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    Trump makes false claims about US tariffs revenue and says White House trash video is ‘AI-generated’ – live

    Following Donald Trump’s announcement that he is moving US Space Command headquarters from Colorado to Alabama, in part, he suggested, to punish Colorado for using vote-by-mail, the president took questions from reporters in the White House pool for the first time in a week. Several of his answers were false or misleading.

    Asked to comment on the federal appeals court ruling last week that most of his tariffs are illegal, Trump falsely claimed that the US has taken in trillions of dollars” because of the tariffs. Actual tariff revenue in 2025 is about $115bn, as the economist Justin Wolfers has pointed out, which has been paid by American importers, not, as Trump claims, other countries. The president said that the administration will be asking the supreme court to issue an expedited ruling to reverse the appeals court finding that he exceeded his authority under the 1977 International Economic Emergency Act by imposing tariffs without the consent of Congress.

    While dismissing rumors about his health, prompted by his sudden lack of public appearances, and a persistent bruise on his right hand that was again covered by makeup on Tuesday, Trump was shown video of a garbage bag being tossed out of an upper floor of the White House over the weekend and claimed that it must have been “AI-generated”, since, he said, the windows are too heavy to lift and “sealed”. But the White House has already acknowledged that the video was genuine and said that contractors had thrown the material out the window.

    On his deployment of troops in Los Angeles, Trump was asked to respond to the ruling from a federal judge in California on Tuesday that the use of troops to enforce the law was illegal and must stop. He bristled at the question, accusing the reporter who asked him of making “a statement”, and of leaving out what he said was an important detail. “The judge said that you can leave the 300 people that you already have in place. They can stay. They can remain. They can do what they have to do”, the president claimed.In fact, Judge Charles Breyer ruled that the troops Trump ordered to Los Angeles had clearly violated the 1878 Posse Comitatus Act, prohibiting the military from being used for law enforcement, and issued an injunction blocking them from carrying out any such activities from now on.Referring to the Trump administration, the judge wrote: “at Defendants’ orders and contrary to Congress’s explicit instruction, federal troops executed the laws. The evidence at trial established that Defendants systematically used armed soldiers (whose identity was often obscured by protective armor) and military vehicles to set up protective perimeters and traffic blockades, engage in crowd control, and otherwise demonstrate a military presence in and around Los Angeles. In short, Defendants violated the Posse Comitatus Act.”The 300 National Guard troops who remain stationed in Los Angeles, the judge wrote: “have already been improperly trained as to what activities they can and cannot engage in under the Posse Comitatus Act. Further, President Trump’s recent executive orders and public statements regarding the National Guard raise serious concerns as to whether he intends to order troops to violate the Posse Comitatus Act elsewhere in California.”As a result, Breyer ordered, the administration is now “enjoined from deploying, ordering, instructing, training, or using the National Guard currently deployed in California, and any military troops heretofore deployed in California, to execute the laws, including but not limited to engaging in arrests, apprehensions, searches, seizures, security patrols, traffic control, crowd control, riot control, evidence collection, interrogation, or acting as informants”.
    The US military has conducted “a lethal strike” against an alleged “drug vessel” from Venezuela, the secretary of state, Marco Rubio, has announced amid growing tensions between Washington and Caracas.Donald Trump trailed the announcement during an address at the White House on Tuesday afternoon, telling reporters the US had “just, over the last few minutes, literally shot out … a drug-carrying boat”.“And there’s more where that came from. We have a lot of drugs pouring into our country,” the US president added. “We took it out,” he said of the boat.Shortly after, Rubio offered further details of the incident on social media, tweeting that the military had “conducted a strike in the southern Caribbean against a drug vessel which had departed from Venezuela and was being operated by a designated narco-terrorist organization”.It was not immediately clear what kind of vessel had been targeted, or, crucially, if the incident had taken place inside the South American country’s territorial waters.John Thune, the Republican Senate majority leader, has warned Democrats that he may move to change the chamber’s rules around confirmations if they do not agree to more quickly approve Donald Trump’s nominees.With the exception of secretary of state Marco Rubio, Democrats have forced time-consuming roll call votes on every single executive nominee Trump has made since taking office in January. Under previous administrations, including Joe Biden and Trump’s first term, senators from both parties agreed to confirm some nominees, typically for less controversial positions, by unanimous voice votes.In a floor speech on Tuesday, Thune warned that he may go ahead with plans to change Senate rules to prevent the Democrats from forcing votes on every nominee.“I’m here to tell my Democrat colleagues that their historic obstruction cannot continue”, he said, adding that 302 nominees were awaiting confirmation.“If Democrats continue to obstruct, if they continue to drag out confirmation of every single one of the nominations of a duly elected president, if they continue to slow the Senate’s business to such a drastic degree, then we’re going to have to take steps to get this process back on a reasonable footing”.Democrats have countered by arguing that Trump’s appointees are not qualified, and that they will not support a president who has tried to usurp Congress’s authorities on matters such as spending since taking office.“Historically bad nominees deserve a historic level of scrutiny by Senate Democrats”, minority leader Chuck Schumer said last month.Following Donald Trump’s announcement that he is moving US Space Command headquarters from Colorado to Alabama, in part, he suggested, to punish Colorado for using vote-by-mail, the president took questions from reporters in the White House pool for the first time in a week. Several of his answers were false or misleading.

