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    Why the rift between anti-abortion activists and Republican lawmakers is growing

    There is a growing rift in the decades-old marriage between anti-abortion activists and Republican lawmakers.The problem came into view last month, after a bombshell decision from the Alabama supreme court temporarily halted in vitro fertilization (IVF). The ruling, which described frozen embryos as “extrauterine children”, unraveled when the Republican-controlled legislature passed short-term protections for IVF providers.Under a new law signed last week by Republican governor Kay Ivey, IVF providers are temporarily protected from civil litigation and criminal prosecution in the event of “damage or death of an embryo” during treatment.“In our state, we work to foster a culture of life,” the governor said in a statement about the court ruling. “This certainly includes some couples hoping and praying to be parents who utilize IVF.”The move offered a helpful, if limited lifeline, to IVF patients in the state. The new law does not refute the Alabama supreme court’s controversial position that an embryo, stored for the purpose of IVF, is a person. Nor does it permanently shield IVF providers from legal penalties.Despite its limited scope, the Republican-backed law took a step to align the GOP with US public consensus, which overwhelmingly supports IVF. It also invoked the wrath of rightwing Christian activists.“Tragically, the Governor of Alabama has given the IVF industry a license to kill,” said Lila Rose, president of Live Action, a non-profit that opposes abortion. “Stripping embryonic human beings of legal protections is also unconstitutional.”Some anti-abortion groups are even running ads against Alabama Republicans using the same provocative imagery – “blood, babies and scalpels” – that is typically leveraged against Democrats, according to Politico.View image in fullscreenThe backlash from anti-abortion groups, many of which are hostile to IVF, represents a persistent problem for Republicans in the post-Roe era. The party, once united under the simple goal of repealing Roe v Wade, cannot figure out how to advance the anti-abortion movement’s most hardline policy goals without alienating large swaths of US voters.In their rush to announce a restrained, politically-safe stance in support of IVF, Alabama Republicans inadvertently angered their own Christian conservative base.“You have a lot of Christian Right and pro-life groups that think that Alabama’s supreme court decision was good, and – if anything didn’t go far enough,” said Mary Ziegler, a law professor at the University of California, Davis. “For state lawmakers in solidly red districts, where there’s no chance that a Democrat could win, the Christian right could launch a primary challenge against Alabama Republicans who supported the IVF bill.”It’s not the first time that the rightwing Christian movement has demanded that Republican lawmakers split from public opinion on reproductive healthcare.In 2022, after the US supreme court repealed the constitutional right to abortion guaranteed by Roe v Wade, anti-abortion activists rejoiced: the Right to Life lobby had finally won. Uninhibited by Roe, state Republican leaders were free to set their own laws on abortion access – and yet wholly unprepared to answer the thorny legal questions that followed: should abortion bans offer an exception for cases where the life of the mother is jeopardized? What about cases where a rape or incest victim is impregnated by their abuser?Like IVF, abortion ban exceptions are supported by the majority of US voters.The GOP’s conservative Christian base, however, argued that exceptions should not exist, or at least be extremely narrow in scope. Rightwing activists believe that a fetus is a “preborn person” entitled to the same rights and protections as any other American citizen.The concept of fetal personhood, once a fringe ideology that could be mostly ignored by mainstream Republican lawmakers, now underscores much of the modern anti-abortion movement’s work.Abortion bans in states like Georgia and Alabama, for example, contain language that define a fetus as a person. In 2022, Georgia’s department of revenue announced that “any unborn child with a detectable human heartbeat” can be counted as a dependent on tax forms.The Alabama supreme court ruling itself hinges on the belief that a fetus is a legally-protected person.skip past newsletter promotionafter newsletter promotionEven before Roe’s demise, fetal personhood seeped into the criminal justice system, enabling the prosecution and criminalization of pregnancy complications. In 2020, Oklahoma police arrested a 19-year-old woman who had a miscarriage in her second trimester of pregnancy. Alleging that she had used meth, police charged her with first-degree manslaughter of the fetus (a medical examiner identified five other potential factors that may have led to the miscarriage).As fetal personhood continues to transform American politics and law, anti-abortion lobbyists have been more willing to turn on Republican allies for failing to champion the ideology.View image in fullscreen“Politicians cannot call themselves pro-life, affirm the truth that human life begins at the moment of fertilization, and then enact laws that allow the callous killing of these preborn children simply because they were created through IVF,” said Rose in her statement condemning the Alabama governor’s support of IVF.Prompted by Alabama’s IVF wars, leading far-right think tanks are also pressuring congressional Republicans to back fetal personhood on the national stage. In a memorandum released late last month, the Heritage Foundation urged conservatives to view the Alabama supreme court decision on embryos as a means of protecting children.“This ruling merely ensures that parents using the service can rest assured that their children will receive the same legal protections as everyone else’s,” the memo said.It is unclear if the GOP will ultimately back fetal personhood, or decide that the ideology is too extreme.In 2023, 124 Republicans co-sponsored the federal Life at Conception Act, which would give embryos the rights of people “at the moment of fertilization, cloning, or other moment when the individual comes into being”.A recent attempt by Senate Democrats to advance a bill protecting the procedure failed after a single Republican blocked it.Meanwhile, House Republicans have repeatedly sidestepped questions about federal protections for IVF, leaving Alabama lawmakers to answer fundamental questions about fetal personhood on their own.“It’s not my belief that Congress needs to play a role here,” said the Republican House speaker, Mike Johnson, at a West Virginia press conference on Thursday. “I think this is being handled by the states.” More

