North Carolina

Subterms

    Latest story

    188 Shares119 Views

    ‘I had teachers crying’: the schools trying to plug million-dollar funding holes after Trump cuts

    by

    In the time it took to read an email, the federal money vanished before Eisa Cox’s eyes: dollars that supported the Ashe county, North Carolina, school district’s after-school program, training for its teachers and salaries for some jobs.The email from the US Department of Education arrived 30 June, a day before the money – $1.1m in total – was set to materialize for the rural western district. Instead, the dollars were frozen pending a review to make sure the money was spent “in accordance with the president’s priorities”, the email said.In a community still recovering from Hurricane Helene, where more than half of students are considered economically disadvantaged, Cox said there was no way they could replace that federal funding for the school system she oversees as superintendent. “It is scary to think about it,” she said. “You’re getting ready to open school and not have a significant pot of funds.”School leaders across the country were reeling from the same news. The $1.1m was one small piece of a nearly $7bn pot of federal funding for thousands of school districts that the Trump administration froze – money approved by Congress and that schools were scheduled to receive on 1 July. For weeks, leaders in Ashe county and around the country scrambled to figure out how they could avoid layoffs and fill financial holes – until the money was freed on 25 July, after an outcry from legislators and a lawsuit joined by two dozen states.“I had teachers crying, staff members crying. They thought they were going to lose their jobs a week before school,” said Curtis Finch, superintendent of Deer Valley unified school district in Phoenix, Arizona.View image in fullscreenNow, as students are back in classrooms, their school systems can no longer count on federal dollars as they once did. They must learn to plan without a playbook under a president intent on cutting education spending. For many districts, federal money is a small but crucial sliver of their budgets, potentially touching every part of a school’s operations, from teacher salaries to textbooks. Nationally, it accounts for about 14% of public school funding; in Ashe county, it’s 17%. School administrators are examining their resources now and budgeting for losses to funding that was frozen this summer, for English learners and for after-school and other programs.So far, the Trump administration has not proposed cutting the largest pots of federal money for schools, which go to services for students with disabilities and to schools with large numbers of low-income students. But the current budget proposal from the US House of Representatives would do just that.At the same time, forthcoming cuts to other federal support for low-income families under the Republican One Big, Beautiful Bill Act – including Medicaid and Snap, previously known as food stamps – will also hammer schools that have many students living in poverty. Some school districts are also grappling with the elimination of Department of Education grants announced earlier this year, such as those designed to address teacher shortages and disability services. In politically conservative communities like this one, there’s an added tension for schools that rely on federal money to operate: how to sound the alarm while staying out of partisan politics.For Ashe county, the federal spending freeze collided with the district’s attempt at a fresh start after the devastation of Helene, which demolished roads and homes, damaged school buildings and knocked power and cell service out for weeks. Between the storm and snow days, students here missed 47 days of instruction.Cox worries this school year might bring more missed days. That first week of school, she found herself counting the number of foggy mornings: an old Appalachian wives’ tale says to put a bean in a jar for every morning of fog in August. The number of beans at the end of the month is how many snow days will come in winter.“We’ve had 21 so far,” Cox said with a nervous laugh on 21 August.A funding freeze rollercoasterFragrant evergreen trees blanket Ashe county’s hills, a region that bills itself as America’s Christmas tree capital because of the millions of Fraser firs grown for sale at the holidays. Yet this picturesque area still shows scars of Hurricane Helene’s destruction: fallen trees, damaged homes and rocky new paths cut through the mountainsides by mudslides. Nearly a year after the storm, the lone grocery store in one of its small towns is still being rebuilt. A sinkhole that formed during the flooding remains, splitting open the ground behind an elementary school.As students walked into classrooms for the first time since spring, Julie Taylor – the district’s director of federal programs – was reworking district budget spreadsheets. When federal funds were frozen, and then unfrozen, her plans and calculations from months prior became meaningless.Federal and state funding stretches far in this district of 2,700 students and six schools, where administrators do a lot with a little. Even before this summer, they worked hard to supplement that funding in any way possible – applying for state and federal grants, like one last year that provided money for a few mobile hotspots for families who don’t have internet access. Such opportunities are also narrowing: the Federal Communications Commission, for example, recently proposed ending its mobile hotspot grant program for school buses and libraries.View image in fullscreen“We’re very fiscally responsible because we have to be. We’re small and rural. We don’t