    Asked to comment on the federal appeals court ruling last week that most of his tariffs are illegal, Trump falsely claimed that the US has taken in trillions of dollars” because of the tariffs. Actual tariff revenue in 2025 is about $115bn, as the economist Justin Wolfers has pointed out, which has been paid by American importers, not, as Trump claims, other countries. The president said that the administration will be asking the supreme court to issue an expedited ruling to reverse the appeals court finding that he exceeded his authority under the 1977 International Economic Emergency Act by imposing tariffs without the consent of Congress.

    While dismissing rumors about his health, prompted by his sudden lack of public appearances, and a persistent bruise on his right hand that was again covered by makeup on Tuesday, Trump was shown video of a garbage bag being tossed out of an upper floor of the White House over the weekend and claimed that it must have been “AI-generated”, since, he said, the windows are too heavy to lift and “sealed”. But the White House has already acknowledged that the video was genuine and said that contractors had thrown the material out the window.

    On his deployment of troops in Los Angeles, Trump was asked to respond to the ruling from a federal judge in California on Tuesday that the use of troops to enforce the law was illegal and must stop. He bristled at the question, accusing the reporter who asked him of making “a statement”, and of leaving out what he said was an important detail. “The judge said that you can leave the 300 people that you already have in place. They can stay. They can remain. They can do what they have to do”, the president claimed.In fact, Judge Charles Breyer ruled that the troops Trump ordered to Los Angeles had clearly violated the 1878 Posse Comitatus Act, prohibiting the military from being used for law enforcement, and issued an injunction blocking them from carrying out any such activities from now on.Referring to the Trump administration, the judge wrote: “at Defendants’ orders and contrary to Congress’s explicit instruction, federal troops executed the laws. The evidence at trial established that Defendants systematically used armed soldiers (whose identity was often obscured by protective armor) and military vehicles to set up protective perimeters and traffic blockades, engage in crowd control, and otherwise demonstrate a military presence in and around Los Angeles. In short, Defendants violated the Posse Comitatus Act.”The 300 National Guard troops who remain stationed in Los Angeles, the judge wrote: “have already been improperly trained as to what activities they can and cannot engage in under the Posse Comitatus Act. Further, President Trump’s recent executive orders and public statements regarding the National Guard raise serious concerns as to whether he intends to order troops to violate the Posse Comitatus Act elsewhere in California.”As a result, Breyer ordered, the administration is now “enjoined from deploying, ordering, instructing, training, or using the National Guard currently deployed in California, and any military troops heretofore deployed in California, to execute the laws, including but not limited to engaging in arrests, apprehensions, searches, seizures, security patrols, traffic control, crowd control, riot control, evidence collection, interrogation, or acting as informants”.
    The coalition behind the “No Kings” rally have announced another mass protest set for 18 October.The nationwide protest that turned out hundreds of thousands of people is rooted in Trump’s threats to send militarized forces into different American cities and his detention and encampment of immigrants, the organizers say.“I would love to receive calls from governors and mayors saying they need help” Trump said about deploying national guard across the country while in the Oval Office. “We’ll help them, we have a lot of people, we have a great military force.”Trump said “he would be honored” to take a call from Illinois governor JB Pritzker to send national guard to his state.“I would love to have governor Pritzker call me”, Trump said. I’d gain respect for him and say we do have a problem, and we’d love to send in the troops, because you know what the people they have to be protected.”Trump said because of the national guard roaming around DC, new restaurants will open up in the city.“Washington DC is a safe zone right now, it’s a safe city” he said. “This took place in 12 days, now it’s 15 days, but three days ago it became what’s known as a safe zone”.“We took 1,600 people out,” Trump said.Pool reporters asked Trump about the latest on Russia-Ukraine talks, and the president shared that both countries had 7,313 soldiers killed over the last week. “For no reason whatsover” Trump said.The president didn’t comment on a potential meeting between Ukrainian president Volodymyr Zelensky and Russian president Vladimir Putin.Speaking about the newly relocated Space Command in Huntsville, Alabama, Trump shared the latest on an ambitious missile defense system he dubbed the “golden dome”.The “golden dome” is Trump’s gold-plated take on Israel’s Iron Dome missile defense system, though his version would apparently be so impressive that “everybody wants to be a participant in it.”Canada, according to Trump, has already come calling.