha movement” – he’s regularly encouraged Americans to get vaccinated.Oz will take over the CMS days after the agency was spared from the type of deep cuts that Kennedy ordered at other public health agencies. Thousands of staffers at the Food and Drug Administration, the Centers for Disease Control and Prevention, and the National Institutes for Health are out of a job after mass layoffs that started on Tuesday.The CMS is expected to lose about 300 staffers, including those who worked on minority health and to shrink the cost of healthcare delivery. More

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      in UK Politics

      Voices: Is the NHS in crisis? Join The Independent Debate as public satisfaction hits record low

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      A new poll has revealed a dramatic collapse in public satisfaction with the NHS, with almost two-thirds of people across England, Scotland, and Wales expressing their dissatisfaction. The British Social Attitudes (BSA) survey found that 59 per cent of respondents were “quite” or “very” dissatisfied with how the health service is run — the highest level recorded since the survey began in 1983.Concerns over access to care, long waiting times, and staffing shortages have contributed to this growing frustration. Worryingly, nearly one in ten people also reported experiencing harm due to NHS treatment or lack of access to care, with many suffering severe impacts.Despite this dissatisfaction, the majority of the public still believe in the founding principles of the NHS, calling for more funding and staff to restore trust in the system. Health Secretary Wes Streeting said the Government has “taken the NHS off life support,” citing a £26 billion investment, an end to strikes, falling waiting lists, and two million extra appointments delivered early.But critics are warning that these figures should serve as a wake-up call, urging the government to take urgent action.So, what’s your experience? Have you been impacted by NHS delays or a lack of access? Do you think the health service is in crisis, or is it still delivering for patients?And crucially, what should be done to fix it? Should the government be investing more, or does the NHS need deeper structural reforms?We want to hear from you. Vote in our poll and share your thoughts in the comments – we’ll feature the most insightful responses and discuss the results in the coming days.All you have to do is sign up and register your details – then you can take part in the debate. You can also sign up by clicking ‘log in’ on the top right-hand corner of the screen.Share your thoughts in the comments – we’ll feature the most compelling responses and share the results in the coming days.All you have to do is sign up and register your details – then you can take part in the discussion. You can also sign up by clicking ‘log in’ on the top right-hand corner of the screen. More