have a large tax base,” Taylor said.When the money was frozen this summer, administrators’ minds went to the educators and kids who would be most affected. Some of it was meant to pay for a program through Appalachian State University that connects the district’s three dozen early career teachers with a mentor, helping them learn how to schedule their school days and manage classroom behavior.The program is part of the reason the district’s retention rate for early career teachers is 92%, Taylor said, noting the teachers have said how much the mentoring meant to them.Also frozen: free after-school care the district provides for about 250 children throughout the school year – the only after-school option in the community. Without the money, Cox said, schools would have had to cancel their after-school care or start charging families, a significant burden in a county with a median household income of about $50,000.Will assistance for immigrant students go away?The salary for Michelle Pelayo, the district’s migrant education program coordinator for nearly two decades, was also tied up in that pot of funding. Because agriculture is the county’s biggest industry, Pelayo’s work extends far beyond the students at the school. Each year, she works with the families of dozens of immigrant students who move to the county for seasonal work on farms, which generally involves tagging and bundling Christmas trees and harvesting pumpkins. Pelayo helps the families enroll their students, connects them with supplies for school and home, and serves as a Spanish translator for parent-teacher meetings – “whatever they need”, she said.Kitty Honeycutt, executive director of the Ashe county chamber of commerce, doesn’t know how the county’s agriculture industry would survive without the immigrant families Pelayo works with. “The need for guest workers is crucial for the agriculture industry. We have to have them,” she said.A couple of years ago, Pelayo had the idea to drive to Boone, North Carolina, where Appalachian State University’s campus sits, to gather unwanted appliances and supplies from students moving out of their dorm rooms at the end of the year to donate to immigrant families. She’s a “find a way or make a way” type of person, Honeycutt said.Cox is searching for how to keep Pelayo on if Ashe county loses these federal funds next year. She’s talked with county officials to see whether they could pay Pelayo’s salary, and has begun calculating how much the district would need to charge families to keep the after-school program running. Ideally, she’d know ahead of time and not the night before the district is set to receive the money.Around the nationDistricts across the country are grappling with similar questions. In Detroit, school leaders are preparing, at a minimum, to lose Title III money to teach English learners; more than 7,200 Detroit students received services funded by Title III in 2023.In Wyoming, the small, rural Sheridan county school district 3 is trying to budget without Title II, IV and V money – funding for improving teacher quality, updating technology and resources for rural and low-income schools, among other uses, the superintendent Chase Christensen said.Schools are trying to budget for cuts to other federal programs, too, such as Medicaid and food stamps. In Harrison school district 2, an urban district in Colorado Springs, schools rely on Medicaid to provide students with counseling, nursing and other services.The district projects that it could lose half the $15m it receives in Medicaid next school year.“It’s very, very stressful,” said Wendy Birhanzel, superintendent of Harrison school district 2. “For a while, it was every day you were hearing something different. And you couldn’t even keep up with: ‘What’s the latest information today?’ That’s another thing we told our staff: if you can, just don’t watch the news about education right now.”There’s another calculation for school leaders to make in conservative counties like Ashe, where 72% of the vote last year went to Donald Trump: objecting to the cuts without angering voters. When North Carolina’s attorney general, a Democrat, joined the lawsuit against the administration over the frozen funds this summer, some school administrators told state officials they couldn’t publicly sign on, fearing local backlash, said Jack Hoke, executive director of the North Carolina School Superintendents’ Association.Cox sees the effort to slash federal funds as a chance to show her community how Ashe county schools uses this money. She believes people are misguided in thinking their schools don’t need it, not malicious.“I know who our congresspeople are. I know they care about this area,” Cox said, adding that they care even if they do not fully grasp how the money is used. “It’s an opportunity for me to educate them.”If the education department is shuttered – which Trump said he plans to do in order to give more authority over education to states – she wants to be included in state-level discussions of how federal money flows to schools through North Carolina. Importantly, she also wants to know ahead of time what her schools might lose.As she made her rounds to each of the schools that first week back, Cox glanced down at her phone and looked up with a smile. “We have hot water,” she said while walking in the hall of Blue Ridge elementary school. It had lost hot water a few weeks earlier, but to Cox, this crisis was minor – one of many first-of-the-year hiccups she has come to expect.Still, it’s one worry she can put out of her mind as she looks ahead to a year of uncertainties.Marina Villeneuve contributed data analysis to this story, which was originally produced and published by the Hechinger Report. More

