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    Trump’s war on Tylenol is also very much a war on women | Arwa Mahdawi

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    Trust-fund-Trump wants women to “tough it out”Donald Trump is a man with no medical training. However, that’s never stopped the very stable genius from inflicting his unhinged health views on the rest of us, has it? Back in 2020, for example, Trump memorably mused that injecting disinfectant could help fight the coronavirus – which forced the maker of Dettol and Lysol to put out an urgent statement explaining that this was a very bad idea.Now the president, who once vowed to be a protector of women “whether they like it or not”, has turned his attention to prenatal care. “Taking Tylenol is, uhhhh, not good,” Trump said on Monday, with his trademark eloquence. He was flanked by health secretary Robert F Kennedy Jr, the guy who told Congress this year that “people shouldn’t take medical advice from me”.Trump went on to link autism to prenatal exposure to acetaminophen, which is the active ingredient in Tylenol. If you’re feeling poorly while pregnant you should “fight like hell” not to take Tylenol to relieve your pain, the president instructed. Which basically means suffering instead: ibuprofen, for instance, is generally not recommended after week 20 of pregnancy.“If you can’t tough it out, if you can’t do it, that’s what you’d have to do,” Trump continued. “You’ll take a Tylenol, but it’ll be very sparingly. Can be something that’s very dangerous to the woman’s health, in other words, a fever that’s very, very dangerous, and ideally, a doctor’s decision, because I think you shouldn’t take it and you shouldn’t take it during the entire pregnancy.”Like everything Trump says, this incoherent quote makes zero sense. But the bottom line here is that the Trump administration is advancing wildly irresponsible guidance. There is no evidence for a causative link between acetaminophen and autism and many experts were aghast at Trump’s statements. Indeed, even the moral vacuum that is JD Vance balked at repeating Trump’s advice, instead urging women to lean on their doctors. And while Trump claimed that there is “no downside” in avoiding Tylenol, an untreated fever during pregnancy could cause problems for the baby.Trump’s demand that pregnant women “tough it out” is also deeply misogynistic and a reminder of how women’s pain is often misunderstood or ignored. Numerous studies show that the medical establishment takes men’s pain more seriously. A 2022 study from the Journal of the American Heart Association, for example, found that women who visited emergency departments with chest pain waited 29% longer than men to be evaluated.This sudden Tylenol scare is also yet another example of mom-shaming. “ We really have a long history of blaming mothers in this country, and we’re seeing that reinforced through the narratives around autism’s causes right now,” Martine Lappé, a sociology professor, told NPR.Women are shamed for not getting pregnant or waiting “too long” to get pregnant. They’re shamed (and, increasingly, criminalized) for losing a pregnancy. They’re shamed for everything from the size of their baby bump to what they eat while they’re pregnant. They’re called out for exercising while expecting – or not exercising enough. And if they give birth to a baby that isn’t able-bodied or neurotypical, women are often told it’s probably because of something they did. It’s their fault.While pregnant women are often treated like public property, expectant fathers are not treated with the same scrutiny. About 15% of couples in the US have trouble conceiving, and, by one count, over 50% of the time a male infertility issue contributes. Yet women are traditionally blamed. Indeed back in the 1940s researchers even posited that women’s unconscious hatred of their husbands was what stopped them from conceiving. We’ve moved on from that a bit, but infertility is still widely thought of as a woman’s problem.Studies have also found a link between advanced paternal age and autism. But does society constantly shame men for having kids later in life? Of course not. When a 59-year-old Trump fathered Barron, he crowed to the press about his virility. “I continue to stay young, right? I produce children, I stay young,” said Trump at the time.No doubt there are numerous things motivating this sudden Trump administration obsession with Tylenol, including a need to distract people from those pesky Epstein files. However, a concern for women’s health is absolutely not at the heart of it. Rather, this is yet another way to control women; another way to reduce us to walking wombs rather than multidimensional human beings. This war on Tylenol is also very much a war on women. Now, if only there was a pill we could take to help deal with this Maga-induced malaise. As it is, we are all just going to have to tough it out.Elon Musk’s father accused of sexually abusing his children and stepchildrenConsidering it is common knowledge that Errol Musk fathered at least one child with his former stepdaughter, who was only four years old when he married her mother, these new accusations, reported by the New York Times, are not a huge surprise. Errol, meanwhile, has dismissed the allegations as “nonsense” and “rubbish.”75-year-old weightlifter heading to world championshipsKate Evert got into weightlifting when she was 69 after her kids nagged her to go to the gym. Now she’s getting ready to travel from Missouri to Cape Town for the World Masters Powerlifting Championships. There are some excellent videos of her deadlifting in this Guardian piece.Slovakia rolls back LGBTQ+ rightsOn Friday the Slovak parliament voted on steps that will lead to the recognition of only two genders, restrict sexuality education, and limit adoption to only married heterosexual couples.skip past newsletter promotionafter newsletter promotionDrug traffickers livestream torture and killing of Argentinian women and girlTwo young women and a 15-year-old girl were lured to a house by suspected drug traffickers and then murdered on a livestream that went out to a closed Instagram group.Maga dentist says she gives different care to DemocratsA Santa Clarita dentist joked two years ago that she cuts back on pain relief for patients who aren’t Trump supporters. Now the video has gone viral and the dentist is reminding us it was just a gag. Hilarious!What it’s like to be married off at 13“I was about 13 when my family decided to marry me off to a man of 29,” an anonymous Iraqi woman writes in the Guardian. “Any attempt to refuse this groom in front of him or his family, I was told, would end in my death… My experience was not an isolated incident, but an early glimpse of what Iraq’s new law legalising marriage from the age of nine may mean.”Israeli minister says she’s optimistic about ’voluntary migration from the West Bank’Science and Technology Minister Gila Gamliel of the ruling Likud party told Israel’s Channel 12 that Gaza is being made unlivable. “There must be voluntary migration in order for us to fulfill the war aim of ensuring that Gaza does not pose a threat to Israel in the future,” she said, according to the Times of Israel. “I am even optimistic that [there will be voluntary migration from] Judea and Samaria and not just from the Gaza Strip,” Gamliel added, referencing Israel’s name for the occupied West Bank. Israeli government officials have repeatedly made clear that ethnic cleansing is the plan. Mainstream western media outlets have not covered Gamliel’s remarks.The week in pawtriarchyWhat do you call a bear in winter? A brrrrr! OK, OK, I apologize profusely for that and offer this link to the Fat Bear Week tournament to make it up to you. The fur-midable challenge, run by a national park in Alaska, is meant to find the bear that “exemplifies fatness and success” best, as the animals ready themselves for hibernation. It’s a little bit of cuteness amid an unbearable news week.