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    Biden calls on Congress to ‘guarantee the right to IVF’ in State of the Union address – video

    Abortion and reproductive rights took centre stage at the 2024 State of the Union, as Joe Biden sought to overcome concerns about his re-election chances by emphasising an issue that has energised voters since the overturning of Roe v Wade.
    The president has largely pinned his re-election hopes on the passions stirred by threats to abortion rights. The demise of Roe v Wade, which was overturned with the help of three justices appointed by Trump, has led more than a dozen states to enact near-total abortion bans More

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    State of the Union address as it happened: Biden spars with Republicans and announces aid pier for Gaza

    In his third, and potentially last, State of the Union address, Joe Biden eschewed tradition and delivered a barrage of attacks on Donald Trump – who he only referred to as “my predecessor”. It was a sign of how Biden believes Trump’s potential return to the White House poses an existential risk to American democracy, and perhaps also his awareness that he has a lot of support to rebuild to win a second term in November. While Democrats leapt to their feet for Biden’s promises to protect social security, cut child poverty and overhaul the country’s infrastructure, some found the president’s use of the word “illegal” objectionable. Meanwhile, Alabama’s Republican senator Katie Britt delivered the party’s rebuttal, asking: “Are you better off now than you were three years ago?”Here are the highlights:
    The 81-year-old president directly addressed his age, saying “I’ve been told I’m too old” while arguing he is still up for the job.
    Marjorie Taylor Greene, a rightwing nemesis, got unusually close to Biden, then heckled him during the speech over the murder of Georgia nursing student Laken Riley.
    Six supreme court justices were present at the speech, only for Biden to criticize them directly for overturning Roe v Wade.
    Protesters upset over Biden’s support for Israel’s invasion of Gaza blocked a road leading to the Capitol ahead of the speech.
    George Santos was in the House chamber for the speech, reportedly to hang out with the people who removed him from office.
    Several Democratic House lawmakers have criticized Joe Biden for describing the undocumented migrant suspected of murdering Georgia nursing student Laken Riley as an “illegal”.Biden made the remark during his State of the Union address, while being heckled by rightwing lawmaker Marjorie Taylor Greene, who blamed the president’s border security policies for Riley’s murder. Biden held up a pin with Riley’s name on it, and called her “an innocent young woman who was killed by an illegal”.Democrats took issue with that terminology, including Illinois’s Chuy Garcia:Ilhan Omar of Minnesota:And Delia Ramirez of Illinois:“Just ask yourself, are you better off now than you were three years ago?” Katie Britt asks in the Republican rebuttal to Joe Biden’s State of the Union address.Expect that to be a theme of GOP campaigns nationwide, including Donald Trump’s.More, from Britt:
    Look, we all recall when presidents faced national security threats with strength and resolve. That seems like ancient history right now. Our commander-in-chief is not in command. The free world deserves better than a doddering and diminished leader. America deserves leaders who recognize that secure borders, stable prices, safe streets and a strong defense are actually the cornerstones of a great nation.
    Alabama senator Katie Britt is delivering the Republican rebuttal to Joe Biden’s State of the Union address, and responded to his comments on Laken Riley.“Tonight, President Biden finally said her name, but he refused to take responsibility for his own actions,” said Britt.“Mr President, enough is enough. Innocent Americans are dying and you only have yourself to blame. Fulfill your oath of office, reverse your policies, end this crisis and stop the suffering.”One of the most striking moments of the night happened when Joe Biden addressed the topic of immigration – which polls show is a major weakness of his going into the November contest against Donald Trump.As he spoke, the president was heckled by Marjorie Taylor Greene, a rightwing antagonist. Greene demanded he say the name of Laken Riley, who is suspected to have been murdered by an undocumented migrant.Biden, who usually wants nothing to do with Greene, took her up on the offer. Here’s what happened:During Joe Biden’s speech, there were several rowdy heckles from Marjorie Taylor Greene and others. Then came an unexpected yell from the public balcony, directly opposite from where I am sitting in the press gallery.A man wearing dark suit, blue shirt and yellow tie cupped his hands and shouted: “Remember Abbey Gate! United States Marines.” Abbey Gate, outside Kabul’s airport, is where 13 US service members were killed during the withdrawal from Afghanistan two years ago.His point made, the man voluntarily left before security yanked him out. Biden did not seem thrown off by the interruption as he carried on speaking. But the episode was a reminder that his approval rating has never quite recovered from the chaos in Kabul.Joe Biden rarely discusses his age, but did so directly as he closed his State of the Union address.“I’ve been told I’m too old,” he said, continuing:
    Whether young or old … I’ve always known what endures. I’ve known our north star, the very idea of Americans, that we’re all created equal, deserve to be treated equally throughout our lives. We’ve never fully lived up to that idea. We’ve never walked away from it either. And I won’t walk away from it now.
    “I know it may not look like it, but I’ve been around a while,” said the 81-year-old president, the oldest to ever hold the job.“You get to be my age, certain things become clearer than ever,” Biden continued. “I know the American story. Again and again, I’ve seen the contrast between competing forces in the battle for the soul of our nation, between those who want to pull America back to the past and those who want to move America into the future.”Biden appears to be wrapping up, in high spirits.“Let me close with this,” he said, to sardonic applause.“I know you don’t want to hear any more, Lindsey. But I gotta say a few more things,” Biden said. He was presumably talking to South Carolina Republican senator Lindsey Graham.As Joe Biden discussed the war in Gaza, two progressive House Democrats sitting in the audience staged a minor protest.Rashida Tlaib and Cori Bush remained sitting and held up signs that read: “Lasting ceasefire now.” More

