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    Democrats slam Texas senator over alleged FBI role in locating lawmakers

    Democrats harshly criticized Donald Trump and fellow Republicans on Thursday after a US senator said the FBI had agreed to assist in returning Texas Democratic lawmakers who left the state to stop a Republican effort to redistrict.Senator John Cornyn’s claim that the FBI would assist Republicans’ effort could not be independently confirmed. The FBI declined to comment. An administration official told NBC News this week the government did not plan on using federal agents to arrest Texas lawmakers and a federal law enforcement official told the outlet that as of Thursday morning, the agency had not assisted with trying to locate the lawmakers.The Texas lawmakers who fled the state earlier this week to block Republicans’ effort to add five more seats to the state maps are currently staying at a hotel in suburban Chicago. Speaking to reporters at the Illinois state fair on Thursday, the Democratic governor, JB Pritzker, said he welcomed the FBI to the state.“I hope they take in the state fair, I hope they go see the beauty of Lake Michigan. But they won’t be arresting anyone because there is no US federal law that prohibits those Texas house Democrats from being here in the state,” he told reporters.Hakeem Jeffries, the Democratic leader in the US House, called it an effort to intimidate Democrats.“Shouldn’t the FBI be tracking down terrorists, drug traffickers and child predators? The Trump administration continues to weaponize law enforcement to target political adversaries. These extremists don’t give a damn about public safety. We will not be intimidated,” he said in a post on X.Ken Martin, the chair of the Democratic National Committee, also accused Cornyn, who is locked in a primary battle against Texas’s attorney general, Ken Paxton, of grandstanding. “John Cornyn is desperately swinging for the fences, asking Kash Patel to take a break from covering up for Donald Trump to instead pull this political stunt. They both know damn well that legally, there’s nothing they can do,” he said.Legal experts have questioned how the federal law enforcement agency could play a role in returning the lawmakers.“Federal government intrusion into a state’s process of self-government should only occur when there is a clear constitutional warrant. In this situation, the federal government has no authority to intervene and no legitimate role to play,” said David Froomkin, a law professor at the University of Houston.In his request for assistance to the FBI earlier this week, Cornyn said he was “concerned that legislators who solicited or accepted funds to aid in their efforts to avoid their legislative duties may be guilty of bribery or other public corruption offenses”. Trump also suggested earlier this week that the FBI might have to get involved in the matter.Texas’s governor, Greg Abbott, has also launched a long-shot legal effort to get the top Democrat who left, Gene Wu, removed from office.Paxton, the Texas attorney general, also announced on Wednesday he had launched an investigation into a group run by former congressman Beto O’Rourke that has been covering the costs of Texas lawmakers as they remain in Illinois. Each lawmaker that breaks quorum is fined $500 per day.Also on Thursday, JD Vance met with Republican lawmakers in Indiana to encourage them to redraw the state’s congressional map to be more favorable to the GOP, the latest in a brazen nationwide push to reconfigure district lines ahead of next year’s midterm elections.Republicans already control seven of Indiana’s nine congressional seats, but the party has complete control of state government, which could allow them to redraw the map to pick up more seats. Donald Trump is also pushing Missouri to redraw its congressional map to add more GOP seats and Republicans in Ohio, where Republicans already control 10 of 15 districts, are also likely to reconfigure their map later this year to add more Republican seats.Vance met with Indiana’s Republican governor, Mike Braun, and state legislative leaders on Thursday. To redraw the maps in Indiana, Braun would need to call a special session.Republicans have an extremely slim margin in the US House and Democrats need to net just three seats to flip control of Congress next year. The president’s party typically loses US House seats in a midterm election, which is why Republicans are pushing to redraw districts in their favor.During a conference call on Thursday, two of four Texas lawmakers who had been scheduled to speak were delayed by taking a security briefing in light of the report of FBI involvement in the quorum break. Legislators deflected questions about the risk of a conflict between state and federal law enforcement, redirecting questions toward flooding relief and Abbott’s legislative and executive priorities.“We wouldn’t need to have a quorum break and wouldn’t need to be scared of the constitutional breakdown of states’ rights, and Illinois law enforcement versus the FBI, if we were focusing on the things that matter,” said the Texas representative Mary Gonzalez. “To me, the thing that matters most is that over 100 people died and that the homes are still destroyed and that people are still living in unsafe communities because there is debris.”The governors of California and New York, where Democrats have complete control of state government, have pledged to retaliate against Republicans’ redistricting efforts by adding Democratic seats, though both states face legal requirements that make aggressive gerrymandering more difficult.Additional reporting by George Chidi More