    Arwa Mahdawi is a Guardian columnist More

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      Why is the Trump administration obsessed with autism? – podcast

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      Archive: Good Morning America, NPR, NBC News, WHAS11, BBC News, CBS News, Jimmy Kimmel Live, LiveNowFox
      Listen to Science Weekly’s episode factchecking Trump’s claims about paracetamol
      Buy Carter Sherman’s book, The Second Coming: Sex and the Next Generation’s Fight Over its Future, here
      Buy Jonathan Freedland’s new book, The Traitor’s Circle, here
      Buy John Harris’ book, Maybe I’m Amazed, about connecting with his son James, diagnosed with autism as a child, through music
      Send your questions and feedback to politicsweeklyamerica@theguardian.com
      Support the Guardian. Go to theguardian.com/politicspodus More

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      Trump’s absurd Tylenol claims heighten the suffering of pregnant women in the US | Moira Donegan

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      Robert F Kennedy Jr continued his futile search for a single pharmaceutical cause of autism on Monday, when the Trump administration claimed that distorted recent studies and misstated scientific evidence to allege a link between women’s Tylenol use during pregnancy and the development of autism in children. Kennedy has long spoken with disturbing disgust about autistic people, claiming at one press conference that autistic children “destroy families” and “will never pay taxes. They’ll never hold a job. They’ll never play baseball. They’ll never write a poem. They’ll never go out on a date.” He had previously pledged to find the cause of autism by this month.As part of his apparent quest to eliminate this vast and varied group of people – who do, in fact, pay taxes, hold jobs, play baseball, write poems, go on dates, and function as beloved and caring members of functional families – Kennedy has already sought to restrict access to common vaccines. In June, he fired every member of the advisory committee on immunization practices, an influential group of vaccine experts whose recommendations had long shaped policy for the Centers for Disease Control and Prevention. In place of the experts, he reconstituted the panel with a number of vaccine critics and cranks, whose incompetence has led to chaotic meetings and bizarrely changing vaccine recommendations. Donald Trump has recently joined his health secretary in casting aspersions on childhood vaccines – safe and effective treatments that have saved countless lives and are among the more wonderful miracles of human innovation. “It’s too much liquid,” the president said of the early childhood immunizations on Monday. “Too many different things are going into that baby at too big a number. The size of this thing, when you look at it.”Trump’s remarks came at what was supposed to be the debut for Kennedy’s new tactic: discouraging pregnant women from taking a common over-the-counter medication to ease pain or reduce fevers. At a rambling and shambolic press conference issued from the White House, Trump was unambivalent in his unproven assertions of the drug’s dangers. “Taking Tylenol is, uh, not good,” Trump said, flanked by Kennedy and Dr Mehmet Oz. “I’ll say it. It’s not good.” The president also offered his opinion that the weight-loss drug Ozempic doesn’t work, offering that his friends who take the drug are still fat. Kennedy, his face an uncanny color, stood awkwardly behind Trump, wearing a suit jacket that was visibly too small and with his head hanging slightly to the side; he looked a bit like a bored child at a prep school assembly. “Don’t. Take. Tylenol,” Trump continued, addressing pregnant women. “And don’t give it to the baby after the baby is born.”There is no evidence suggesting that Tylenol causes autism. A small number of studies have shown a correlation – not a cause – between acetaminophen use and incidents of neurological development disorders in early childhood. But these studies, aside from being inconclusive in their results, are also flawed in their methodologies: because pregnant women cannot be easily or ethically sorted into control groups, it is impossible for researchers to isolate Tylenol as a causal factor in the ensuing health of their children. There is as much evidence to suggest that those women whose children later developed autism got it from the Tylenol they took as there is to suggest that they got it because of a gust of wind, or because their mothers wore the color green. Fevers, however – which Tylenol is used to treat – pose proven risks to a