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    State of the Union guest list shows reproductive rights in spotlight after Alabama IVF bill signed into law – live

    Becerra’s comments come ahead of Joe Biden addressing the nation in the State of the Union on Thursday night. Although the White House has not released the speech, a large number of Democratic guests suggest reproductive rights may feature heavily.Among the guests of high-ranking Democrats are Elizabeth Carr, the first person in the US to be born via IVF; Amanda Zurawski, a Texas woman who nearly died of septic shock when she was denied a medically necessary abortion; and Kate Cox, who had to flee Texas for an abortion after she learned her fetus had a fatal chromosomal condition.More guests include reproductive endocrinologists, an Indiana doctor who provided an abortion to a 10-year-old rape victim, and leaders of reproductive rights groups.Becerra’s comments emphasizing the importance of reproductive rights, Democrats’ guest list for the State of the Union and a recent administration officials’ trips to states with abortion restrictions are the most recent evidence of Democrat’s election bet: that when Republicans married the motivated minority of voters who support the anti-abortion movement, they also divorced themselves from the broader American public, broad margins of whom support IVF, contraception and legal abortion.My colleague Chris Stein will be covering Joe Biden’s State of the Union address this evening on our dedicated live blog. In the meantime, here’s a recap of today’s developments:
    LaTorya Beasley, an Alabama mother who saw a second round of IVF canceled after the state supreme court ruled that embryos were children, and Kate Cox, the Texas mother forced to travel outside her state for an abortion, are among those set to attend Joe Biden’s State of the Union address tonight, as guests of the first lady, Jill Biden.
    Joe Biden will announce in the State of the Union speech that US forces will build a temporary port on the Gaza shoreline in the next few weeks to allow delivery of humanitarian aid on a large scale.
    Biden welcomed Sweden into Nato in a statement after the country officially became the 32nd member of the western military alliance. The Swedish prime minister, Ulf Kristersson, will be attending the State of the Union address tonight.
    Katie Boyd Britt, a first-term 42-year-old Republican senator from Alabama, will deliver the GOP’s official response to Biden’s State of the Union address tonight – a move likely designed to highlight the big age gap between the two.
    Byron Donalds, a Republican Florida congressman being floated as a possible vice presidential pick for Donald Trump, suggested he would be willing to decline to certify the 2028 election results if he was vice president.
    No Labels, the third-party presidential movement, will reportedly to announce on Friday that it will move forward with a presidential bid in the November election.
    Joe Biden’s re-election campaign described a new ad from a pro-Trump Super Pac questioning whether Biden can “even survive til 2029” as “a sick and deranged stunt”.
    Larry Hogan, the Republican former governor of Maryland who is running for Senate, has said he would not vote for Donald Trump in the November election.
    Daniel Rodimer, a former pro wrestler who won a prominent endorsement from Donald Trump while unsuccessfully running for Congress in Nevada, surrendered to authorities on Wednesday on an arrest warrant for murder.
    Republican Florida congressman Byron Donalds became the latest vice-presidential contender to refuse to commit to certifying election results.Donalds, at an Axios event, suggested he would be willing to decline to certify the 2028 election results if he was vice president. He also did not clarify if he would have certified the 2020 election results.Donalds is one of the names being floated as a possible vice presidential pick for Donald Trump. When asked if he would certify the 2028 results as vice president, he replied:
    If you have state officials who are violating the election law in their states … then no, I would not.
    Asked if he agreed with former vice-president Mike Pence’s move to certify the results, Donalds said: “You can only ask that question of Mike Pence.”Republicans have chosen Katie Boyd Britt, a first-term senator from Alabama, to deliver the party’s official response to Joe Biden’s State of the Union address tonight – a move likely designed to highlight the big age gap between the two.Britt, 42, is one of nine women in the Senate Republican conference and the youngest female Republican elected to the Senate.In a statement announcing her speech, she said it was time for the next generation of American politicians “to step up”. She added:
    The Republican Party is the party of hardworking parents and families, and I’m looking forward to putting this critical perspective front and center.
    Senate Republicans say she will offer a split screen of sorts when she delivers the party’s rebuttal to the State of the Union address by Biden, 81.“She’s young, female and full of energy – opposite of everything Joe Biden is,” senator Markwayne Mullin told the Hill. “The contrast between the two, it’s so different.”The third-party presidential movement No Labels is expected to announce it will move forward with a presidential bid in the November election, according to multiple reports.About 800 No Labels delegates are expected to meet virtually in a private meeting and vote on Friday in favor of launching a presidential campaign for this fall’s election, sources told AP and Reuters.The group will not name its presidential and vice presidential picks on Friday, but instead it is expected to roll out a formal selection process late next week for potential candidates who would be selected in the coming weeks, the people said.The House passed a bill that would require federal authorities to detain any migrant charged with theft or burglary, named after a Georgia