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      in US Politics

      Trans soldiers served their country. Now the US is rolling back their healthcare

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      When Savannah Blake joined the air force at 22 years old, she was looking for stable employment and a way out of poverty. For the last few years of her service, she worked as a cyberdefense operator in the intelligence squadron. But the work, which involved overseeing computers operating drone surveillance, eventually took a toll on her mental health.“If I had to watch any more of this, I was going to not be alive anymore,” Blake said, who says she experienced suicidal ideations. “I just felt like the bad guy. I felt evil.”View image in fullscreenAfter seven years of service, Blake, who is trans, left the air force with PTSD, generalized anxiety disorder and chronic depression. But she also left with the hope she could finally live as herself without fear of harassment from fellow service members. Last year, she began receiving estrogen through the Department of Veterans Affairs. Now she fears for the future of that care.“Every day, I wake up and I don’t know what the rules are anymore in the country I live in,” said Blake. “It’s becoming increasingly hard to see a future where we’re OK.”Blake is one of about 134,000 transgender veterans living in the US. It’s an alarming time to be someone like her. On his first day in office, Donald Trump issued an executive order recognizing only two sexes, stamping out gender identity in federal documents and public spaces. A series of other orders have attempted to restrict trans rights, including participation in sports, access to gender-affirming care for youth, educational materials in schools and military service.The crackdown has sent shock waves through the VA, which functions as one of the US’s largest healthcare providers, offering free or low-cost care to more than 9 million veterans. After Trump’s inauguration, some VA health centers began removing LGBTQ+ affiliated objects, including pride flags, rainbow magnets, stickers and posters.When Mary Brinkmeyer’s medical center ordered the removal of LGBTQ+ patient flyers and other affirming material days after Trump’s executive orders, she refused, and ultimately resigned. For nearly three years, she had worked as a psychologist and LGBTQ+ veteran care coordinator at the VA facility in Hampton, Virginia. Hospital leadership ordered her to stop LGBTQ+ outreach, advocacy and gender-affirming training to departments because it could be considered “gender ideology”.View image in fullscreen“We all have ethics codes in our professions that say that you’re supposed to do no harm, and that if you’re caught between institutional pressure and the ethics code, you’re supposed to resolve it in a way that’s consistent with the ethics code,” Brinkmeyer said.Brinkmeyer fears for the mental health of trans veterans, whom she saw experience “really intense suicidal crises” after Trump announced a ban on trans people enlisting in the military in 2017. After the election last November, some of her patients requested the removal of trans identifiers in medical records, and others withdrew from coverage over fears of being targeted and losing access to care. For many, those fears have become a reality.Rollbacks became official in March when the VA rescinded directive 1341, a policy that ensured “the respectful delivery of health care to transgender and intersex Veterans”, and announced the phasing out of gender-affirming medical care. The agency had been providing gender-affirming treatment including hormone therapy, prosthetics, hair removal, voice coaching and pre-surgical evaluation including letters of support for more than a decade. While cisgender veterans will still be able to access these treatments, veterans diagnosed with gender dysphoria are now excluded. Mental health services for trans patients and existing VA and military coverage for hormone therapy won’t be affected, according to the memo, which also formalizes banning trans patients from using facilities that align with their gender identity.View image in fullscreen“I am scared for the huge amount of people that are about to be forcibly separated, because the VA is not there to actually catch these people,” Blake said, referring to an influx of trans service members who could be forced out of the military under Trump’s transgender military ban. “I hate that the ladder was pulled up behind me.”‘A death sentence’The changes have put trans veterans seeking gender-affirming care in limbo. It has also created a climate of fear for the trans veterans already receiving hormone therapy, who worry it could be pulled at any time.View image in fullscreenThat’s the reality for Kaydi Rogers. While at the moment her hormone therapy will not be disrupted, she is terrified of losing access to estrogen if the VA continues its crackdown.Rogers spent about five decades acquiring estrogen pills through pharmacies in Mexico or friends with prescriptions.“I was desperate,” Rogers said. “I didn’t know any way of doing anything about what was going on with me. It was not a common thing back in the 70s and 80s to come out trans.”She finally switched to VA coverage because of the potential health risks of taking unregulated pills. But Rogers said if the VA ever stopped prescribing her estrogen, the desperation would return and she would again rely on self-medication for survival.Beyond her concerns about continued access to care, Rogers feels the loss of welcoming and safe spaces inside VA clinics. She says she tries to avoid drawing attention to herself during appointments, fearful of being harassed or attacked.“Before last year, every time I went to the VA, I went dressed as Kaydi and no one seemed to bother me or care,” Rogers said. “Now, not so much.”Other veterans share these safety concerns, including Lindsay Church, the executive director and co-founder of Minority Veterans of America. Church, who is non-binary and uses they/them pronouns, has experienced harassment and discrimination inside VA clinics in the past, and began carrying a printed copy of directive 1341 to prove they were entitled to treatment that respected their gender identity. With that directive rescinded and no guarantee of protection, they’ve canceled VA appointments and sought care elsewhere.View image in fullscreenThe veterans affairs secretary, Doug Collins, stated that trans veterans “will always be welcome at VA and will always receive the benefits and services they’ve earned under the law”. In response to questions about the new policy, the VA press secretary, Peter Kasperowicz, directed the Guardian to the press release from 17 March.Church said the discriminatory climate is having a chilling effect on trans veterans, regardless of whether their care plans have been discontinued under the VA’s new policy. “If I can’t use [my healthcare plan] because I’m scared of being harassed and intimidated, and experiencing physical violence in a bathroom, I can’t use the system,” they said.They called the policy reversal a “death sentence”.View image in fullscreen‘We tell them we will take care of you, and that’s a lie’Trans veterans face higher rates of homelessness, unemployment, PTSD and military sexual trauma compared with cisgender veterans. They are also twice as likely to die by suicide compared with cisgender veterans, and almost six times more likely than the general US population. Advocates and providers say these psychiatric and socioeconomic risk factors, when combined with the loss of an affirming medical environment, places an already vulnerable population even more at risk.One VA clinical social worker, who requested anonymity, said his LGBTQ+ patients don’t feel safe and are experiencing more suicidal ideations than before Trump took office.“I have seen an increase in suicide risk evaluations,” he said. “I’ve done more of those in the last two months than I’ve done the last two years.”View image in fullscreenAnother LGBTQ+ veteran care coordinator said a trans patient attempted suicide at her facility after Trump’s inauguration, and she fears there could be more people who attempt the same. She said notifying trans patients of the policy change has been heartbreaking.“I’ve worked for the past two and a half years to gain people’s trust, and now all of a sudden, I’m pulling out the rug from under them,” she said. “It feels terrible.”She had to tell one patient wanting to start hormone therapy that the VA could no longer help them, and is preparing the same message for trans patients on a months-long waitlist to begin treatment. While she has been looking for ways to provide alternatives, many of her trans patients live in rural areas where accessing gender-affirming care is difficult.Other VA employees see cutting trans healthcare as a betrayal of the benefits promised to service members when they enlist.“We’re asking these 17-year-olds to give their entire bodies to the US government,” said one VA nurse, who requested anonymity over fear of losing her job. “And they’re given one promise, which is that we will care for them. And this is part of care, whether you like it or not.”Gender-affirming medical care has been endorsed by every major medical association in the US, and medical providers say that politicians shouldn’t be allowed to decide how they care for their patients.“You’re giving so much to the military. You give your whole life, you have no say over where you live,” the nurse said. “Then we tell them we will take care of you, and that’s a lie. We’re lying to people – and not just trans veterans, all veterans.” More

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      in US Politics

      Trump officials to cut Planned Parenthood family planning funds

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      The reproductive health provider Planned Parenthood said the Trump administration would cut federal family planning funding as of Tuesday, affecting birth control, cancer screenings and other services for low-income people.Planned Parenthood said that nine of its affiliates received notice that funding would be withheld under a program known as Title X, which has supported healthcare services for the poor since 1970.The Wall Street Journal reported last week the US Department of Health and Human Services planned an immediate freeze of $27.5m in family planning grants for groups including Planned Parenthood.Planned Parenthood says more than 300 health centers are in the Title X network and Title X-funded centers received more than 1.5m visits in 2023. It not say how much funding would be halted by the Trump administration.The White House and HHS did not immediately respond to a Reuters request for comment. An HHS spokesperson said last week the department was reviewing grant recipients to ensure compliance with Donald Trump’s executive orders.Alexis McGill Johnson, president and CEO of Planned Parenthood, predicted that cancers would go undetected, access to birth control would be severely reduced, and sexually transmitted infections would increase as a result.“President Trump and Elon Musk are pushing their dangerous political agenda, stripping health care access from people nationwide, and not giving a second thought to the devastation they will cause,” McGill Johnson said in a statement.Trump has named billionaire Musk, who helped the president get elected, to head up an initiative to target government agencies for spending cuts.Conservatives have long sought to defund Planned Parenthood because it also provides abortions. However, US government funding for nearly all abortions has been banned since 1977. More