“Canada called they want to be a part of it, and that’ll be great”, he said. “Canada wants very much to be included in that. Then we’re going to work something out with them.”Trump also took a parting swipe at Colorado, which was hosting Space Command as a temporary headquarters.“I want to thank Colorado. The problem I have with Colorado, one of the big problems, they do mail in voting. They went to all mail in voting. So they have automatically, crooked elections.”Trump says the Space Command relocation promises 30,000 jobs and economic investment that Trump inflated in real-time from “hundreds of millions” to “billions and billions of dollars” because, as he explained, “it can’t be millions”.Trump justified the move by saying it would help America “defend and dominate the high frontier as they call it”.Donald Trump announced that US Space Command headquarters will officially move from Colorado to Huntsville, Alabama.The president declared Huntsville would “forever be known from this point forward as Rocket City” – apparently unaware the Alabama city has held that title since the 1950s thanks to NASA’s Marshall Space Flight Center.Trump couldn’t resist linking the decision to his electoral performance. “I only won it by about 47 points,” he said about Tennessee, before adding: “I don’t think that influenced my decision, though, right?”Two-term Iowa Republican senator Joni Ernst has decided to officially bow out of a re-election bid.“After a tremendous amount of prayer and reflection, I will not be seeking re-election in 2026”, Ernst said in a video announcement.Ernst is the first woman combat veteran to serve in the Senate, where Republicans hold a narrow 53-47 majority.A group of the US’s leading climate scientists have compiled a withering review of a controversial Trump administration report that downplays the risks of the climate crisis, finding that the document is biased, riddled with errors and fails basic scientific credibility.More than 85 climate experts have contributed to a comprehensive 434-page report that excoriates a US Department of Energy (DOE) document written by five hand-picked fringe researchers that argues that global heating and its resulting consequences have been overstated.The Trump administration report, released in July, contains “pervasive problems with misrepresentation and selective citation of the scientific literature, cherry-picking of data, and faulty or absent statistics”, states the new analysis, which is written in the style of the authoritative Intergovernmental Panel on Climate Change (IPCC) reports.“This report makes a mockery of science,” said Andrew Dessler, a climate scientist at Texas A&M University.“It relies on ideas that were rejected long ago, supported by misrepresentations of the body of scientific knowledge, omissions of important facts, arm waving, anecdotes and confirmation bias. This report makes it clear DOE has no interest in engaging with the scientific community.”Amy Coney Barrett, the conservative supreme court justice whose controversial fast-track confirmation at the end of Donald Trump’s first presidency led directly to the panel’s vote to strike down abortion rights nationally, has expressed in a new memoir her belief that the ruling “respected the choice” of the American people.Barrett was paid a $2m advance for her book Listening to the Law, according to CNN, which obtained a copy and published brief extracts on Tuesday, a week before its 9 September publication.“[T]he court’s role is to respect the choices that the people have agreed upon, not to tell them what they should agree to,” Barrett writes, according to CNN. The outlet framed Barrett’s comment as reflecting her belief that her predecessors’ 7-2 vote in Roe v Wade had “usurped the will of the American people”.Rudy Giuliani’s hospital discharge comes a day after Donald Trump said he will award him the Presidential Medal of Freedom, the nation’s highest civilian honor, the Associated Press reported.The decision places the award on a man once lauded for leading New York after the September 11, 2001, attacks and later sanctioned by courts and disbarred for amplifying false claims about the 2020 US presidential election. Giuliani, the former New York mayor, was also criminally charged in two states; he has denied wrongdoing.Trump on his Truth Social platform called Giuliani the “greatest Mayor in the history of New York City, and an equally great American Patriot”.Rudy Giuliani has been discharged from the hospital and is “progressing well” following a car collision in New Hampshire on Saturday, his spokesperson Ted Goodman said.“The mayor would like to thank the New Hampshire State Police, paramedics, Elliot Hospital, and all the physicians and nurses who provided incredible care” Goodman added. More