nursing student police have said was killed by a man who entered the US illegally.The measure, called the Laken Riley Act, requires immigrations and customs enforcement to detain undocumented immigrants accused by local authorities of theft, burglary, larceny or shoplifting.The bill would also allow states and individuals to sue the federal government for crimes committed by immigrants who enter the country illegally.The bill was named after 22-year-old Laken Riley, who was killed on the campus of the University of Georgia while on a morning run last month. Riley’s death has become a rallying point for Donald Trump, after authorities arrested a Venezuelan man who entered the US illegally and was allowed to stay to pursue his immigration case.The House approved the legislation hours before Joe Biden is set to deliver his State of the Union address. Republicans have seized on Riley’s death to hammer the Biden administration’s border policies.“Republicans will not stand for the release of dangerous criminals into our communities, and that’s exactly what the Biden administration has done,” Republican House Speaker Mike Johnson told Fox News.
    Laken is just one of the tragic examples of innocent American citizens who have lost their lives, been brutally and violently attacked by illegal criminals who are roaming our streets.
    Joe Biden’s re-election campaign has responded to a new ad from a pro-Trump Super Pac questioning Biden’s ability to serve a second term in a new TV ad and whether the president can “even survive til 2029.”The ad, by Make America Great Again Inc, shows a clip from Biden’s press conference after the death of Russian opposition leader Alexei Navalny.During the briefing, Biden spoke about comments by Donald Trump about letting Russia “do whatever the hell they want” to Nato allies. Pausing for dramatic effect, Biden then says he should clear his mind “and not say what I’m really thinking.”In the Maga Inc ad, a narrator says: “We can all see Joe Biden’s weakness. If Biden wins, can he even survive to 2029. The real question is, can we?”Biden campaign spokesperson Ammar Moussa told NBC News that the ad is “a sick and deranged stunt from a broke and struggling campaign”, adding:
    Trump tried this strategy four years ago and got his ass kicked by Joe Biden – he should tune in tonight alongside tens of millions of Americans to see why President Biden will beat him again this November.
    A former congressional candidate backed by Donald Trump has been arrested for murder. The Guardian’s Ramon Antonio Vargas reports:A former pro wrestler who won a prominent endorsement from Donald Trump while unsuccessfully running for Congress in Nevada surrendered to authorities on Wednesday on an arrest warrant for murder.Daniel Rodimer, 45, was booked in connection with the slaying of 47-year-old Christopher Tapp, who was reportedly beaten to death in Resorts World Las Vegas on 29 October.Rodimer met Tapp – who was once charged with murder himself – “through the classic car and racing circuit”, according to the local television news station KLAS, which reviewed police documents.Investigators allege that Rodimer fatally attacked Tapp after he offered Rodimer’s stepdaughter cocaine during a hotel room party.Initially, authorities believed Tapp’s death stemmed from a drug overdose and a fall, after an autopsy found evidence of blunt trauma and cocaine use. But detectives later determined Tapp had been in a fight inside the hotel room where he was found injured. He died later at a hospital.For the full story, click here:Here is a video of Maryland’s former Republican governor Larry Hogan – who we reported about earlier – saying that he will not vote for either Joe Biden or Donald Trump:Hogan, who recently stepped down from his third-party movement No Labels, said: “I think we’ll hopefully have some ability to vote for someone that these people actually want to vote for rather than just voting against.”In a tweet on Thursday, Joe Biden urged Americans to tune into his State of the Union address in which he plans to address “how far we’ve come in building the economy from the middle out and the bottom up …”He went on to add that he plans to address “the work we have left to lower costs and protect our freedoms against MAGA attacks”.An Alabama mother who saw a second round of IVF canceled after the state supreme court ruled that embryos were children will attend Joe Biden’s State of the Union address on Thursday, as guests of the first lady, Jill Biden.LaTorya Beasley of Birmingham, Alabama, is among the first lady’s 20 invited guests who “personify issues or themes to be addressed by the president in his speech,” the White House said in a statement.Beasley and her husband had their first child, via IVF, in 2022. They were trying to have another child through IVF but Beasley’s embryo transfer was suddenly canceled because of the Alabama court decision.Also on the guest list is Kate Cox, the Texas mother forced to travel outside her state for an abortion. The White House said the cases of Beasley and Cox, showed “how the overturning of Roe v Wade has disrupted access to reproductive healthcare for women and families across the country”. In a statement, the White House said:
    Stories like Kate’s and LaTorya’s should never happen in America. But Republican elected officials want to impose this reality on women nationwide.
    Joe Biden has welcomed Sweden into Nato in a statement after the country officially became the 32nd member of the western military alliance.Stockholm’s ratification process was finally completed in Washington on Thursday, as Sweden and Hungary – the last country to ratify Sweden’s membership – submitted the necessary documents after a drawn-out process that has taken nearly two years.The ratification marked the end of a 20-month-long wait that started in May 2022 when it submitted its application to join alongside Finland, prompted by Russia’s invasion of Ukraine in February that year.In a statement, Biden said he was “honored” to welcome Sweden as Nato’s newest ally, and that the alliance was “stronger than ever” with its addition. He added:
    Today, we once more reaffirm that our shared democratic values – and our willingness to stand up for them – is what makes Nato the greatest military alliance in the history of the world. It is what draws nations to our cause. It is what underpins our unity. And together with our newest Ally Sweden – NATO will continue to stand for freedom and democracy for generations to come.
    The Swedish prime minister, Ulf Kristersson, will be attending Joe Biden’s State of the Union address as a guest of the first lady, the White House has confirmed.Larry Hogan, the Republican former governor of Maryland who is running for Senate, has said he would not vote for Donald Trump in the November election.Hogan, at an Axios event, said he will vote for neither Trump nor Joe Biden and would instead seek out a third-party candidate. He said:
    I’m like 70% of the rest of people in America who do not want Joe Biden or Donald Trump to be president, and I’m hoping that there potentially is another alternative.
    He added that he didn’t know yet who that candidate will be. Hogan, one of the most outspoken and only Trump critics in the Republican party, last year said he would support the party’s nominee for president, but at the time said he did not think Trump would be that candidate.Joe Biden will announce in the State of the Union speech that US forces will build a temporary port on the Gaza shoreline in the next few weeks to allow delivery of humanitarian aid on a large scale.“We are not waiting on the Israelis. This is a moment for American leadership,” a senior US official said on Thursday, reflecting growing frustration of what is seen in Washington as Israeli obstruction of road deliveries on a substantial scale.The port will be built by US military engineers operating from ships off the Gaza coast, who will not need to step ashore, US officials said. The aid deliveries will be shipped from the port of Larnaca in Cyprus, which will become the main relief hub. The official said:
    Tonight, the president will announce in his State of the Union address that he has directed the US military to undertake an emergency mission to establish a port in Gaza, working in partnership with like minded countries and humanitarian partners. This port, the main feature of which is a temporary pier, will provide the capacity for hundreds of additional truckloads of assistance each day.
    Biden will also announce the opening of a new land crossing into the occupied and devastated coastal strip. Biden has been fiercely criticised within his own party for the failure to open up Gaza to humanitarian aid, with a famine looming and 30,000 Palestinians dead already since the start of war on 7 October.Chuck Schumer, the Senate majority leader, said Joe Biden’s State of the Union address tonight will highlight Democratic successes and show the chaos in the House Republican party in stark relief.During his floor remarks reported by CNN, Schumer said Biden will make it clear that “after so much adversity, America’s economy is growing, inflation is slowing, and Democrats’ agenda is delivering.” He said:
    The difference between the parties will be as clear as night and day. Democrats are focused on lowering costs, creating jobs, putting money in people’s pockets. But the hard right, which too often runs the Republican party in the House and now increasingly in the Senate, is consumed by chaos, bullying, and attacking things like women’s freedom of choice.
    Meanwhile, the Republican front-runner for president, Donald Trump, has “made it abundantly clear that he’s not running to make people’s lives better, but rather on airing his personal political grievances,” Schumer added.Joe Biden will deliver the final State of the Union address of his presidential term this evening, giving him an opportunity to tout his accomplishments and pitch his re-election campaign as he prepares for a rematch against Donald Trump in November.Previewing Biden’s State of the Union speech, his press secretary, Karine Jean-Pierre, said his remarks would focus on the president’s vision for the nation’s future and his legislative accomplishments.“You’re going to hear the president address how democracy is under attack, how freedoms are certainly under attack,” including women’s reproductive rights and voting rights, Jean-Pierre told MSNBC.Biden’s speech will also highlight his agenda for a potential second term, the White House chief of staff Jeff Zients told NPR. Those include “lowering costs, continuing to make people’s lives better by investing in childcare, eldercare, paid family and medical leave, continued progress on student debt”, he said, adding:
    The president is also going to call for restoring Roe v. Wade and giving women freedom over their healthcare. And he’ll talk about protecting, not taking away, freedoms in other areas, as well as voting rights.
    Mike Johnson, the Republican House speaker, reportedly pleaded with his party to show “decorum” on Thursday, when Joe Biden comes to the chamber to deliver his State of the Union address.“Decorum is the order of the day,” Johnson said, according to an unnamed Republican who attended a closed-door event on Capitol Hill on Wednesday and was quoted by the Hill.The same site said another unnamed member of Congress said Johnson asked his party to “carry ourselves with good decorum”. A third Republican was quoted as saying:
    He said, ‘Let’s have the appropriate decorum. We don’t need to be shrill, you know, we got to avoid that. We need to base things upon policy, upon facts, upon reality of situations.
    Last year’s State of the Union saw outbursts from Republicans and responses from Biden that made headlines, most awarding the president the win. Kevin McCarthy, then speaker, also asked his Republican members not to breach decorum. But in a sign of his limited authority, months before he became the first speaker ejected by his own party, such pleas fell on deaf ears. More