    More stories

    • 175 Shares156 Views

      in Elections

      Election deniers now hold posts on local US election boards, raising concerns for midterms

      by

      A number of people who deny the legitimacy of the 2020 election, and often of other elections in which Republicans have not been victorious, have been elevated to positions of power since Donald Trump’s re-election, raising concerns about the potential for partisan meddling in critical parts of the country such as Arizona and Georgia.State by state, activists aligned with the “election integrity” movement have found their way on to local elections boards and elections offices, raising red flags for Democrats who have already started efforts to have them removed.“I think Republicans want to put us in jail,” Fulton county commissioner Dana Barrett said, moments after a contempt hearing in an Atlanta, Georgia, courtroom in August, where she and five other county commissioners were fighting a battle to reject the appointment of two Republican election denialists to the Fulton county board of registrations and elections.The commission’s charter says the board must appoint two nominees made by each political party. A finding of criminal contempt could have resulted in commissioners being jailed until they agreed to make the appointment, but Fulton county superior court judge David Emerson found the board in civil contempt last month for refusing to vote for the appointment as ordered by the court. A $10,000 daily fine for failing to make the appointment is on hold, pending appeal.“At the end of the day, we have no choice but to resist,” Barrett said. “This is not a particularly strategic move on my part, but rather a move to defend the integrity of our elections and to do what I can in my corner of the world to try to help hold this democracy together. If that means I’m resisting, then by all means, I’m resisting.”One of the two appointees in question, Julie Adams, works for the Election Integrity Network, an election denial activist organization founded by Cleta Mitchell, a Trump ally who aided his efforts to overturn the election in Georgia and elsewhere. The other, Jason Frazier, is a consultant for EagleAI, software that collects open-source data of dubious validity to aid activists making thousands of voter challenges at a time. Frazier was a plaintiff in a 2023 lawsuit demanding voter registration purges by the county and the state.“I believe that Jason Frazier and Julie Adams are election deniers,” Barrett said.“We all find ourselves in positions where we have to make tough decisions considering the climate in our country,” said Fulton county commissioner Mo Ivory. “I’m glad to be standing up for the people that put me in office, and continue to fight for our democracy, not for partisan politics, but for what it means to live in a democracy.”In Georgia, board appointments to county election offices are idiosyncratic. Fulton county’s charter gives power to the board of commissioners and to the political parties’ county committees. In neighboring DeKalb county, the appointments are made by the chief judge of its superior court, who is free to reject a nominee by one of the party’s committees if that person doesn’t meet the judge’s legal standards.Such was the case earlier this year, when Shondeana Morris, chief judge of the DeKalb county superior court, rejected William Henderson after a letter campaign by the county’s Democratic committee and voting rights activists. But the judge did allow the appointment of Gail Lee, another Republican activist linked to the Election Integrity Network.During a DeKalb county election board meeting last week, local political activists challenged the qualification of Jason Lary, a former mayor of Stonecrest, Georgia, to run for the city council. Lary recently returned from federal prison, where he was serving a sentence for fraud after being convicted of stealing hundreds of thousands of dollars in federal Covid-19 relief funds allocated to the city.Lary is a Democrat and the board has a Democratic majority, but after a brief discussion, the board voted unanimously to kick him off the ballot and strip him of his voter registration, given that he was still under supervision for his sentence and thus ineligible to vote.“The one thing that became clear is the importance of the public to remain vigilant on little things like people who qualified for office,” Lee said at the end of the meeting. “Because if a person hadn’t come for and challenged the candidates then they would have gone forward and possibly had a felon in office.”There’s only so much a Republican activist can accomplish on a five-person board with a Democratic majority, as is the case in metro Atlanta’s core counties. When Adams refused to certify a primary election in Fulton county in 2024, state superior court judges ruled that she was required to do so by state law, a decision affirmed by the Georgia supreme court this week. The duty to certify is “ministerial”, a pronouncement that is obligatory, not discretionary.And many if not most decisions by an elections board involve mundane procedural questions about where to site a voting drop box or how to schedule poll worker training. Even contentious issues often result in unanimous votes.But elections offices are staffed by human beings maintaining sensitive equipment and critical records, all of which are vulnerable to someone with authority and an agenda.Protect Democracy, an advocacy organization, describes a strategy of election subversion in three parts: deceive, disrupt and deny.Disinformation from influencers suggests that voter fraud or noncitizen voting occurs often enough to swing an election. Then these influencers call on their supporters to disrupt election administration and voting process and introduce chaos into the system. Finally, they attempt to interfere or halt the certification process and “declare the true result untrue, unknown, or unknowable”, Protect Democracy’s advocates wrote.The object is to allow the loser to claim victory regardless of the results, forcing a court to either choose a winner or order a new election, delegitimizing a fair vote.Changes wrought by a new law specific to Spalding county, Georgia, populated its board with Republican election activists. The board members and the county’s new elections director called for a hand-count of ballots following elections in 2022 and 2023. The process, observers noted, was painfully slow and riven by inaccuracies that took days to rectify, with an end result that showed Dominion machines had counted votes correctly.They did not hand count ballots in 2024.Spalding county’s Republican elections board members – Ben Johnson, Roy McClain and James Newland – are among the many defendants in a federal lawsuit seeking to overturn a law permitting mass voter challenges passed in the wake of the 2020 election that voting rights advocates argue violates the Voting Rights Act.Meanwhile, Maricopa county’s board of supervisors has been in a political war with the county’s elected recorder Justin Heap to prevent this outcome. Maricopa county contains Phoenix and almost two-thirds of Arizona’s population.Heap, a former state representative, defeated the incumbent Republican in 2024 while refusing to say if he believed the 2020 and 2022 elections were fair and calling Maricopa county elections a “laughingstock”.After Heap’s victory, the board stripped the recorder’s office of its duties to manage in-person early voting and some IT management of voter rolls. Negotiations broke down in May, leading to lawsuits and acrimony. Heap retained America First Legal, a Trump-aligned firm, to represent him in the lawsuit.“Justin Heap is lying about me, and going forward, he better keep my name out of his lying mouth,” Maricopa county supervisor Steve Gallardo said in a July release, refuting claims by Heap that Gallardo had agreed to restore power to the recorder’s office. “Since his election, Justin Heap has taken actions that have confused voters and damaged relationships. This must end. Justin Heap should stop the performative theater and just do his job.”Some states appear to be more fertile ground than others for election denialist’s influence on boards.North Carolina’s Republicans controlled the state legislature with a veto-proof majority last year, even though its former governor Roy Cooper was a Democrat. After Josh Stein, another Democrat, won the governor’s race, legislators stripped the governor of the power to appoint members to state and county elections boards, handing it to newly elected state auditor Dave Boliek, a Republican.The state’s Republican-majority supreme court ratified the law in May after court challenges. Boliek almost immediately replaced 3-2 Democratic majorities with 3-2 Republican majorities across all 100 county election boards.Those appointments have drawn pushback from election denialists as well as from Democratic activists.Places such as Durham county, where less than 10% of voters are registered Republicans, now has a Republican majority on its elections board. But most new board members appear to have been rewarded for their loyalty to the party and not their fidelity to election denialism.“There are concerns that there are people that are getting rewarded as a political favor, as opposed to their working knowledge and their experience in elections,” said Jim Womack, Lee county GOP chair and the president of the non-profit North Carolina Election Integrity Team, speaking to North Carolina news site The Assembly. More