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    ‘A literal gut punch’: Missouri workers devastated by Republican repeal of paid sick leave

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    View image in fullscreenBeing sick is a costly business for Bill Thompson, who worked in the fast-food industry in Independence, Missouri, for more than 30 years, and recently worked at Guitar Center until early July, when he was laid off.“As an older worker, I have health issues from working on my feet and with my hands for many years with no breaks for eight to 10 hours a day. I have done it for 38 years now, living paycheck to paycheck,” 54-year-old Thompson said, noting in Missouri workers are not mandated breaks of any kind during work.So when Republicans in Missouri repealed a paid sick leave mandate that the state’s voters approved by 58% after an aggressive lobbying campaign by the Missouri chamber of commerce and industry and other business industry groups, he said, “It was a literal gut punch.“If you’re not paid for missed days, it literally means food off your table, bills unpaid, rent unpaid, then that can lead towards homelessness. Some of the people I know in the movement are currently homeless but still are fighting back against this,” said Thompson. “I was very disappointed and disgusted that hard-working taxpayers this would have helped matter so little to them.” Thompson helped gather signatures for the paid-sick-leave and minimum-wage-increase ballot initiative because of his experiences of working through illnesses and losing income when he had to take time off to care for his ailing mother.Workers and labor groups in Missouri strongly criticized the repeal, arguing elected officials chose to side with “greed” over workers, as efforts to re-enact the law and prevent legislators from overturning voter ballot initiatives in Missouri are under way.The state’s house and senate passed HB567, signed into law on 10 July by the governor, Mike Kehoe, which repealed the paid sick leave mandate and annual minimum wage increases tied to the consumer price index beyond the increase to $15 an hour in 2016 that voters also approved.Voters in Nebraska, by more than 74.5%, and Alaska, with nearly 57% approval, also passed paid sick leave mandates in November 2024. As of December 2024, 18 states and Washington DC had enacted paid sick leave laws covering private employers.“They chose to side with greed over the health of Missouri workers,” said Richard Eiker, a McDonald’s worker in the Kansas City, Missouri, area for more than 20 years who supported the paid sick leave mandate. “But we’re not going anywhere, we’re going to stay in this and keep fighting until we win better treatment for Missouri workers.”Eiker said the issue of paid sick leave was a public health issue, especially for food service workers, and that he has often had to go into work sick or injured because he couldn’t afford to take the unpaid time off from work.View image in fullscreen“Whether it’s been an injury I’ve sustained at work or been an illness I’ve had, I’ve often found myself having to go into work regardless of whether I recovered fully or not, simply because I can’t afford to take the time off of work in order to take care of my bills and everything,” Eiker said.For 10 years, Eiker was the primary caregiver for his mother and he recounted that on a day that she wasn’t feeling well, he had to go to work. He came home to find her unconscious and unresponsive after she suffered a stroke.“At the time I was caring for her, her expenses, my expenses, and we were trying to keep the apartment we were in, all these pressures on me, if I had paid sick time off and I had been able to stay with her that day, I wonder if things could have been different,” Eiker added.Though voters all approved paid sick leave in states where Republicans have dominated in statewide elections, only Republicans in Missouri have pushed to entirely repeal paid sick leave approved by voters.The repeal law in Missouri goes into effect on 28 August, just weeks after the paid sick leave mandate took effect in May 2025.Proponents of paid sick leave criticized the repeal given the strong support for it and that negotiations were under way to reach a compromise.“I think we were 95% of the way on a negotiated agreement, one that I wouldn’t have been happy with, because it would have been different than what the voters had passed. But at the end of the day, elected officials, I think, weren’t so much concerned with paid sick days. I think they were more concerned with the idea that working people have power over our lives,” said Richard von Glahn, policy director at Missouri Jobs With Justice, a worker advocacy group based in St Louis that worked on the paid sick leave ballot initiative.“I think that was the more important issue for the chamber of commerce and elected officials to try to push back on, because I think they’re really terrified that working people have a sense of our own agency in a state like this.”He argued the paid sick leave campaign to gather signatures and speak with voters “were easy because paid sick days are such common sense to most people”.“Even on a day where Missourians sort of overwhelmingly voted for Donald Trump, Josh Hawley and Governor Kehoe, they also overwhelmingly voted for an increase in paid sick days,” Von Glahn said. “Any notion that there’s really a Republican party, that is a party of workers, Missouri shows just how much of a stranglehold corporate interests still have on the Republican establishment. I think that’s a cautionary tale for working-class people.”Groups in Missouri are weighing a new ballot initiative to enshrine the law in the state’s constitution, and a 2026 ballot initiative has been filed to require at least 80% of the state legislature to repeal all or parts of a voter-approved measure.The paid sick leave mandate was repealed as the Missouri chamber of commerce and industry called the bill to do so its “top priority” during the 2025 legislative session, though repealing the law through the legislature was initially seen as challenging given the strong public support for it.“Some legislators may look at this and go, we don’t want to goof with it at all because the percentage was so high in support of it,” Ray McCarty, CEO of Associated Industries of Missouri, said in an interview with the Missouri Independent in November 2024.Opponents of the paid sick leave bill claimed it was “a job killer”, a common refrain in opposition to paid sick leave policies for years, though data and research have shown paid sick leave improves workforce participation and lowers employee turnover, especially of women, in addition to adding health benefits.The authors of the bill to repeal the paid sick leave mandate in the state house and senate did not respond to multiple requests for comment.View image in fullscreenIn an email, a spokesperson for Kehoe claimed “out of state special interests” played a significant role in passing the voter-approved Proposition A, though they did not name who they believe those were.“HB567 protects families, job creators, and small businesses by rolling back government overreach, cutting red tape, and eliminating costly mandates,” the spokesperson added. “This law promotes freedom for workers to find jobs that fit their needs and for businesses to offer the benefits that work best for them – ensuring Missouri’s future is driven by its own people and economy.”Thompson could not disagree more. In 2020, when he worked at Burger King, he said, he had to take eight weeks off work, all unpaid, because his mother’s cancer had reached an inoperable stage and she was put on palliative care through hospice.“I moved in with her and cared for her, cooked meals, made sure she took her meds,” explained Thompson. “I had to go to food pantries and rely on the charity of family and neighbors to feed us. She was in hospice care for eight weeks and passed away. I wasn’t paid for that time away from work. No one should go through this working in the richest country in the world.” More