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    US health secretary on Alabama’s IVF ruling: ‘Pandora’s box was opened’ after fall of Roe

    The health and human services secretary, Xavier Becerra, said the US must provide federal protections for reproductive rights if Americans hope to avoid further restrictions on in vitro fertilization, contraception and abortion in an exclusive interview with the Guardian.Becerra’s comments come in the wake of an Alabama supreme court decision that gave embryos the rights of “extrauterine children” and forced three of the state’s largest fertility clinics to stop services for fear of litigation and prosecution. The fallout from the decision prompted the Alabama legislature to hastily sign new legislation that will give IVF providers with immunity from civil and criminal suits, which the governor signed into law on Wednesday night.He said the events in Alabama were linked directly to the “take-down” of Roe v Wade, a decision that provided a constitutional right to abortion grounded in privacy and was overturned by conservative US supreme court justices in 2022.“It wasn’t until this new court came in” – that is, that three new supreme court justices were confirmed by former President Trump – “that we saw the attacks on Roe v Wade take hold, and today without Roe v Wade there are women who are trying to have babies in Alabama who are facing the consequences,” said Becerra.He continued: “None of this would be happening in Alabama on IVF if Roe v Wade was still the law of the land, and no one should try to deny that.”Becerra’s comments come ahead of Joe Biden addressing the nation in the State of the Union on Thursday night. Although the White House has not released the speech, a large number of Democratic guests suggest reproductive rights may feature heavily.Among the guests of high-ranking Democrats are Elizabeth Carr, the first person in the US to be born via IVF; Amanda Zurawski, a Texas woman who nearly died of septic shock when she was denied a medically necessary abortion; and Kate Cox, who had to flee Texas for an abortion after she learned her fetus had a fatal chromosomal condition.View image in fullscreenAlso, sitting alongside First Lady Jill Biden as a guest of the president will be Latorya Beasley, from Birmingham, Alabama.She and her husband had their first child, via IVF, in 2022. They were trying to have another child through IVF but Beasley’s embryo transfer was suddenly canceled because of the Alabama court decision.Beasley’s “recent experience is yet another example of how the overturning of Roe v Wade has disrupted access to reproductive health care for women and families across the country,” the White House said on Thursday.More guests include reproductive endocrinologists, an Indiana doctor who provided an abortion to a 10-year-old rape victim, and leaders of reproductive rights groups.Becerra’s comments emphasizing the importance of reproductive rights, Democrats’ guest list for the State of the Union and a recent administration officials’ trips to states with abortion restrictions are the most recent evidence of Democrat’s election bet: that when Republicans married the motivated minority of voters who support the anti-abortion movement, they also divorced themselves from the broader American public, broad margins of whom support IVF, contraception and legal abortion.“As a result of the fall of Roe v Wade – or actually the take-down of Roe v Wade – my daughters have fewer rights in America than their mom did,” said Becerra. “And that happens only when you have a supreme court that acts to overturn a constitutional protection.”While Becerra said his agency would continue to enforce federal laws in Alabama, including laws that provide medical patients a right to privacy and the right to stabilizing emergency care, including emergency abortions, it is ultimately the courts in and politicians of Alabama who need to fix the upheaval their policies caused.“The supreme court in Alabama is the one that has to undo its wrongful decision,” said Becerra. “The state legislature in Alabama should move to provide protections to families that rely on IVF – and serious comprehensive protections, not short-term, piecemeal protections that threaten anyone going through the process or any provider who wishes to provide quality IVF services.”Although Alabama politicians have passed a bill to give IVF providers immunity from civil and criminal suits, national associations of fertility doctors have said the law does not go far enough to address the core problem – the supreme court “conflating fertilized eggs with children”.“Clearly, this goes way beyond abortion,” said Becerra. “It would not surprise me if we also begin to see actions which undermine the ability of women to get basic family planning services,” including contraception.While doctors and patients have reacted with astonishment, anger and sorrow at the Alabama supreme court’s decision, the anti-abortion movement has cheered the decision. “Fetal personhood” has long been the ultimate aim of the movement.For years, Republicans have abetted this aim. As recently as 2023, 124 Republicans co-sponsored the federal Life at Conception Act, which would give embryos the rights of people “at the moment of fertilization, cloning, or other moment when the individual comes into being”. This week, Kentucky Republicans advanced a bill to allow people to claim fetuses as dependents on their taxes.They have also blocked federal legislation to protect IVF – twice. In late February, Senator Tammy Duckworth of Illinois introduced an IVF protection bill. Most recently, its expedited passage was blocked by Republican Senator Cindy Hyde-Smith of Mississippi (a state which, like Alabama, has a near-total abortion ban).Nevertheless, the Alabama decision has been palpably uncomfortable for many members of the party. Former president Donald Trump has said he supports IVF, and views anti-abortion policies as a threat to his campaign. Republicans such as Tommy Tuberville of Alabama and Joni Ernst of Iowa have issued awkward, noncommittal statements about the decision. Ernst supported federal fetal personhood statutes in the past.“When Roe v Wade was struck down by the Dobbs decision the Pandora’s box was opened,” said Becerra. “Now, we see the consequences and how far the loss the protections of Roe go beyond abortion.” More