fetus, and have been linked to cleft lip and palate, spina bifida, and congenital heart defects. “The conditions that people use acetaminophen to treat during pregnancy are far more dangerous than any theoretical risks and can create severe morbidity and mortality for the pregnant person and the fetus,” Dr Steven Fleischman, the president of the American College of Obstetricians and Gynecologists, said in a statement.Pregnant women do not lack for judgmental, frightening and dubiously factual instructions about their health. Everywhere, they are told that they risk the health of their fetus by partaking in a series of banal everyday activities – be it jogging or having coffee or eating a certain cheese – that they are told will lead, by obscure mechanisms that are never quite explained, to impossible and devastating health outcomes for their children-to-be. The admonishments are multiple and often contradictory, but they all tend to agree on one thing: that it is always good for women to deprive themselves of joy and relief – and to suffer more – for the sake of their fetuses.Health misinformation has thrived on the ignorance in which most women are kept about their bodies, particularly during pregnancy, and it feeds on the cruel combination of neglect and lack of interest with which many women have been treated by the medical system and the maximally judgmental and punitive treatment that they receive from others while pregnant. Frightened women, scared both for the health of their pregnancies and for the ways they will be blamed if something goes awry, seek out a way to secure a good outcome, and are met by charlatans, grifters and quacks who are happy to tell them lies in exchange for their attention and money. It is this very dynamic, fed like a sourdough starter in the damp and fecund social media environment of the pandemic, that Kennedy used to revive his own career after decades of scandal and disgrace.Now, this cynical exploitation of pregnant women’s fears, deployed to them at a time when they are most vulnerable, is coming from no less a place of authority than the White House itself.At the press conference, Trump advised pregnant women to simply endure their suffering. “A mother will have to tough it out,” he told them. Readers will forgive me if I posit that perhaps pregnant women in the US are already suffering enough. Six justices of the supreme court, three of them appointed by Trump himself, ruled in 2022 that they no longer have the federally protected right to terminate their pregnancies. The laws that have gone into effect since have cost several pregnant women their lives, as laws prohibit the medical interventions that could easily save them and allow them to die painful, premature and needless deaths. Other women have had their corpses desecrated for the sake of Trump’s anti-choice agenda, as hospitals and lawmakers use them as incubators against their will. Others are being forced to wait for care while they bleed and develop sepsis, risking their organs and their lives. The Trump administration has cut off Medicaid funding to some of the largest providers of sexual and reproductive healthcare, meaning many of the clinics that pregnant women rely on will now have to close. With doctors who provide gynecological and obstetric care fleeing states with strict abortion bans, many pregnant women in the US do not have access to competent medical care at all. As a result, more babies are being born sick, and more of them are dying. Women from states such as Florida report being forced to carry fetuses that have no chance of surviving, and then being forced to watch those infants suffer and die in the moments after birth. As Kennedy continues with his search for the causes of autism, his eugenic project will inevitably extract more and more coercion and violence on the bodies of pregnant women. Today’s fearmongering about Tylenol is only the beginning.It can seem darkly comedic at times how laughably incompetent Trump and his administration are. Kennedy’s ill-fitting suit; the president’s ramblings about his fat friends; the brazen indifference to truth in the absurd claim that Tylenol, perhaps the paradigmatic over-the-counter drug, is somehow this lurking danger. Trump’s idiocy and vulgarity give the lie to the pomp and dignity of his office; his now near-total capture of American political life mocks the promise of democracy. But pregnant women are not a punchline. Their hopes for their families, their fears for their bodies, their health, their comfort and their dignity – all of these are things Trump is willing to sacrifice at the altar of his own ego. Tylenol isn’t dangerous, but he is.