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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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    ‘We need some hope’: can a rural hospital on the brink survive Trump’s bill?

    When her severely allergic toddler, Josie, began gasping for breath in the middle of the night, Krissy Cunningham knew there was only one place she could get to in time to save her daughter’s life.For 74 years, Pemiscot Memorial hospital has been the destination for those who encounter catastrophe in Missouri’s poorest county, a rural stretch of farms and towns in its south-eastern Bootheel region. Three stories of brown brick just off Interstate 55 in the town of Hayti, the 115-bed hospital has kept its doors open even after the county’s only Walmart closed, the ranks of boarded-up gas stations along the freeway exit grew, and the population of the surrounding towns dwindled, thanks in no small part to the destruction done by tornadoes.For many in Pemiscot county, its emergency room is the closest available without taking a 30-minute drive across the Mississippi river to Tennessee or the state line to Arkansas, a range that can make the difference between life and death for victims of shootings, overdoses or accidents on the road. In the wee hours of one spring morning, it was there that Josie received the breathing treatments and a racemic epinephrine shot that made her wheezing subside.“There is no way I would have made it to one of the farther hospitals, if it wouldn’t have been here. Her airway just would have closed off, and I probably would have been doing CPR on my daughter on the side of the road,” recalled Cunningham, a nurse who sits on the hospital’s board.View image in fullscreenYet its days of serving its community may be numbered. In May, the hospital’s administration went public with the news that after years of struggling with high rates of uninsured patients and low reimbursement rates from insurers, they may have to close. And even if they do manage to navigate out of their current crisis, Pemiscot Memorial’s leaders see a new danger on the horizon: the “big, beautiful bill” Republicans pushed through Congress earlier this month, at Donald Trump’s request.Centered around an array of tax cuts as well as funds for the president’s mass deportation plans, the bill will mandate the largest funding reduction in history to Medicaid, the federal healthcare program supporting low-income and disabled Americans. That is expected to have ripple effects nationwide, but will hit particularly hard in Pemiscot county and other rural areas, where hospitals tend to have frail margins and disproportionately rely on Medicaid to stay afloat.“If Medicaid drops, are we going to be even collecting what we’re collecting now?” asked Jonna Green, the chairwoman of Pemiscot Memorial’s board, who estimated 80% of their revenue comes from Medicaid as well as Medicare, another federal health program primarily for people 65 and older. “We need some hope.”The changes to Medicaid will phase in beginning in late 2026, and require enrollees to work, volunteer or attend school 80 hours a month, with some exceptions. States are also to face new caps on provider taxes, which they use to fund their Medicaid programs. All told, the non-partisan Congressional Budget Office forecasts that 10 million people nationwide will lose their healthcare due to the bill, which is nonetheless expected to add $3.4tn to the federal budget deficit through 2034.Trump carried Missouri, a midwestern state that has veered sharply away from the Democratic party over the past three decades, with more than 58% of the vote last November. In Pemiscot county, where census data shows more than a quarter of residents are below the poverty line and the median income is just over $40,000 a year, he was the choice of 74% of voters, and Republican lawmakers representing the county played a notable role in steering his tax and spending bill through Congress.Senator Josh Hawley publicly advocated against slashing the healthcare program, writing in the New York Times: “If Republicans want to be a working-class party – if we want to be a majority party – we must ignore calls to cut Medicaid and start delivering on America’s promise for America’s working people.” He ultimately supported the bill after a $50bn fund to help rural hospitals was included, but weeks later introduced legislation that would repeal some of the very same cuts he had just voted for.“I want to see Medicaid reductions stopped and rural hospitals fully funded permanently,” the senator said.View image in fullscreenJason Smith, whose district encompasses Pemiscot county and the rest of south-eastern Missouri, oversaw the crafting of the measure’s tax provision as chairman of the House ways and means committee, and has argued they will bring prosperity rural areas across the state. Like others in the GOP, he has said the Medicaid cuts will ferret out “waste, fraud and abuse”, and make the program more efficient.It’s a gamble for a state that has seen nine rural hospitals close since 2015, including one in a county adjacent to Pemiscot, with a further 10 at immediate risk of going under, according to data from the Center for Healthcare Quality and Payment Reform policy group.The Missouri Budget Project thinktank estimates that the bill will cost 170,000 of the state’s residents their health coverage, largely due to work requirements that will act as difficult-to-satisfy red tape for Medicaid enrollees, while the cap on provider taxes will sap $1.9bn from the state’s Medicaid program.