    • 150 Shares156 Views

      in US Politics

      US right capitalizes on fatal stabbing of Ukrainian refugee in North Carolina

      by

      The random and unprovoked killing of a young woman in North Carolina several weeks ago has become a viral video, a political football, and a powerful rightwing talking point – even as the horror and anger her death has provoked obscures what experts say is a vital story about the failures of the American mental health system.The alleged perpetrator, Decarlos Brown Jr, 34, has a long history of problems with the law and mental health issues. He had been arrested 14 times and served a five-year stint for armed robbery. Brown had also come to believe that there was something alien and malevolent inside him – a “man-made material”, he told people, possibly a computer chip implanted by the government that was fighting him for control of his body.Brown was riding a light rail in Charlotte, North Carolina, last month when he allegedly stood up with a pocket knife, abruptly stabbed a nearby woman, then walked away. The victim, Iryna Zarutska, was a 23-year-old Ukrainian refugee who worked at a pizza parlor and hoped to become a veterinary assistant. Haunting security-camera footage shows her curled up weakly as she bleeds to death in her restaurant uniform. In a phone call from jail after his arrest, Brown, who reportedly has schizophrenia, told his sister that Zarutska had been trying to read his mind.Initially a tragedy covered by mostly local news outlets, Zarutska’s death has grown in recent days into a cause célèbre on the American right. In more centrist conservative accounts, Zarutska’s killing is a symbol and symptom of a lax criminal justice system that should never have allowed Brown to freely walk the streets. In more inflammatory, far-right discourse, the story of a formerly incarcerated Black man’s killing of a defenseless blond woman has become racist fodder for sinister theories about white persecution and Black criminality.On X, Elon Musk has tweeted or retweeted dozens of posts about the story, many arguing that the media would have covered the story more aggressively if a white person had attacked a Black victim, and contrasting it with the media attention given to cases like that of Daniel Penny, a white man who was arrested in New York in 2023 for killing an unhoused Black man with mental illness on the subway in what he described as self-defense. (He was acquitted in trial.)Viral content online has claimed that Brown targeted Zarutska specifically because she was white, though as of now there is no evidence that he did. Some rightwing accounts have noted with pointed irony that a photo that has circulated of Zarutska appears to show a Black Lives Matter poster in the background. Musk and others have pledged money to a campaign to put up George Floyd-style murals of her across American cities.Outrage has reached the highest levels of the US government. Donald Trump has declared on social media that the “ANIMAL who so violently killed the beautiful young lady from Ukraine, who came to America searching for peace and safety, should be given a ‘Quick’ (there is no doubt!) Trial, and only awarded THE DEATH PENALTY.”View image in fullscreenJD Vance, the vice-president, called Brown a “thug” and noted his lengthy arrest record. “It wasn’t law enforcement that failed,” Vance wrote. “It was weak politicians … who kept letting him out of prison.” Earlier this year Brown was arrested for allegedly making unfounded 911 calls, and released after signing a written promise to reappear in court.Pam Bondi, the US attorney general, has announced federal charges against Brown – despite the strong possibility that Brown is mentally ill and could thereby be deemed not culpable by reason of insanity, and despite the fact that the federal government would not typically become involved in the prosecution of a tragic but random act of local violence.Emmitt Riley, a professor of politics and African American studies at Sewanee, the University of the South, said that Zarutska’s death is an undeniable tragedy but has become politicized in a way with obvious racial overtones.“Donald Trump has a history of calling for the death penalty, in particular for Black and brown people,” he said – most famously in the case of the Central Park Five, a group of teenagers who were imprisoned for the 1989 rape of a woman jogging in New York. Although they were later exonerated, Trump has never apologized.Experts on mental health and criminal justice believe the true story of this case is less sensational than tragic, and indicative of a fraying American mental health system that failed to protect Zarutska in part because it first failed to protect Brown from himself.“When I hear people define this as [solely] a criminal justice problem or lack of being ‘tough on crime,’ I think: ‘Let’s be real. Let’s define the problem as what it is,’” Sheryl Kubiak, the dean of the school of social work at Wayne State University, said. “We have a mental health crisis in this country, and we need to address it with appropriate mental health resources.”Jails, she said, were not created for treating mental illness, nor equipped to do so.Although Brown had a long history of reckless behavior, his mental problems seemed to get worse after he was released from prison in 2020, members of his family have told the news media. He walked around talking to himself and was given to unexpected angry outbursts.Like many people with seeming severe mental illness, Brown was offered treatment but resisted accepting it. He was diagnosed with schizophrenia, his mother told ABC, but refused to take medication. She and other members of the family repeatedly tried to get him help. At one point she asked a hospital to admit him but was told, she said, that the hospital could not “make” a person accept treatment. At another point a mental health facility kept him for in-patient treatment but released him after two weeks.Kubiak and other experts note that cases like Brown’s illustrate two longstanding and overlapping debates about the treatment of mental illness. One concerns “institutionalization”, the treatment of serious mental illness in dedicated institutions segregated from larger society, and the other concerns “involuntary” treatment of those who need treatment but refuse it.In the late 19th and early 20th centuries, the United States built large, then state-of-the-art mental hospitals across the country to house and treat patients. But institutionalization fell out of favor in the 1950s and 1960s, due to changing cultural and legal attitudes, advances in medication, and a fear that institutions were overused and risked abuse. Mental health practices instead emphasized treating people within their communities. Civil libertarians also lobbied for the bar for involuntary treatment to be stricter. Many of the hospitals were shuttered.View image in fullscreenYet the government has not properly funded and organized a system to replace the older one, Jeffrey Swanson, a sociologist and professor in psychiatry and behavioral sciences at Duke University, said. Where someone with severe mental health problems might have previously had access to dedicated, long-term treatment facilities, they are now likely to end up in a revolving door of jails, ERs, and psychiatric wards with too many patients and too few beds.“Now we have probably more people with serious mental illnesses on any given day in one of our massive big city jails, like Cook county jail in Chicago or the Los Angeles county jail or Rikers Island [in New York], than we ever had in these asylums,” he said. “And it’s really a scandal.”Some progressives are opposed to involuntary treatment, casting it as a violation of consent. Mental health experts tend to take a more nuanced view, Swanson said, particularly in the case of patients whose illnesses are severe and defined by “anosognosia,” a term that means that someone doesn’t recognize that they are ill.A well-known argument for involuntary treatment, he added, says: “We wouldn’t let our grandmother with Alzheimer’s disease wander around and sleep in the subway just because she doesn’t know that she needs treatment; that’d be inhumane. So why do we tolerate that for young adults with schizophrenia?”His own opinion, he said, is complicated by the inadequacies of the current mental health system. “If you’re going to coerce someone into treatment for their own good, you have to have the system capacity to provide those services. I mean, otherwise, it’s really ironic to say: ‘We’re going to force you into treatment that doesn’t exist. We’re going to force you, but we don’t have a bed for you.’”Zarutska was buried in Charlotte on 27 August. Family members who were also in the US as refugees attended the funeral, but her father, who cannot leave Ukraine due to wartime restrictions, had to watch by video call.The Ukrainian embassy offered to help repatriate her body for burial, according to an uncle who spoke to People, but her family chose to inter her in the US; she had fallen “so much in love with the American dream”, he said.Her death is something “I would wish on no one,” Riley, the professor of political science, said. Yet until the US has better systems for treating mental health, “this will be a repeated cycle.” More