      Moira Donegan is a Guardian US columnist More

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      Republicans wanted fewer abortions and more births. They are getting the opposite | Judith Levine

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      Dobbs v Jackson Women’s Health Organization, the US supreme court case that rescinded the constitutional right to abortion, is failing on its own terms. Since the ruling, in June 2022, the number of abortions in the US has risen. Support for reproductive rights is on the upswing. And the rate of voluntary sterilization among young women – a repudiation of Trumpian pronatalism, if a desperate one – jumped abruptly after Dobbs, and there’s no reason to believe it will drop off.Also rising at an alarming clip are preventable maternal deaths and criminal prosecutions of pregnant people.Yet the 21 state legislatures that have imposed total or near-total bans are doing little or nothing to give doctors legal leeway to save the health and lives of pregnant women in medical distress, even if that means inducing abortion. In fact, rather than trying to save lives, they are prosecuting pregnant people who handle those emergencies on their own.The first three – more abortions, more pro-abortion sentiment, more contraception –have frustrated the anti-abortion crowd no end. They know they need stronger disincentives to abortion.Which brings us to the latter two: more punishment and more death. Was punishment the aim all along? And has the anti-abortion movement accepted pregnant people’s deaths as an unfortunate consequence of saving the pre-born?According to the Guttmacher Institute, abortions rose 1.5% in 2024 from 2023, on top of a 11.1% leap in the first year after Dobbs, compared with 2020, before the near-bans enacted in several states that presaged the ruling.It’s also probably an undercount. The statistics include only “clinician-provided abortions”, either surgical or medical (using abortion pills), performed in healthcare facilities or via telemedicine. Guttmacher does not estimate how many abortions are happening outside the formal healthcare system, with drugs obtained directly from suppliers or through feminist underground networks.Indeed, Plan C, the country’s biggest clearinghouse for pill access, reports 2m visits to its website and 500,000 click-throughs to resources and care in 2024, a 25% increase from the year before. How many of those people ended their pregnancies at home, with only a friend or lover in attendance? Anecdotal evidence gleaned from activists suggests they number in the tens of thousands.At the same time, rather than making abortion “unthinkable”, as the anti-abortion activists pledge, the bans may be having the opposite effect. An analysis of two restrictive states, Arizona and Wisconsin, and one with broad access, New Jersey, found that negative attitudes toward abortion are down and positive ones up, in both red and blue states.And if the goal of banning abortion is to produce more children, that’s not working either. Public health researchers saw “an abrupt increase in permanent contraception procedures” – sterilization – following Dobbs among adults in their prime reproductive years, ages 18 to 30. Unsurprisingly, the increase in procedures for women (tubal ligations) was twice that for men (vasectomies).The Trump administration is cheerleading for procreation. “I want more babies in the United States of America,” declared JD Vance in his first public appearance as vice-president, at the March for Life in Washington. He blamed the declining birth rate on “a culture of abortion on demand” and the failure “to help young parents achieve the ingredients they need to lead a happy and meaningful life”. The federal budget extends some of that help. It raises the annual child tax credit (CTC) from $2,000 to $2,200. It also creates “Trump accounts”, $1,000 per child, which parents or employers can add to.But only those with social security numbers are eligible for either program; the tax credit is available only to people who earn enough to pay taxes; and as with any investment, those able to sow more in the savings accounts reap more. It’s clear what sort of baby the administration wishes to be born: white babies with “American” parents, and not the poorest.The carrots are not appetizing enough. The stick is not effective enough. So red-state legislators and prosecutors are ramping up the punitive approach.This year, Republican lawmakers in at least 10 states introduced bills defining abortion as homicide, and, for the first time, criminalizing both the provider and the patient.No such bill has passed – yet – and anti-abortion organizations are usually quick to renounce them publicly, nervous about widespread opposition. But their passage might not be far off. The bills are based on fetal personhood – the concept of conferring full legal rights to a fetus from conception forward. The idea was introduced in 1884 and finally written into one state’s law in 1986. By 2024, 39 states had fetal homicide laws. Last year, there were three bills criminalizing the person who has an abortion; now there are 10. And though the federal courts rejected fetal personhood for a century, it is the bedrock of anti-abortion politics, and this US supreme court is looking much more friendly toward it.While they work toward straightforward criminalization of ending one’s own pregnancy, anti-abortion lawmakers and prosecutors are making creative use of existing law to punish miscarriage, an event indistinguishable from elective abortion, just in case the pregnant person induced the miscarriage. The most ghoulish is the prohibition on abusing corpses.For instance: last week a 31-year-old South Carolina woman who miscarried and disposed of the tissue in the trash was arrested for “desecration of human remains”, a crime carrying a 10-year sentence. In March, a woman found bleeding outside her Georgia apartment after a miscarriage was jailed for “concealing the death of another person” and “abandonment of a dead body” for placing the remains in the bin. A week before that, a Pennsylvania teenager was under investigation for corpse abuse after a self-managed pill abortion and burial of the fetus in her yard.In a grim sense, these are the lucky ones: they survived. Because Dobbs has indisputably been deadly.“Mothers living in states that banned abortion were nearly twice as likely to die during pregnancy, childbirth, or soon after giving birth” as mothers living in states where abortion was legal and accessible, reports the Gender Equity Policy Institute. Maternal mortality rose 56% in Texas after it enacted a six-week ban; a Texan’s risk was one and a half times that of a Californian’s.The future isn’t sunny. A study of 14 total-ban states predicts that in the four years beginning a year after Dobbs, up to 42 mothers will die and as many as 2,700 will be afflicted with “severe maternal morbidity”, defined by the CDC as “unexpected outcomes of labor and delivery that result in significant short-term or long-term [health] consequences”. In one analysis Black women represented 63% of the deaths.The anti-abortion movement is indefatigable. “We abolishioners will not rest until we have effected the abolishment of human abortion,” one leader told Oklahoma Voice. But this is an unattainable grail. Where abortion is illegal, people still have abortions. They just take more risks. Globally, more than 39,000 women die yearly from unsafe abortions.As they run out of options, red-state lawmakers will harden criminal penalties against people who refuse to give up their reproductive self-determination. It may grow less outré to endorse Trump’s opinion, expressed in an unguarded moment, that women who get illegal abortions “deserve some form of punishment”. Whether intentional or not, the sentence for some of those women will be death.