“There’s going to be some really hard conversations over the course of the next five years, and I think that healthcare in our region will look a lot different than what it does right now,” said Karen White, CEO of Missouri Highlands Health Care, which operates federally qualified health centers providing primary and dental care across rural south-eastern Missouri. She forecasts 20% of her patients will lose Medicaid coverage through 2030.As the bill was making its way through Congress, she contacted the offices of Smith, Hawley and Missouri’s junior senator, Eric Schmitt, all politicians she had voted for, asking them to reconsider cutting Medicaid. She did not hear back.“I love democracy. I love the fact that we as citizens can make our voices heard. And they voted the way that they felt they needed to vote. Maybe … the larger constituency reached out to them with a viewpoint that was different than mine, but I made my viewpoint heard,” White said.Spokespeople for Schmitt and Smith did not respond to requests for comment. In response to emailed questions, a spokeswoman for Hawley referred to his introduction of the legislation to partially stop the Medicaid cuts.Down the road from the hospital lies Hayti Heights, where there are no businesses and deep puddles form in the potholes and ditches that line roadways after every thunderstorm. Mayor Catrina Robinson has a plan to turn things around for her 500 or so residents, which involves bringing back into service the water treatment plant that is the town’s main source of revenue. But that is unlikely to change much without Pemiscot Memorial.“Half of those people that work at the hospital, they’re my residents. So how they gonna pay their bills? How they gonna pay their water bill, how they gonna pay their light bill, how they gonna pay rent? This is their source of income. Then what will they do?” Robinson said.View image in fullscreenTrump’s bill does include an array of relief aimed at the working-class voters who broke for him in the last election, including tax cuts on tips and overtime pay and deductions aimed at senior citizens. It remains to be seen if whatever financial benefits those provisions bring to the workers of Pemiscot county will outweigh the impact of the stress the Medicaid cuts place on its healthcare system.“The tax relief of server’s tips and all that, that’s not going to change the poverty level of our area,” said Loren Clifton, the hospital’s administrative director. “People losing their healthcare insurance absolutely will make it worse.”Work can be found in the county’s corn, wheat, soybean and rice fields, at a casino in the county seat Caruthersville and at a shipyard along the banks of the Mississippi . But Green questions if those industries would stick around if the hospital goes under, and takes with it the emergency room that often serves to stabilize critical patients before transferring them elsewhere.View image in fullscreen“Our community cannot go without a hospital. Healthcare, employment, industry – it would devastate everything,” Green said.The board is exploring partnerships with other companies to help keep the hospital afloat, and has applied for a federal rural emergency hospital designation which they believe will improve their reimbursements and chances of winning grants, though that will require them to give up other services that bring in revenue. For many of its leaders, the stakes of keeping the hospital open are personal.“This is our home, born and raised, and you would never want to leave it. But I have a nine-year-old with cardiac problems. I would not feel safe living here without a hospital that I could take her to know if something happened,” said Brittany Osborne, Pemiscot Memorial’s interim CEO.One muggy Wednesday morning in July, Pemiscot’s three county commissioners, all Republicans, gathered in a small conference room in Caruthersville’s courthouse and spoke of their resolve to keep the hospital open.“It’s 50-50 right now,” commissioner Mark Cartee said of the hospital’s chances of survival. “But, as long as we have some money in the bank of the county, we’re going to keep it open. We need healthcare. We got to have a hospital.”They were comparatively sanguine about the possibility that the Medicaid work requirements would harm the facility’s finances down the line.“We got a guy around here, I guess he’s still around. He’s legally blind but he goes deer hunting every year,” commissioner Baughn Merideth said. “There’s just so much fraud … it sounds like we’re right in the middle of it.”A few blocks away, Jim Brands, owner of Hayden Pharmacy, the oldest in the county, had little doubt that there were those in the county who took advantage of Medicaid. He also believed that fewer enrollees in the program would mean less business for his pharmacy, and more hardship overall.View image in fullscreen“Just seeing this community, the situation it’s in, the poverty, we’ve got to get people to work. There are a ton of able-bodied people that could work that choose not to,” he said.“To me, there’s got to be a better way to weed out the fraud and not step on the toes of the people who need it.” More