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    Democrats use new tactic to highlight Trump’s gutting of Medicaid: billboards in the rural US

    The road to four struggling rural hospitals now hosts a political message: “If this hospital closes, blame Trump.”In a series of black-and-yellow billboards erected near the facilities, the Democratic National Committee (DNC) seeks to tell voters in deep red states “who is responsible for gutting rural healthcare”.“UNDER TRUMP’S WATCH, STILWELL GENERAL HOSPITAL IS CLOSING ITS DOORS,” one sign screams. The billboards are outside hospitals in Silex, Missouri; Columbus, Indiana; Stilwell, Oklahoma; and Missoula, Montana.The fate of rural hospitals has become a politically contentious issue for Republicans, as historic cuts pushed through by the GOP are expected to come into effect over the next decade. Donald Trump’s enormous One Big Beautiful Bill Act (OBBBA) cut more than $1tn from Medicaid, the public health insurance program for low-income and disabled Americans, insuring more than 71 million adults.“Where the real impact is going to be is on the people who just won’t get care,” said Dave Kendall, a senior fellow for health and fiscal policy at Third Way, a center-left advocacy organization.“That’s what used to happen before we had rural hospitals – they just don’t get the care because they can’t afford it, and they can’t get to the hospital.”In response to criticism, Republicans added a $50bn “rural health transformation fund” just before passage of the OBBBA. The fund is expected to cover about one-third of the losses rural areas will face, and about 70% of the losses for the four hospitals where Democrats now have nearby billboards. The rural health fund provides money through 2030, while the Medicaid cuts are not time-bound.That is already becoming a political football, as Democrats argued in a letter that the money is a “slush fund” already promised to key Republican Congress members.“We are alarmed by reports suggesting these taxpayer funds are already promised to Republican members of Congress in exchange for their votes in support of the Big, Ugly Betrayal,” wrote 16 Democratic senators in a letter to Dr Mehmet Oz, Trump’s head of Medicare and Medicaid.View image in fullscreen“In addition, the vague legislative language creating this fund will seemingly function as your personal fund to be distributed according to your political whims.”Rural hospitals have been under financial strain for more than a decade. Since 2010, 153 rural hospitals have closed or lost the inpatient services which partly define a hospital, according to the University of North Carolina Sheps Center for Health Services Research.“In states across the country, hospitals are either closing their doors or cutting critical services, and it’s Trump’s own voters who will suffer the most,” said the DNC chair, Ken Martin, in a statement announcing the billboards.The OBBBA is expected to further exacerbate those financial strains. A recent analysis by the Urban Institute found rural hospitals are likely to see an $87bn loss in the next 10 years.“We’re expecting rural hospitals to close as a result – we’ve already started to see some hospitals like, ‘OK, how are we going to survive?’” said Third Way’s Kendall.skip past newsletter promotionafter newsletter promotionA June analysis by the Sheps Center found that 338 rural hospitals, including dozens in states such as Louisiana, Kentucky and Oklahoma, could close as a result of the OBBBA. There are nearly 1,800 rural hospitals nationally, according to the Kaiser Family Foundation (KFF), a healthcare research non-profit.That perspective was buttressed by the CEO of the National Rural Health Association, Alan Morgan, who in a recent newsletter said 45% of rural hospitals are already operating at a loss.“When you remove $155bn over the next 10 years, it’s going to have an impact,” he said.In the fragmented US healthcare ecosystem, Medicaid is both the largest and poorest payer of healthcare providers. Patients benefit from largely no-cost care, but hospitals complain that Medicaid rates don’t pay for the cost of service, making institutions that disproportionately rely on Medicaid less financially stable. In rural areas, benefit-rich employer health insurance is harder to come by; therefore, more hospitals depend on Medicaid.But even though Medicaid pays less than other insurance programs, some payment is still better than none. Trump’s OBBBA cut of more than $1tn from the program over the coming decade is expected to result in nearly 12 million people losing coverage.When uninsured people get sick, they are more likely to delay care, more likely to use hospital emergency rooms and more likely to struggle to pay their bills. In turn, the institutions that serve them also suffer.“This is what Donald Trump does – screw over the people who are counting on him,” said Martin, the DNC chair. “These new DNC billboards plainly state exactly what is happening to rural hospitals under Donald Trump’s watch.” More