      Judith Levine is Brooklyn-based journalist, essayist and author of five books. Her Substack is Today in Fascism More

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      Trump administration eviscerates maternal and child health programs

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

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      ‘A scary time to be a scientist’: how medical research cuts will hurt the maternal mortality crisis

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      On Tuesday, a few days after the Trump administration announced its plan to slash billions of dollars in funding for biomedical and behavioral research, an investigator at a maternal health research center in Pennsylvania told Dr Meghan Lane-Fall that the cuts may lead her to leave academia altogether.Lane-Fall urged her not to make any sudden moves. “It’s not like nothing has happened. No one’s threatened her job,” said Lane-Fall, a professor at the University of Pennsylvania. “But if she looks six months down the line, it looks uncertain.”She did advise her colleague to update her resume.Among the many fields of research threatened by the funding cuts is the growing effort to curb the US maternal mortality rate, which is far worse than in other rich nations. Not only could the cuts delay vital breakthroughs but women’s health experts warn they could also push promising young scientists out of the field.“Above and beyond the stalling of progress, we’re going to see this hollowing out of the workforce that’s been working on this research,” Lane-Fall said. “That will reverberate for years, if not decades.”Late last week, the Trump administration declared that the National Institutes of Health (NIH) would only reimburse 15% of researchers’ “indirect costs”, which can pay for expenses such as staff and laboratory maintenance. Normally, such costs hover at around 50% for elite universities. If indirect costs are capped at such a low percentage, scientists and the institutions where they work say they will not be able to carry out research.A court ordered that the Trump administration suspend the policy earlier this week, but this change – which was reportedly the work of the Elon Musk-run “department of government efficiency” (Doge) – casts into doubt the future of the NIH, the planet’s premier public funder of biomedical research. In 2023, the NIH spent more than $35bn on grants. If implemented, the new policy would endanger at least $4bn worth of funding, but its impact could go much further, imperiling the ability of research institutions – especially smaller ones – to do their work at all. The US maternal mortality rate almost doubled between 2018 and 2022, with rates of deaths among Black and Indigenous expecting or new mothers increasing at a disproportionally fast clip. States that Donald Trump won may be hit especially hard by NIH cuts: they are home to some of the country’s worst maternal mortality rates.To address this crisis, the NIH in 2023 launched a seven-year, $168m initiative to set up more than a dozen research centers to investigate and improve maternal health outcomes, as well as help train new maternal health researchers. The future of these centers – one of which is co-led by Lane-Fall – are now in question.“We’re working with agencies across 20 Michigan counties – that have more than 7 million people in them – to be able to improve services so that moms don’t get sick and die,” said Dr Jennifer E Johnson, a Michigan State University public health professor who helps run one of the research centers in Flint, Michigan. “To do that, we need offices. We need electricity. We need lights, heat, IT, infrastructure, people to create and sell the contracts. All of the support for that would be cut dramatically.”Normally, Johnson said, NIH reimburses about 57% of the indirect costs for Michigan State University’s grants, including hers. It’s not feasible, she said, for the university to cover those costs on its own or for her center to lower its indirect costs so substantially.“If we can’t turn on the lights and we can’t pay the rent and we can’t get people hired – I don’t know what we would do,” Johnson said. “The research is the car. All the infrastructure costs are the road. You can go a little while, but if there’s no maintenance on that, it’s a problem.”Several of the institutions that host the maternal health centers – which tend to focus on improving maternal mortality among people of color and rural communities – are set to lose millions over the NIH cuts. Stanford University officials have said the school, whose center aims to reduce the risk of dangerous postpartum hemorrhages, would take a $160m loss. The University of Utah, which studies how drug addiction impacts pregnancy, would lose $45m.The Guardian