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    Why IVF is under attack in Alabama | podcast

    When Gabrielle Goidel and her husband turned to fertility treatment they had already endured the grief and pain of three miscarriages. The couple, who had recently moved from Texas to Alabama, turned to IVF. It was stressful, uncomfortable and very expensive but they were determined to start a family. But just when Gabriele’s treatment had progressed to the stage where her eggs were about to be retrieved they hit an unexpected hurdle. In February, Alabama’s Supreme Court made a ruling in a case in which embryos in an IVF clinic were accidentally destroyed. In their judgements, they classified the embryos as “extra uterine children”. That decision had the potential to change everything about the use of IVF in the state. If embryos were children, with the same rights, what would that mean for the storage and transportation of embryos? What about embryos that are discarded, either because a previous embryo has already been implanted in the patient, or because they are not viable? In the face of such confusion, explains the Guardian’s US health reporter, Jessica Glenza, the biggest IVF providers in the state paused treatment. She explains how the courts ruling aligns with other assaults on reproductive rights in the US, such as abortion, and explains what part the Christian right has played in the decision. Hannah Moore hears how the fall out is playing with Republican and Democratic voters – and whether this assault on IVF could spread to other states. Amid the uncertainty, Gabrielle explains the pain and fear potential parents are feeling as their hopes for a child are left in limbo More

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    ‘We did it in cattle’: Alabama Republicans’ bungled response to IVF patients