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    How refugees have helped save these midwestern cities: ‘That’s really something we celebrate’

    At a time in life when many are winding down, Gunash Akhmedova, aged 65, fulfilled a lifelong dream of opening her first business.A member of the Ahiska, or Meskhetian, Turk community who came to the US as a refugee from western Russia in 2005, Akhmedova opened Gunash’s Mediterranean Cusine two years ago on the site of a converted freight house alongside other international food vendors in a formerly industrial corner of Dayton, Ohio.Akhmedova is one of several thousand Ahiska Turks to have moved to Dayton over the past 15 years. In that time, the new community has bought and rebuilt dozens of homes in blighted parts of the city, turning them into thriving neighborhoods replete with Turkish restaurants, community centers and a wrestling club.While in Utah, where Akhmedova was first resettled by the US government, she found her opportunities were limited to dish washing and cooking at retirement homes and hospitals. Here in Ohio, her longstanding goals have been realized.“We Turkish people are all cooks, from a young age,” she says. “I saw that here, there is a lot of opportunities to do something that you like.”While cities such as New York, Miami and Los Angeles have long enjoyed the diversity of life and economic growth fueled by refugees and immigrants, recent years have seen smaller, more homogeneous towns in so-called “flyover states” transformed into vibrant, growing communities thanks to immigrants.Ohio’s foreign-born population has grown by 30% over the last decade, helping to offset a decades-long population decline that was fueled by the offshoring of manufacturing and the Great Recession of 2008. Neighboring Kentucky resettled more refugees per capita than any other state in 2023, where between 2021 and 2023 their numbers grew from 670 to 2,520.In places such as Springfield, Ohio; Logansport, Indiana; and beyond, refugees and immigrants have stepped in to fill critical entry-level jobs such as packaging and manufacturing, the demand for which locals find themselves unwilling or unable to meet.In Owensboro, a town of 60,000 people in western Kentucky, hundreds of Afghan refugees and humanitarian parolees have brought a diversity to the area not previously seen. There, three refugees ran a restaurant serving central Asian food for several years out of a diner whose owners allowed them to use their facilities. In 2023, the restaurant, called Pamir Afghan Cuisine and since closed, was voted the best international restaurant in town.In Lexington, nearly 2,000 refugees from the Democratic Republic of the Congo, Ukraine and elsewhere have brought diverse vibrancy to a city formerly mostly known for horses and whiskey.Refugees are people unable or unwilling to return to their country of nationality due to the threat of persecution or war. According to the UNHCR, the UN’s refugee agency, there are roughly 36.8 million refugees around the world, and despite the US being the world’s second-richest country based on purchasing power parity, the number of refugees being admitted has been falling since the beginning of the program, in 1980.Similar experiences are playing out in Indianapolis, a city that saw years of population and economic decline in the 1970s and 1980s. Today, it finds itself home to the largest Burmese community in the US, a haven for more than 30,000 immigrants from the south-east Asian country who have fled the Myanmar military regime’s decades-long crackdown on democracy activists and minority religions.“Indiana is at the crossroads of America, where a lot of logistics and manufacturing companies are located. Those jobs are readily available for refugees,” says Elaisa Vahnie, who heads the Burmese American Community Institute in Indianapolis, an organization helping refugees and immigrants from the country adapt to life in Indiana.“There’s also around 150 small businesses – insurance and real estate companies, restaurants, housing developers – run by Burmese people in central Indiana.”Since 2011, the Burmese American Community Institute has helped more than 17,000 people adjust to life in the midwest, and has even driven up college attendance rates among young Burmese Americans. About 40% of the community in Indiana was initially resettled elsewhere in the US but moved to the midwestern state due to family connections and job opportunities.Data from the US Census Bureau shows that 70% of Indiana’s population growth in 2024 was due to international immigration, driving the largest population growth the state has seen in nearly two decades.However, like in 2017, these communities find themselves facing a host of new immigration restrictions and controls introduced by the Trump administration.This month, the White House barred entry to the US by citizens of Myanmar, Afghanistan and 10 other countries, in order to, it claims, “protect the nation from foreign terrorist and other national security and public safety threats”.“We have heard that church pastors, family members, friends and those who have been planning to visit find themselves in a very sudden situation. The community here has been impacted already,” says Vahnie.A refugee who fled Myanmar due to persecution for his pro-democracy advocacy, Vahnie has recently been to Washington DC to canvass state department officials and congressional staffers to end the travel ban.“If this ban continues, the impact will not just be on Burmese Americans. The United States is a leader of global freedom, human rights and democracy. It’s in our best interest to invest in the people of Burma. We need to carefully think through this, and I hope the administration will consider lifting the ban as quickly as possible,” he says.Last year, more than 100,000 people entered the US as refugees. On 27 January, the newly inaugurated Trump administration suspended the country’s entire refugee program due to what the White House called the US’s inability “to absorb large numbers of migrants, and in particular, refugees, into its communities”.But many community leaders don’t see it that way.“I respectfully disagree with the idea that we are not able to take legal migrants,” says Vahnie.“After 20 to 25 years of welcoming Burmese people here, they bring a high educational performance, economic contribution and diversity to enrich Indiana. That’s really something we celebrate.”Born in Uzbekistan, Akhmedova saw first-hand the ethnic violence that affected her community during the fall of the Soviet Union in 1989. She and her family fled to the Krasnodar region of western Russia, where her community again faced attacks and discrimination.She moved from Utah to Dayton in 2017 to be nearer to family.“I was always dreaming about [opening a restaurant] to show my culture, my food, my attitude,” she says.“Ninety-nine per cent of people tell me they’ve never eaten this kind of food.” More