reached out to dozens of researchers who have NIH grants to study the health of women, children and parents. Many declined to speak, often citing the ongoing uncertainty of the situation. “I’m honestly not sure what to say as like most of my colleagues I was taken off guard and it’s really unclear how this will play out now that courts are involved,” one scientist, from Missouri, wrote in an email.While Republicans have generally been supportive of Musk’s slash-and-burn approach to the government in the last few weeks, some members of Congress have expressed alarm about the NIH cuts. “It’s pretty drastic. So I’m thinking we need to look at this,” Shelley Moore Capito, the West Virginia senator, told the Washington Post. Alabama senator Katie Britt said she planned to work with Robert F Kennedy Jr, the new leader of the Department of Health and Human Services, to address the impact. “A smart, targeted approach is needed in order to not hinder life-saving, groundbreaking research at high-achieving institutions like those in Alabama,” she told AL.com.One of the agencies behind the maternal health centers is the NIH’s Office of Research on Women’s Health – whose website has been hollowed out by the Trump administration’s recent, widespread purges of government websites. Links to pages on the Office of Research on Women’s Health website about “funding opportunities and notices”, “research programs and initiatives” and “supporting women in biomedical careers” have all vanished.“It is a scary time to be a scientist in the United States,” said Johnson, who is also concerned about recent reports of efforts at the National Science Foundation – an NIH sibling agency that focuses on scientific and engineering research – to scrutinize projects that include words like “women”, “disability” and “underrepresented”. Johnson continued: “All of a sudden, we’re working in a world where we’re not sure we’re going to be allowed to say what the data clearly shows.”On Monday, the day the new policy was supposed to take effect, the Association of American Medical Colleges sued to halt it.“Even at larger, well-resourced institutions, this unlawful action will impose enormous harms, including on these institutions’ ability to contribute to medical and scientific breakthroughs,” the association, which represents several of the US medical schools that host maternal health centers, said in its lawsuit. The association continued: “Smaller institutions will fare even worse – faced with more unrecoverable costs on every dollar of grants funds received, many will not be able to sustain any research at all and could close entirely.”A federal judge then ordered Trump to suspend the cuts, writing in a court order that implementing the cuts would cause “immediate and irreparable injury”. A hearing in the case is set for 21 February.However, it is unclear whether Trump will obey. Although the administration is legally required to heed court orders, a federal judge ruled in another case this week that Trump had defied an order to halt a separate freeze in federal funding. Disregarding court orders may tee up a showdown between the executive and judicial branches of the government – and a constitutional crisis.Regardless of when, how or if NIH grants function in the future, Lane-Fall believes the chaos unleashed by the Trump administration has already led science to suffer. Lane-Fall had to pause plans to hold a conference and told some postdoctoral students that they cannot yet move forward with research projects. She’s now worried that maternal health centers – who have built partnerships with local groups that champion doulas, breastfeeding among Black women and more – will not be able to compensate those groups.“One really important trend in maternal and child health research is that we are working now more with communities than we ever have before, because we understand that there’s a lot of lived experience and expertise in communities. Part of what makes that partnership possible is that we’re able to compensate them for their time,” Lane-Fall said. “When we go to those communities and we say: ‘We promised you money, but it might not be there’ – that is devastating.”Dr Nancy E Lane is haunted by the idea that the confusion will lead women’s health scientists to leave academia. A University of California, Davis, doctor who specializes in osteoporosis and osteoarthritis, Lane was part of a 2024 report calling for more NIH funding for women’s health. Between 2013 and 2023, just 8.8% of NIH grant dollars focused on investigating it.“My career has tremendously benefited from the resources from the National Institutes of Health. It’s what made me who I am,” Lane said. “How much will the current generation put up with this before they’ll just throw their hands up?” More