    • 163 Shares139 Views

      in US Politics

      Democrats foil justice department lawsuit by negotiating to keep 98,000 North Carolina voters

      by

      Democrats notched a victory against the civil rights division of the Department of Justice, negotiating an agreement to keep about 98,000 North Carolina voters from being prevented from voting.The justice department, which under Donald Trump has moved away from its historical focus on expanding voting rights, sued the North Carolina state board of elections earlier this year, demanding that the state deny a ballot to voters who had not provided a driver’s license number or the last four digits of their social security number when they registered, as required under the Help America Vote Act.The North Carolina court of appeals ordered the board to seek the information from voters before allowing them to vote in future elections, and the Republican-majority board was going to comply before the Democratic National Committee (DNC) and voting rights groups in the state intervened.skip past newsletter promotionafter newsletter promotionThe DNC asserted that the actions demanded by the justice department violated the National Voter Registration Act and had partisan purposes.The proposed consent order and agreement between the justice department and the state of North Carolina settles the justice department lawsuit and allows voters who had not provided the information to do so while voting with a provisional ballot, which would cure the problem at the polling place. Judge Richard E Myers II, chief of the US district court for the eastern district of North Carolina, must still approve the agreement, said Patrick Gannon, public information director at the state board of elections.The voting rights section of the Department of Justice’s civil rights division has historically been an enforcer of the Voting Rights Act and the principles of greater ballot access and universal suffrage. Under Harmeet Dhillon, the division’s assistant attorney general, that tradition has been turned on its head. Dhillon gutted the department’s leadership and staff in April shortly after being confirmed, and has refocused the department’s mission on preventing voter fraud and prosecuting noncitizen voting – both of which are exceedingly rare. More

    • 200 Shares179 Views

      in US Politics

      Trump’s Medicaid cuts are coming for rural Americans: ‘It’s going to have to hit them first’