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    ‘They got us into this’: Indiana Democrat says party leaders cannot lead fightback

    When George Hornedo, 34, was still deciding whether to run in the Democratic primary for Indiana’s seventh congressional district against longtime incumbent André Carson, a party elder looked him in the eyes and said: “You are gonna get hurt.”Hornedo went home that day and posted a TikTok video recounting the encounter. According to him, it highlighted the reality of the Democratic party.“The people in charge don’t just fight Republicans, they fight anybody who challenges them,” Hornedo said. “That’s not democracy, that’s machine politics.”Hornedo is one of many young insurgents challenging the party’s status quo across the country. With months to go before primaries take place for the 2026 midterms, even some within the party hierarchy have backed efforts to disrupt the political lineup after Democrats lost the presidency and both chambers in Congress in November.In February 2025, the Democratic National Committee, the party’s executive leadership board, elected David Hogg, 25, as one of its vice-chairs. Hogg pledged to use his position to unseat incumbents in safe districts. On Real Time with Bill Maher, he said: “I do not care if you have been there for decades or for one term: that seat is not yours, it is your constituents.” (Hogg has since left the committee after months of internal debate.)In Indianapolis, at the end of April, Hornedo was busy trying to appeal to constituents and show them he can be an alternative to the party’s old-guard. Dressed in sweatpants and a black hoodie, he had just finished cutting weeds at a community event by Fall Creek in Indianapolis when he spoke about the challenges facing the Democratic party.View image in fullscreen“We’re just trying to go where people are civically engaged, because they’re probably voters,” Hornedo said. And if they’re not, they can be. But right now, most voters aren’t active in Democratic politics anywhere. So how do we help people see themselves in our party? I think that’s important.”Raised in Laredo and San Antonio, Texas, before moving to Indianapolis because of his dad’s job, Hornedo calls himself a “Hoosier by way of Texas”. His candidacy, Hornedo said, is not about him or about Carson, but about “whether the government can work for people that need it the most.”.“The real divide in the party is not left versus center and not even young versus old,” Hornedo said. “The reality is that, with Trump and Musk dismantling things day in and day out, when Democrats come back in power, we are not walking back into a government that resembles that of which we knew. And I just don’t think that the leaders that got us into this are the ones that are going to get us out of it.”Hornedo criticizes Carson as one of the least effective lawmakers in Congress, pointing to the ranking of the University of Virginia and Vanderbilt University’s Center for Effective Lawmaking, that sees Carson ranked 197th out of 220 Democrats in the 118th Congress for effectiveness. The center defines that using 15 metrics, including the number of bills sponsored, their progress, and their substantive significance.Carson, 50, has held his seat for 17 years. He never had a competitive primary since he took over the seat of his grandmother, Julia Carson, in 2008. He has a strong base of support and has already held a town hall with House Democratic Whip, Katherine Clark on 2 May.skip past newsletter promotionafter newsletter promotionCarson responded to Hornedo’s criticism that Clark showing up to the event was a sign that the party worried about Carson’s race. At a press conference after the event, Carson scoffed at Hornedo’s comments. “I have to remind folks that we had Speaker Pelosi in town, President Barack Obama, President Biden,” Carson said. “These were official events, not campaigning events. He probably does not remember because he was not living here.”Before launching his grassroots campaign, Hornedo, a lawyer, spent years inside the Democratic party machine. He worked on Obama’s 2012 inaugural committee, handled press for Attorneys General Eric Holder and Loretta Lynch and advised Pete Buttigieg’s 2020 presidential campaign.“I came up with this idea of radical proportionality. In one phrase: how do we align the scale of our solutions to the scale of our challenges?” Hornedo said. “I don’t care if a solution is up into the left, up into the center, up into the right. I just care that we’re moving up and actually doing a better job of trying to meet people’s needs in solving these challenges.”When asked if the party has an internal ideological struggle and which side he’s eventually on, Hornedo dismissed the framing.“I’ve been called a dem socialist, I’ve been called a moderate. My answer to that is: ‘Call me whatever you want, just call me effective.’” More