    On Wednesday morning, some 200 Alabama in vitro fertilization (IVF) patients, doctors and advocates descended on the Alabama state house. Wearing orange and pink shirts for infertility awareness, they carried a variety of handmade signs: “You can’t cuddle an embryo”. “I just want to be a mom”.For these people and thousands of others in the state, the last two weeks have been tumultuous.Following the Alabama supreme court’s recent ruling that frozen embryos are considered “children”, IVF clinics in the state have paused their services, leaving people who were in the process of treatment in limbo. Embryo shipping companies have also stopped servicing the state, which means that patients who want to transfer their frozen embryos out of Alabama are unable to do so.The rally concluded with some direct conversations between advocates and lawmakers. In one such interaction, the Republican state representative Ben Harrison told families that a “solution” would be to freeze the sperm and egg separately, instead of freezing embryos, likening the former procedure to a process used on cows.“My personal opinion is that we keep them apart and only bring them together for what you need and what you’re willing to implant,” Harrison said. “We did it in cattle all the time.”The interaction pointed to the disconnect between families who are undergoing the IVF process, doctors who provide IVF services and lawmakers who may not understand the intricacies of and science behind IVF, but who ultimately can decide whether or not it remains legal.Dr Mamie McLean of Alabama Fertility in Birmingham has become one of the most vocal opponents of the supreme court decision. Flanked by other doctors and IVF patients, she spoke to those attending the rally before they headed into the state house.“As an infertility physician, I am used to difficult conversations, but these last two weeks have been absolutely heartbreaking,” she said. “Due to the uncertainty posed by the supreme court ruling, we have had to cancel embryo transfers for patients who are longing and praying for a child. We call on the state of Alabama to provide immediate, complete and permanent access to IVF care for the women and families of Alabama.”Resolve, the national infertility group that helped organize the rally, provided pamphlets and advised attendees on how to speak to legislators. “What happens here today in these offices will be looked at by the rest of the country,” said Barbara Collura, the group’s president and CEO. “This potentially could be a roadmap for other states to restrict access to IVF or a roadmap for how to protect access to IVF and family building. Please use your voice.”Collura said that some desperate families were leaving the state for treatment.“You’re on these medications for weeks and they cost a lot of money. It’s not covered by insurance for most of these people,” she said of the drugs used during IVF treatment. “You can’t just stop and start up next week, plus we don’t know when this will get fixed.”‘It could end my journey’Elizabeth Goldman, who stood with McLean and other advocates during the rally, was diagnosed with Mayer-Rokitansky-Küster-Hauser syndrome when she was 14. The rare disorder means that she was born without a uterus; doctors told her she would never be able to carry her own child. When the University of Alabama launched a uterus transplant program in 2020, Goldman applied, moving with her husband from Mobile to Birmingham (near the school’s campus) in the hope of being able to have a child. After receiving the uterus transplant and undergoing several rounds of IVF treatment and transfers, Goldman was able to conceive. Her daughter, who was with her at the rally, was born in October 2023.Transplant patients are able to keep the uterus for just one or two deliveries, because of the volatility of a foreign organ, Goldman said. She estimates that she has taken about 20,000 pills since her transplant 22 months ago to keep her body from rejecting the uterus.Her medical team cleared her to carry a second child, and had planned to proceed with her transfer this March. But the supreme court decision has put that at a standstill. Goldman was on her way to a transfer appointment when she found out through a notification that her clinic had closed.“With all of the transplant meds I take, it can start to cause kidney damage and other health problems,” she said. “It’s not a life-saving transplant, but a life-giving transplant. So basically, right now I’m healthy. My kidneys are good. But if it continues to drag on, it could end my journey.”Jamie Heard and Deidra Smith drove to the rally from Birmingham hoping to speak to legislators face to face. Heard used IVF to give birth to her now two-year-old son. She had already started her cycle for a second child when the news of the supreme court’s decision broke. Her clinic cancelled her appointments in the middle of treatment.“It was heartbreaking,” Heard said. “The emotions for the past few days – I feel like I’ve been grieving a loved one, that’s how heavy my emotions have been.”Brittany Pettaway and her husband Byron, of Montgomery, currently have eight frozen embryos. She said that this was their only chance of becoming parents. They attended the rally hoping that legislators would make things go “back to literally how it was two weeks ago”.“We’re just trying to protect that right, and what should be a natural, God-given ability to do,” she said. “It’s surreal, I feel like I’m waiting for someone to say it was a joke, a really horrible emotional nightmare.”‘I don’t know what the answer is’After the rally ended, advocates queued outside to make their way into the state house to speak to legislators directly. The floors with offices for senators and representatives were full of people dressed in orange and pink.Outside one office, a group of families engaged the Alabama state auditor, Andrew Sorrell, in a conversation about their struggles. As auditor, Sorrell reports the state’s receipts, claims and payments, taxes and revenues to the governor.“I don’t know exactly what the answer is, but we’ve got to find some way to protect the IVF industry while also maintaining our pro-life stance,” he said.Sorrell suggested women only make as many embryos as they want to use. The advocates explained “the numbers game”, in which a family may produce dozens of eggs, but ultimately only have one or two viable, healthy embryos. Sorrell also suggested the state pay to make it easier for people to adopt frozen embryos.Following the near immediate backlash to the court’s decision, Republicans across the country initially were mum on the issue. But as clinics across Alabama began to close, they turned heel, speaking out in support of IVF. Alabama’s attorney general promised not to prosecute IVF clinics or patients, while the former president Trump also spoke in support of the procedure. On Wednesday, several bills that would preserve IVF moved forward in the Alabama legislature. One bill, which will progress to the Alabama senate after it received a vote of 94-6 on Thursday, would protect clinics from lawsuits.But there is no comprehensive solution to preserving IVF in the state and, in the meantime, patients and families, even those mid-treatment, are left waiting. More

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    Senate Democrats to force vote on protecting IVF access across the US

    Senate Democrats are moving to push through a bill that would protect Americans’ access to in vitro fertilization (IVF) treatment, after an Alabama supreme court ruling that frozen embryos are children led to the closure of a number of infertility clinics in the state.The Democratic Illinois senator Tammy Duckworth said she would try to force a vote on the legislation on Wednesday which would establish a federal right to IVF and other fertility treatments that are at risk in the post-Roe era. Duckworth’s two children were conceived through IVF.“I’m headed to the Senate floor to call on my colleagues to pass via unanimous consent my Access to Family Building Act, which would ensure that every American’s right to become a parent via treatments like IVF is fully protected, regardless of what state they live in – guaranteeing that no hopeful parent or doctor is punished,” Duckworth said at a news conference on Tuesday.Duckworth’s move comes as Democrats vow to make IVF a campaign issue as they look to squeeze Republicans and highlight the continuing fallout of the overturning of Roe v Wade.“I warned that red states would come for IVF. Now they have. But they aren’t going to stop in Alabama. Mark my words: if we don’t act now, it will only get worse,” Duckworth added.The bill would require unanimous consent in order for it to pass, meaning that any one senator can block its passage. Senator Richard Blumenthal, a Connecticut Democrat, said it was unlikely to receive unanimous consent from the chamber to rush the bill through.skip past newsletter promotionafter newsletter promotionWhile many Republican lawmakers registered disappointment over the Alabama ruling, at least one conservative senator was expected to object.Blumenthal said Democrats would not be deterred. He would not say what the next legislative steps would be, but he said Democrats, who control the Senate, would look for other ways to protect IVF and reproductive healthcare.“The IVF dilemma for Republicans is they are down a path that is not only unpopular, it’s untenable as a matter of constitutional law and basic moral imperative, and we’re going to pursue it vigorously,” Blumenthal said.“Today’s vote, the effort to seek a unanimous consent, we know is unlikely to be successful. Failing today is only the prelude to a fight ahead on women’s reproductive care centered on IVF and other steps that have to be taken to protect basic rights.” More