      by

      When Hurricane Helene drowned western North Carolina in muck and floodwater last year, it caught folks off-guard.Now, local leaders in places like Asheville expect the Republican-led reconciliation bill – called the “big, beautiful bill” by Donald Trump – to bear down on rural America. And they wonder whether people are missing the warning signs.“It’s going to have to hit them first,” said Laurie Stradley, CEO of Impact Health in Asheville, a Medicaid-funded non-profit providing social services to some people still digging out from the flood.Medicaid is the single largest health insurance program in the US. The public program covers 71 million low-income, disabled and elderly US residents. It pays for half of all US births and the care of six in 10 nursing home residents.When Trump’s sprawling tax-and-spending bill passed on Thursday, it heralded more than $1tn in federal cuts to Medicaid, which experts worry will push Republican-led states to abandon parts of the program and leave people without access to timely healthcare.“This is an extraordinarily regressive bill,” said Joan Akler, executive director and co-founder of Georgetown University’s Center for Children and Families. “This is the largest rollback of healthcare coverage that we’ve ever seen and all in service of an agenda to drive tax cuts that will disproportionately benefit wealthy people and corporations.”Medicaid “expansion” is a key provision of Obamacare, formally called the Affordable Care Act of 2010. The expansion provides largely no-cost health insurance to people earning up to 138% of the federal poverty level, or $36,777 for a family of three. Although Obamacare has been the law for more than a decade, Medicaid expansion proved politically divisive in Republican states, and many only recently decided to accept enormous federal subsidies to cover their residents.North Carolina will lose $32bn in the next decadeThe Medicaid cuts in the bill could have particularly acute consequences in North Carolina, a politically competitive state, where experts said the bill could trigger a “kill switch” to end Medicaid expansion.“If the state spends any state dollars to implement the expansion population or expansion coverage, it triggers an automatic ending to Medicaid expansion,” said Kody Kinsley, North Carolina’s former secretary of health and an architect of the state’s Medicaid expansion.North Carolina is set to lose $32bn in federal funding in the next decade, according to an analysis by the office of the Republican senator Thom Tillis, who represents the state. He’s one of just three Senate Republicans who voted against the bill on Tuesday.North Carolina’s expansion only went into effect in December 2023, and in less than 19 months it enrolled more than 650,000 people – all of whom will lose coverage if the program ends.Those North Carolinians are only some of the 17 million people expected to lose health insurance by 2034 across the country, according to estimates from the non-partisan Congressional Budget Office. Nearly 12 million people will lose insurance because of attacks on Medicaid.“Ultimately, Medicaid being cut is going to kill people,” said Molly Zenkler, a nurse at Mission hospital in Asheville. “I deal with people getting their feet literally amputated because they don’t have access to diabetic care. This is just going to get increasingly worse.”The reconciliation bill cuts state funding through a number of provisions. On healthcare specifically, the bill attacks complex financial maneuvers states use to draw down federal funds. It also requires states to spend enormous sums – perhaps tens of millions of dollars per state – implementing work requirements, effectively adding layers of expensive red tape.Congressional Republicans in favor of the bill argue it targets “waste, fraud and abuse”. However, it is already well-known that most Medicaid beneficiaries who can work do, and that Medicaid is one of the most cost-efficient health programs in the US, according to the American Hospital Association.North Carolina is one of a dozen conservative states that wrote a “trigger” law into Medicaid expansion. Not all function like North Carolina’s – the laws are, in the words of an expert with Georgetown University’s McCourt School of Public Policy, a “lesson in federalism” – but they nevertheless underscore the difficult choices state legislators will face because of congressional Republicans’ cuts.One such program that could be on the chopping block is a pilot with Impact Health, which uses Medicaid expansion funds for social needs that affect health – an effort to reduce long-term costs. Stradley gave the example of a Medicaid-covered child with severe asthma who hit the local emergency room three times a week for breathing treatments.Impact’s program used Medicaid funds to replace moldy rugs with laminate flooring in the child’s home, and to buy a vacuum with a Hepa filter. The cost to Impact Health was about $5,000, “but now this child is going to the emergency room a couple times a year instead of a couple times a month. And so, every month we’re saving about $4,500.”The program’s knock-on effects boost the local economy: the work to replace the rug was done by a local carpenter, and the child’s mother isn’t calling out from work, increasing her job stability.“One of the ways that we talk about this program is that it’s a hand up rather than a handout,” she said. “Almost half of the folks that are recipients in our program are children … Then you look at the adults. Most of them are working multiple jobs, and those jobs don’t come with benefits, because they’re working two or three part-time jobs in order to make ends meet.”The enormity of Medicaid means large cuts to the program imperil not only patients, but the institutions that serve them – especially rural hospitals and clinics hanging on “by a thread”, according to Kinsley.One of US residents’ few rights to healthcare is in emergency departments, where hospitals are required to stabilize patients regardless of ability to pay. That makes emergency departments the go-to source for healthcare for the uninsured.An analysis released by the Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill earlier this year showed that 338 rural hospitals around the country were at risk of imminent closure with the cuts to Medicaid contained in the bill.‘Hospitals will be forced to restrict services, or close’Rural states such as Kentucky are expected to be disproportionately hard-hit as well. Thirty-five of the rural hospitals at risk of closure – about 10% – are in Kentucky, even though Kentucky’s 4.5 million residents comprise about 1.3% of the US’s population. About a third of Kentucky residents are on Medicaid, according to figures from Kentucky’s cabinet for health and family services. The program benefits about 478,900 adults.The situation is similarly dire in Arizona, another battleground state, which also has a trigger law on the books. Although the reconciliation bill may not “trigger” a rollback of Medicaid expansion, it does undermine a key financing mechanism for the state’s program called a “provider tax”.“We estimate Arizona’s healthcare system would lose over $6bn over the next seven years,” said Holly Ward, a spokesperson for the Arizona Hospital and Healthcare Association, in a statement.“In other words, more than 55% of Arizona hospitals would be operating in the red,” she said. “Hospitals will be, at best, forced to restrict services such as obstetrics, behavioral healthcare and other complex services, and at worst, will close their doors altogether.”Another issue is the potential for Republicans’ cuts to drive up the cost of healthcare for Americans who are privately insured, including through employers. As hospitals fight to survive, they will try to extract as much money as possible from other sources of funding – namely, commercial insurance.In addition, rural healthcare providers worry the water will be muddied by the sheer complexity of US healthcare. Private companies have a hand in managing – and therefore branding – state Medicaid programs.“A lot of our rural voters may not even realize that what they have is Medicaid, because there are so many names for it,” said Stradley. However, the precarious situation is already worrying people whose lives have been stabilized because of Medicaid.Amanda Moynihan is a single mother of three children – ages nine, 12 and 16 – living in Kuna, Idaho. Medicaid expansion has helped her become a “functioning human in society”, she said. Routine medical care for herself and her children, along with other assistance programs, has meant the difference between grinding poverty and a shot at the middle class.Idaho, one of the most politically conservative states in the union, expanded Medicaid in 2018 with an overwhelming ballot-referendum vote of 61-39. Even if Idaho’s “trigger law” does not go into effect, the state could face similar fiscal challenges to Arizona.“Back two years ago, before I started school, I was just in fight-or-flight, just trying to pay the bills there. I didn’t ever see a future of what I could do. And then I just started with one class,” she said.Moynihan has completed an associate degree in psychology and is starting the social work bachelor’s degree program at Boise State University in the fall. For now, she’s working part time with the Idaho Commission for the Blind and Visually Impaired and planning to pick up work at a gas station because it has a college scholarship benefit.But without stability to pursue higher education, her future “would be making the minimum wage, which is about $15 an hour, barely paying rent in a low-income household”. More