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    Knicks vs. Hicks: Let Us Praise Old-Fashioned Contempt

    The camera lingered on Celebrity Row at Madison Square Garden — Timothée Chalamet slack-jawed, Martha Stewart blinking in disbelief, Jimmy Fallon rubbing his temples after his “Tonight Show” the previous night had portrayed Indiana as a state of nobodies. It was Game 1 of the Knicks-Pacers N.B.A. Eastern Conference finals. The Pacers had erased a five-point deficit in the final half-minute, Tyrese Haliburton tied the game with a shot from somewhere near Hoboken and overtime sealed a 138-135 Indiana win.For Hoosiers, the joy was double-distilled: We stole a playoff game and, for one delicious moment, annulled the celebrity cachet of New York. Across Indiana living rooms, cheers erupted. Vindication felt deep, as if Haliburton’s improbable shot proved something fundamental about their home.In Game 2 on Friday night, the Pacers struck again. The teams play for a third time in Indianapolis Sunday night and the Knicks travel confidently, armed with a 5-1 road record this postseason. One stolen game could rewrite the story: Edge, spite and possibility all share the same charter flight.This giddy clash — Hicks versus Knicks, cornfields versus concrete — revives a rivalry that shaped the N.B.A.’s most combustible decade. Between 1993 and 2000 the two teams met six times in the postseason, each series a low-scoring trench war where elbows flew and apologies never arrived.“We just beat the hell out of each other,” the former Pacer Sam Mitchell was quoted recently as saying. Reggie Miller’s eight points in nine seconds in ’95, the choke sign directed at Spike Lee, Patrick Ewing’s thunderous scowls and Larry Johnson’s four-point play in ’99 still live in grainy VHS glory. No championships emerged from that theater, yet the games became folklore because they dramatized two competing claims on the soul of basketball: Indiana’s small-town romance — think Hoosiers and Larry Bird — versus New York’s big-city swagger.The rivalry is back. Both clubs now rank among the league’s top 10 offenses, flicking up threes instead of throwing forearms. Haliburton dribbles like a jazz solo; Jalen Brunson answers with piston-quick layups. The bruises are fewer, the pace faster, yet the cultural tension endures — and that is to be celebrated.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    ‘From all sides’: universities in red states face attacks from DC and at home