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      Is it safe to have a child? Americans rethink family planning ahead of Trump’s return

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      Chris Peterson wasn’t surprised that Donald Trump won the 2024 presidential election. But he was surprised by how quickly he and his wife started asking one another: should we try to have another baby before a possible nationwide abortion ban takes effect? Or should we give up on having a second child?Peterson and his wife, who live in North Carolina, are thousands of dollars in debt because their first child needed to spend weeks in the hospital after being born prematurely. They had wanted to pay off that debt and wait a few years before having a second baby. But now, reproductive rights are again in the balance – Trump has said he would veto a nationwide abortion ban, but his allies are emboldened to push through more restrictions.Peterson is terrified of what is to come, and that his wife might not be able to get the medical care she needs if they decide to conceive again. “We should be happy thinking about expanding our family,” said Peterson, who is, like his wife, in his late 30s. “We shouldn’t be worried that we’re going to have medical complications and I might end up being a single father.”Peterson is not the only American who, in the weeks after the US election, is rethinking plans around having children. On 6 November, the number of people booking vasectomy appointments at Planned Parenthood health centers spiked by 1,200%, IUD appointments by more than 760% and birth control implant appointments by 350%, according to a statement provided to the Guardian by Planned Parenthood. Traffic to Planned Parenthood’s webpages on tubal ligation, vasectomies and IUDs has also surged by more than 1,000% for each.After the election, the Guardian heard from dozens of people in the US reconsidering whether to have children. Most pointed to fears over the future of reproductive healthcare, the economy and the climate in explaining their concerns.“I hesitate to bring more children into a world with an uncertain ecological future, assuming that the incoming administration pulls out of the Paris climate accord and ceases to support green energy transition,” a 34-year-old Minnesota mother of one wrote to the Guardian in response to a callout inviting readers to share their thoughts about post-election family planning. Trump pulled the US out of the historic agreement during his first administration; doing so again – which Trump has promised to do – could “cripple” the it, according to the UN secretary general.“We have two children and I have desperately wanted a third – but now I am fearful of being able to get adequate care if I get pregnant,” wrote another woman who lives in Louisiana. “I can’t risk leaving my two children behind if [I] die because I can’t get adequate care here. It feels like a dystopian novel, and yet here we are.”These worries are not necessarily new. In 2023, a Pew Research Center survey found that 47% of 18- to 49-year-old US adults say they are unlikely to ever have kids – a steep jump from 2018, when 37% said the same. Of the people who are unlikely to have kids, 38% said “concerns about the state of the world” were a major part of their decision-making. Roughly a quarter pointed to fears about the environment.Working in disaster relief, Catherine regularly sees the effects of the climate crisis up close. “I’m in Washington DC right now and flowers are blooming. It’s November. This should not be happening,” she said in an interview. “While I have always wanted kids, that choice has become tinged with a level of despair and anger that I didn’t have two years ago.”She continued: “Why would I bring a child into this world that is dying?”Earlier this year, Catherine got a copper IUD, which can block pregnancy for more than a decade.Like developed countries around the world, the United States is in the midst of a fertility slump. In 2023, the US fertility rate fell by 3% and reached a historic low.But this decline is not evenly distributed across the political spectrum. After Trump won the presidency in 2016, births in Republican-leaning counties rose sharply compared to those that leaned Democratic. Today, Democrats are likelier than Republicans to be childfree – a trend that, the Washington Post has hypothesized, is likely also related to the rightward drift of big-family white Protestants.That the outcome of the 2024 election has spurred such fear and hesitation around having children is apt – not only are US political parties on diverging paths when it comes to babies, but the election itself was in many ways a referendum on families and fertility. While Kamala Harris made support for abortion rights a key plank in her platform, Donald Trump promised “baby booms” and pledged to give people “baby bonuses”. Trump’s vice-president-elect, JD Vance, has built his political brand on pronatalism, a movement that urges people to have babies to benefit the greater good. Vance has a track record of deriding “childless cat ladies” and raising the alarm about the US fertility rate.“We want more babies because children are good,” Vance once said. “And we believe children are good, because we are not sociopaths.”M, a Texan mother of three who asked to go by her first initial because she feels stigmatized for voting for Trump, hopes that Trump’s victory will improve the economy to the point that she and her husband can afford to have a fourth child.“I still have a child in childcare now – like daycare – and just seeing those costs rise year after year since 2020, it’s been really hard for our family to consider having another baby,” M said. “The possibility of that being alleviated through better economic policy or even just those costs being taken away somewhere else – whether it’s groceries or utilities to whatever it is – that really makes it possible for us to consider having another kid.”M, who opposes abortion, feels confident that she would be able to get adequate care if she had a miscarriage. (Since Roe v Wade fell, at least three women have died in Texas after doctors reportedly delayed treating them for miscarriages or gave them inadequate miscarriage care.) The climate crisis worries M less than making sure her kids have access to clean water and healthy, chemical-free food.Not everyone reconsidering having kids has totally ruled it out. N, a 26-year-old from New York, is for now only delaying her plans to have kids until after Trump leaves office. (She asked to go by her first initial because she previously had an abortion.) Ruth, who has a newborn at home and is married to an undocumented person, fears abortion bans and her husband being deported – but still wants to keep the conversation about having a second kid alive.“We want to be able to dream of having a family the way we want to, on our terms,” said Ruth, who lives in Florida and asked to be identified by her middle name due to her husband’s immigration status. “My husband being an immigrant – we feel that it shouldn’t foreclose our options to build a family. We have just as much of a right to build a family on our terms as anyone else.” More