    • 113 Shares119 Views

      in Elections

      Justice Dept. Explores Using Criminal Charges Against Election Officials

      by

      Such a path could drastically raise the stakes for federal investigations of state or county officials, bringing the department and the threat of criminalization into the election system.Senior Justice Department officials are exploring whether they can bring criminal charges against state or local election officials if the Trump administration determines they have not sufficiently safeguarded their computer systems, according to people familiar with the discussions.The department’s effort, which is still in its early stages, is not based on new evidence, data or legal authority, according to the people, speaking on the condition of anonymity to describe internal discussions. Instead, it is driven by the unsubstantiated argument made by many in the Trump administration that American elections are easy prey to voter fraud and foreign manipulation, these people said.Such a path could significantly raise the stakes for federal investigations of state or county officials, thrusting the Justice Department and the threat of criminalization into the election system in a way that has never been done before.Federal voting laws place some mandates on how elections are conducted and ballots counted. But that work has historically been managed by state and local officials, with limited involvement or oversight from Washington.In recent days, senior officials have directed Justice Department lawyers to examine the ways in which a hypothetical failure by state or local officials to follow security standards for electronic voting could be charged as a crime, appearing to assume a kind of criminally negligent mismanagement of election systems. Already, the department has started to contact election officials across the country, asking for information on voting in the state.Ballots from the 2024 general election locked in a secure warehouse area of the Ada County Elections Office in Boise, Idaho, last November.Natalie Behring for The New York TimesWe 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

    • 138 Shares199 Views

      in Elections

      With Tillis Out, North Carolina’s Senate Race Will Draw Parties’ Firepower

      by

      A popular former Democratic governor, Roy Cooper, is expected to announce a bid this summer. The Republicans are banking on an endorsement by President Trump to clear their field.The announcement this past weekend from Senator Thom Tillis of North Carolina that he will not seek re-election is renewing the focus on a Senate race that was poised to be one of the two top contests on the 2026 midterm map.For months, Democrats were eager to run against Mr. Tillis, who was being squeezed from both the political left and right as he sought to navigate life as a battleground-state senator with President Trump in the White House.Officials in both parties acknowledged that Mr. Tillis was in a weakened political state. He won his last re-election in 2020 only after his Democratic opponent was engulfed in an extramarital sexting scandal, and he has long had an arms-length relationship with the Trump base of his party.In recent months, several North Carolina Republicans have inquired about either mounting a primary challenge to Mr. Tillis or seeking the nomination with the expectation that the senator would not run again.Democrats, for the most part, have yielded to their expected front-runner, former Gov. Roy Cooper, who left office at the start of this year. During his farewell address to the state in December, he pointedly declared: “I’m not done.”Here are four key questions about North Carolina’s Senate race.Will former Gov. Roy Cooper run?Mr. Cooper is by far the most popular Democrat in North Carolina. He is undefeated as a statewide candidate, having won four elections as attorney general and two as governor. In 2012, Republicans did not even bother to put up a candidate against Mr. Cooper.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

    • 138 Shares189 Views

      in Elections

      Thom Tillis, Republican Senator, Won’t Seek Re-election Amid Trump’s Primary Threats