    Days after the University of Michigan president, Santa Ono, announced that he was leaving his post to lead the University of Florida, his name was quietly removed on Wednesday from a letter signed by more than 600 university presidents denouncing the Trump administration’s “unprecedented government overreach and political interference” with academic institutions.As Ono is set to become the highest-paid public university president in the country, in a state that has often been at the forefront of the rightwing battle against higher education, the reversal, first reported on by Talking Points Memo, underscored the challenges of standing up against the government’s sweeping attacks on education in solidly red states.Many private colleges and universities have begun to push back against Donald Trump’s federal funding cuts, bans on diversity initiatives, and targeting of foreign students, while faculty at more than 30 universities, most of them public, have passed resolutions calling for a “mutual defence compact” – a largely symbolic pledge to support one another in the face of the government’s repressive measures. But in conservative states, where local attacks on higher education were in vogue before the US president took office, faculty trying to fight back find themselves fighting on multiple fronts: against state legislators as well as against Trump.Some have persevered, although for now that resistance has been limited to statements and resolutions calling on the universities themselves to put up a more muscular response. The faculty senate at Indiana University, Bloomington, voted in favor of a defence compact last month, days before Republican legislators passed a sweeping overhaul of the state school’s governance. In Georgia, Kennesaw State University became the first – and so far only – school in the US south to join the call for the solidarity pact, in part to protest the state scrapping a decades-old initiative to increase the college enrollment of Black men, which was pulled as part of the broader Trump-led crackdown on diversity initiatives. This week, faculty at the University of Miami in Ohio and at the University of Arizona – both states with Republican-majority legislatures – also passed resolutions in favor of mutual alliances among universities.The resolutions are nonbinding, as faculty senates play an advisory role at most universities, and so far no administrations have responded to the call. But the idea, those behind it say, is to send a message.“All universities in all states are under threat,” said Jim Sherman, a retired psychology professor at Indiana University, Bloomington, who proposed the resolution passed by faculty there. “If we don’t stand together and talk about what each of us is experiencing, how we’re dealing with it, and what the options are, then we’re standing alone, and that’s much more difficult.”Paul Boxer, a psychology professor at Rutgers University in New Jersey, first came up with the plan to organize faculty in the “Big Ten” conference, a group of 18 large, mostly public universities, to put up a united front against the Trump administration. But schools outside the conference showed an interest, and the solidarity effort quickly outgrew the consortium to include other, mostly public colleges and universities across the country. Boxer also praised other collective initiatives that have since emerged, including by a group of “elite” universities quietly strategizing to counter the Trump administration policies, but called on more universities to publicly unite in their resistance.“A lot of the attention has been on Harvard, and the Ivy Leagues, and the universities that Trump has name-dropped, and I’m glad that Harvard did what they did, obviously, but they’re sitting on a $50bn endowment, and they can do things that we can’t in a public university,” Boxer said, referring to the university’s public defiance of Trump’s demands and a lawsuit it filed against the administration.Large state universities – particularly those in blue states with sympathetic legislators – had other advantages, Boxer noted, including strong connections to alumni in local government and the broader community.That is a harder case to make in Republican-controlled states – some of which, like Florida, Texas, Iowa and Utah – had essentially drawn up a blueprint for attacking diversity initiatives and academic freedom in the years leading up to Trump’s election. In Indiana, the recently passed measures, which legislators attached to a budget bill at the last minute, would establish “productivity” quotas for tenured faculty and end alumnis’ ability to vote for the university’s board of trustees, which would fall under the full control of the state’s governor, Mike Braun.“There is a lot of anxiety,” said Sherman. “If Indiana is any indication, red states might even be more under threat from their state legislatures than they are from the federal government.”Taking a public stance in a climate of growing repression is not easy, faculty say. In Florida, where Ono is headed, the state’s Republican governor, Ron DeSantis, was an early champion of the battle against diversity initiatives and said this week that he expects the incoming president to abide by the state’s mission to “reject woke indoctrination”.In Georgia, at a statewide faculty leadership meeting this week, scholars from across the state’s universities debated how to defend programmes supporting Black students, help international students facing visa revocations, and prepare to fight proposed state legislation that would impose further restrictions on diversity initiatives and criminalize the distribution of some library materials.“Faculty want to do something, they want to respond, but they also see the inevitability of their university system and their lawmakers doing it. There’s no stopping that train here in Georgia,” said Matthew Boedy, a professor at the University of North Georgia who also leads the state’s American Association of University Professors conference.“There are state-level attacks, there are federal attacks,” he said. “We are taking it from all sides.” More