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    Missouri’s governor signs repeal of state’s guaranteed paid sick leave law

    Eight months after voters approved it, Missouri’s governor, Mike Kehoe, signed the repeal of a law on Thursday that had guaranteed paid sick leave to workers and inflation-linked adjustments to the minimum wage.The move marked a major victory for the state’s largest business group and a frustrating defeat for workers’ rights advocates, who had spent years – and millions of dollars – building support for the successful ballot measure. The repeal will take effect on 28 August.Kehoe, who also signed a package of tax breaks on Thursday, described the paid sick leave law as an onerous mandate that imposed burdensome record-keeping.“Today, we are protecting the people who make Missouri work – families, job creators and small business owners – by cutting taxes, rolling back overreach and eliminating costly mandates,” Kehoe, a Republican, said in a statement released after a private bill-signing ceremony.The new tax law excludes capital gains from individual state income taxes, expands tax breaks for seniors and disabled residents, and exempts diapers and feminine hygiene products from sales taxes.Richard von Glahn, who sponsored the worker benefit ballot initiative, said many parents felt forced to go to work instead of staying home to care for a sick child in order to pay for their rent or utilities.“The governor signing this bill is an absolute betrayal to those families, and it hurts my heart,” said Von Glahn, policy director for Missouri Jobs With Justice.About one-third of states mandate paid sick leave, but many businesses voluntarily provide it. Nationwide, 79% of private-sector employees received paid sick leave last year, though part-time workers were significantly less likely to receive the benefit than full-time employees, according to US labor department data.Voters in Alaska, Missouri and Nebraska all approved paid sick leave measures last November. Only Alaska’s, which kicked in on 1 July, has remained unchanged by state lawmakers.Before Nebraska’s measure could take effect on 1 October, the state’s Republican governor, Jim Pillen, signed a measure last month exempting businesses with 10 or fewer employees from the paid sick leave requirements. The revision also allows businesses to withhold paid sick leave from seasonal agricultural workers and 14- and 15-year-olds.Missouri’s law allowed employees to earn one hour of paid sick time for every 30 hours worked, starting 1 May. By the time it’s repealed, 17 weeks will have elapsed. That means someone working 40 hours a week could have earned 22 hours of paid sick leave.If workers don’t use their paid sick leave before 28 August, there is no legal guarantee they can do so afterward.The Missouri Chamber of Commerce and Industry had made repealing the law its top legislative priority.The “paid leave and minimum wage policies were a job killer”, the chamber’s president and chief executive officer, Kara Corches, said.But Missouri voters could get a second chance at mandating paid sick leave.Von Glahn has submitted a proposed ballot initiative to the secretary of state that would reinstate the repealed provisions. Because the new measure is a constitutional amendment, the state legislature would be unable to revise or repeal it without another vote of the people. Supporters have not decided whether to launch a petition drive to try to qualify the measure for the 2026 ballot. More