      by

      The day after President Trump castigated Senator Thom Tillis for opposing the bill carrying the president’s domestic agenda, the North Carolina Republican said he would not seek a third term.Senator Thom Tillis, Republican of North Carolina, announced on Sunday that he would not seek re-election next year, a day after President Trump threatened to back a primary challenger against him because Mr. Tillis had said he opposed the bill carrying Mr. Trump’s domestic agenda.Mr. Tillis’s departure will set off a highly competitive race in North Carolina that could be pivotal in the battle for control of the closely divided Senate. It was the latest congressional retirement to underscore the rightward shift of the G.O.P. and the reality that there is little room for any Republican to break with Mr. Trump.“In Washington over the last few years, it’s become increasingly evident that leaders who are willing to embrace bipartisanship, compromise, and demonstrate independent thinking are becoming an endangered species,” Mr. Tillis said in a lengthy statement on his decision.The announcement came as the Senate was wading into a debate over the large-scale tax cut and domestic policy bill that Mr. Trump has demanded be delivered to his desk by July 4. Mr. Tillis announced his decision the day after issuing a statement saying he could not in good conscience support the measure, which he said would lead to tens of billions of dollars in lost funding for his state, costing people Medicaid coverage and critical health services.He was one of just two Republicans who voted Saturday night against bringing up the bill.Mr. Tillis has been privately critical of the legislation and cautioned colleagues of the political downsides for them if they back it. In a closed-door meeting with his Republican colleagues last week, he warned that the sweeping legislation could be an albatross for the party in 2026.The president’s allies celebrated Mr. Tillis’ announcement as more proof of Mr. Trump’s political strength. “Don’t Cross Trump,” Jason Miller, who served as a top adviser for the president’s re-election campaign, wrote on social media. “The voters gave him a mandate to implement a specific agenda, and they want everyone to get behind his efforts!”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

    • 163 Shares179 Views

      in US Politics

      Thom Tillis won’t seek re-election after clash with Trump over ‘big beautiful bill’

      by

      Thom Tillis announced on Sunday that he will not run for re-election to the US Senate next year, one day after the North Carolina Republican’s vote against Donald Trump’s signature piece of domestic legislation prompted the president to launch a barrage of threats and insults – as well as promise to support a primary challenger to defeat him in their party’s 2026 primary.“In Washington over the last few years, it’s become increasingly evident that leaders who are willing to embrace bipartisanship, compromise, and demonstrate independent thinking are becoming an endangered species,” Tillis said in a statement sent to reporters.“As many of my colleagues have noticed over the last year, and at times even joked about, I haven’t exactly been excited about running for another term”, he added. “It’s not a hard choice, and I will not be seeking re-election.”Shortly after Tillis refused to support the massive package of tax and spending cuts, called the “one big beautiful bill”, in a procedural vote in the Senate on Saturday, Trump attacked the senator on his social media platform, Truth Social.The president accused Tillis of grandstanding “in order to get some publicity for himself, for a possible, but very difficult re-election”. He also wrote that Tillis is making a “BIG MISTAKE for America, and the Wonderful People of North Carolina!”In a subsequent post on Truth Social, Trump threatened Tillis by saying he would meet with potential candidates to challenge him in a Republican primary in the battleground state.“Numerous people have come forward wanting to run” against Tillis, Trump wrote Saturday night. “I will be meeting with them over the coming weeks, looking for someone who will properly represent the Great People of North Carolina and, so importantly, the United States of America.”Before Tillis announced his decision Sunday to retire from the Senate, Trump continued to attack him on social media, writing: “Tillis is a talker and complainer, NOT A DOER! He’s even worse than Rand ‘Fauci’ Paul!”Tillis was one of two Senate Republicans, along with Rand Paul of Kentucky, to vote against the bill championed by the president. Dr Anthony Fauci was the director of the National Institute of Allergy and Infectious Diseases during Trump’s first presidency, and once a key adviser on the Covid-19 pandemic whose support of lockdowns and vaccines made him a hate figure for Trump’s base.Trump’s attacks came hours after Tillis said in a statement that he “cannot support” the current form of the president’s spending bill. He pointed to expected cuts to Medicaid that he said would “result in tens of billions of dollars in lost funding for North Carolina, including our hospitals and rural communities”.With Tillis out of the 2026 Republican Senate primary, a source “close to the Trump family” told an NBC News reporter that the president’s daughter-in-law, North Carolina native Lara Trump, is “strongly considering jumping in the race”.The retirement of Tillis, a swing state moderate, could make it easier for Democrats to flip the seat in 2026, with some in the party hoping to encourage former governor Roy Cooper to enter the race.A similar dynamic could be at play next year in Omaha, Nebraska, where the sitting Republican congressman and frequent Trump critic Don Bacon has reportedly decided that he will not run for re-election to the House.Trump has backed primary challenges against Republicans who clashed with him. Notably, he endorsed Harriet Hageman’s successful push to unseat Wyoming’s former Republican congresswoman Liz Cheney, who served on a House congressional committee that investigated Trump supporters’ deadly US Capitol attack after he lost the 2020 presidential election.Trump’s team also recently launched a group to unseat Kentucky congressman Thomas Massie, who opposed the US’s 22 June strikes on Iran’s nuclear sites. Massie also formed an alliance with the California Democratic congressman Ro Khanna to introduce a war powers resolution meant to “prohibit involvement in Iran” as well as Trump’s “big, beautiful bill”.Chris LaCivita, senior Trump political adviser, has confirmed that he and Tony Fabrizio, another Trump adviser, would run an anti-Massie Super political action committee (Pac).Trump’s criticism of Tillis came as the Senate voted 51-49 in favor of passing a motion to advance the budget bill. It must now clear a formal Senate vote and be returned to the lower House for approval – which Trump wants done before the July 4th holiday.The legislation is a stuffed hamper of Republican priorities – making tax breaks from Trump’s first presidency permanent, and removing taxes on tips, to be paid for in part with cutbacks to Medicaid, food stamps and green energy investments. The bill also includes $175bn in additional funding for immigration enforcement, to implement the president’s mass deportation project. More