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    Indiana passes law threatening non-profit status of expensive hospitals

    Indiana’s governor, Mike Braun, has signed a landmark bill that would strip charity hospitals of their non-profit status if they continue to charge high prices.The legislation, the first of its kind in the United States, followed uproar across the state after a Guardian series in October that investigated how one major Indiana non-profit hospital system bought up its competition, then hiked its prices, leaving businesses and patients struggling to pay their medical costs.In the wake of the Guardian investigation, Braun, then the Republican gubernatorial candidate, and his Democratic rival both criticized the hospital system, Parkview Health, for its high prices, and lawmakers vowed to take action against the non-profit chain, which charged some of the highest prices in the country despite being based in Fort Wayne, Indiana, the US’s most affordable metro area.Braun signed the legislation into law on Tuesday. It comes at a time of growing concern across the US about healthcare costs and medical debt.To implement the law, the Indiana office of management and budget will first study prices across the state and come up with a price benchmark for non-profit hospitals in consultation with the legislature, according to the bill’s author, Martin Carbaugh, a Republican representative who represents a district that includes Fort Wayne. Non-profit hospitals will then have until 2029 to get their prices under that average, though Carbaugh hopes some will lower their prices before then as they negotiate with insurers.“We’ll start to see the downward pressure put on them right away,” he said. “The hospitals know they can’t just go for broke and raise costs, only to have to lower it again in 2029.”According to data compiled by Hoosiers for Affordable Healthcare, an Indiana advocacy group, the legislation could result in average price reductions as large as 40% for Parkview, and similarly sized cuts for other large state hospital systems.“It’s gonna be beneficial to everybody,” said Doug Allen, a small business owner who has struggled to keep up with Parkview’s healthcare costs for his employees. “Maybe people won’t be hurting so bad. Maybe they won’t think twice before coming to the hospital. Almost everybody around here is on a payment plan with Parkview. Everybody owes money to Parkview.”Parkview Health did not respond to requests for comment but has previously said it is committed to lowering healthcare costs.In a statement, the Indiana Hospital Association said it was “concerned by the potential loss of non-profit status for hospitals based on meeting an unknown statewide average commercial price in the future. This does not take into consideration the uncertainty of rising cost pressures such as tariffs, inflation, and other significant economic factors that will further threaten the financial stability of Indiana’s health care ecosystem.”The group added that it looks forward to “continuing our work with legislators and Gov Braun’s administration on future solutions that strike the right balance of lowering costs while maintaining access for Hoosier patients”.The US spends far more on healthcare than other large, wealthy countries, a trend that has been exacerbated by decades of hospital consolidation limiting competition in the healthcare sector. Carbaugh said he was aware of how high healthcare prices are across the country and said Indiana’s legislation might be a model for other states too.“It’s great to be a leader,” he said. “I’m happy to be part of leading that charge.” More

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    Indiana Evangelicals Are Focusing on Creation Care With Environmental Work

    The solar panels on the churches were inspired by Scripture.So were the LED lights throughout the buildings, the electric-vehicle charging stations, the native pollinator gardens and organic food plots, the composting, the focus on consuming less and reusing more.The evangelical Christians behind these efforts in Indiana say that by taking on this planet-healing work, they are following the biblical mandate to care for God’s creation.50 States, 50 Fixes is a series about local solutions to environmental problems. More to come this year.“It’s a quiet movement,” said the Rev. Jeremy Summers, director of church and community engagement for the Evangelical Environmental Network, a nonprofit group with projects nationwide.In Central Indiana, a patchwork of evangelical churches and universities has been sharing ideas and lessons on how to expand these efforts, broadly known as creation care. Some have partnered on an Earth Day-like celebration they named Indy Creation Fest.Tell Us About Solutions Where You Live More