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    After a Deadly Tornado, a Small Kentucky City Starts Picking Up the Pieces

    On Sunday morning in a small Kentucky city, the sun shone and birds chirped.They provided an incongruent backdrop to a scene that looked like a war zone. Just two days before, a fierce tornado carved a 16-mile path of destruction through Laurel County, Ky., and in its county seat of London, the damage was clear: roofs ripped from homes, tree limbs sheared off, cars left as twisted hunks of metal. And several residents dead.By the afternoon, the Sunshine Hills neighborhood of London was filled with the cacophonous beeping of backhoes, accompanied by an army of faith-based volunteers.Those volunteers were among the many people in London, a city of 8,000 about 80 miles south of Lexington, who worked together this weekend to help not only those in need but also the whole community as it tried to process the disaster. Amid the grief and devastation, ensuring displaced people got the necessary supplies and assistance was top of mind for many.“It didn’t seem right to be sitting at home with our property being untouched with so many people struggling,” said Hannah Clark, who lives in neighboring Pulaski County but came to London to volunteer.The tornado was part of a storm system that tore through the central United States starting Friday, killing at least 28 people. Of those, 19 died in Kentucky, all but two in Laurel County. Outside of Kentucky, Missouri was also hit hard: Seven people died in that state, with five in St. Louis.Most of the victims in Laurel County were killed in Sunshine Hills, according to Gilbert Acciardo, a public affairs official for the county sheriff’s office, who did not give an exact number. Many of them were older, ranging in age from 50 to 70.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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    Missouri Lawmakers to Put Abortion on Ballot Again, Seeking Another Ban

    The state’s Republicans are putting abortion on a ballot question again, seeking to buck the trend of voters siding with abortion rights on ballot measures.In November, Missouri became the first state to overturn a near-total abortion ban by a citizen-sponsored ballot measure. On Wednesday, it became the first state to try to reverse that decision through a ballot question, after the Republican-controlled legislature approved a measure that would ask voters to ban abortion again.The question will appear on the ballot in November 2026, although Gov. Mike Kehoe, a Republican who opposes abortion rights, could choose to put the issue before voters in a special election before that.The measure would amend the state Constitution to ban abortion except in medical emergencies, or in cases of rape or incest if the assault was reported to police within 48 hours and the pregnancy is less than 12 weeks along. The measure would also ban gender-affirming surgery or medications for minors.The legislature approved the measure on the penultimate day of its session after fierce opposition from Democrats and infighting among Republicans, some of whom argued that the new amendment should not include exceptions for rape and incest.The move bucks the trend on abortion-related ballot measures. Voters have sided with abortion rights in 14 out of 17 times that the question has appeared on state ballots in the three years since the U.S. Supreme Court overturned Roe v. Wade, which had for five decades recognized a right to abortion in the Constitution. Opponents of abortion rights have grown wary of putting the question before voters, and in states such as Florida and Arkansas, are instead trying to make it harder for citizens to put questions on the ballot, or pass ballot measures.But Republicans who control the levers of state government in Missouri have long been fiercely anti-abortion; it was the first state to officially ban abortion after the court overturned Roe. They are hoping it will not take much to reverse the amendment approved in November, which passed with support from just under 52 percent of the vote.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