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      He has already fathered many children. Now Musk wants all of the US to embrace extreme breeding | Arwa Mahdawi

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      Is Elon Musk the dinner party guest from hell? It sure seems that way. Not only is the man desperate for people to laugh at his crass jokes, he reportedly has a weird habit of trying to donate his sperm at every opportunity – including, according to an October New York Times report, an incident where he offered some spermatozoa, as casually as you might pass the salt, to a married couple “he had met socially only a handful of times” during a Silicon Valley dinner party.Musk has denied offering sperm to strangers over supper. But it would be in keeping with his creepy breeding fetish: Musk is desperate for people in developed countries to have more children and has himself fathered at least 12 children with three women. (One of the children has since sadly died.) He’s become one of the most famous faces of a growing pro-natalist movement – one with an unsettling overlap with eugenics and deeply misogynistic ideas.Musk is obviously entitled to his obsessions. The problem is, now that he’s Donald Trump’s BFF, he actually has the opportunity to embed his obsessions into policy. While much has been said about Musk’s role in the proposed Department of Government Efficiency, it seems likely that the billionaire wants influence over more than just budgets. He seems to want a say in Americans’ sex lives as well. On Sunday, Musk replied to a tweet about declining birthrates by tweeting: “Instead of teaching fear of pregnancy, we should teach fear of childlessness.”What sort of lessons would that entail? Teaching people that while a woman dies every two minutes due to pregnancy or childbirth – and maternal mortality rates are increasing in the US – it’s childlessness you should be afraid of? It’s easy for Musk, who will never have to carry any of the children he’s so keen on having, to be blase about pregnancy risks: he can outsource them all. Still, you’d think he might be more sensitive to the issue considering the musician Grimes, with whom he shares three children, almost died during her pregnancy with son X Æ A-12. That led Grimes and Musk to use a surrogate for their next child.What else would Musk tell young people to instil a fear of childlessness? That, should they choose not to procreate, they’ll be saddled with more disposable income than they might otherwise have? And they won’t have to fret about the fact the US is the only industrialised country without a national paid parental leave policy? Or should he really put the fear of God in them and explain that they’ll miss out on being woken up at 5am and having to listen to the Frozen soundtrack for the millionth time? Look, I love my child (I’ve even grown to love the Frozen soundtrack), but parenthood can be difficult and it’s not for everyone. There are plenty of ways to live a fulfilling life that don’t involve raising a mini-me.I’ll tell you one lesson that I wish Musk would learn: being a sperm donor is very different from being a parent. While Musk has been parading various children of his through Mar-a-Lago for photo opportunities recently, he seems to leave most of the hard work of parenting to others. I mean, come on, he has six children under the age of six, runs a bunch of major companies and spends all his time hobnobbing with politicians: it’s logistically impossible for him to be an involved father to all his children. He’s also estranged from his transgender daughter Vivian Wilson, and has publicly declared – on at least two occasions – that she is “dead – killed by the woke mind virus”.But Musk’s parenting skills aren’t the real issue here. The real issue is that the billionaire, and his breeding obsession, are part of an incoming administration that wants to roll back reproductive rights and usher in a world where women are forced to give birth. It would be nice to be able to ignore every stupid thing that Musk tweets, but we don’t have that luxury any more. He seems intent on worming his way into our wombs. Arwa Mahdawi is a Guardian columnist

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      When Trump says he’s going to ‘protect’ women, he means ‘control’ them | Arwa Mahdawi

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      Could Republicans take away a woman’s right to a credit card?“Hello, I’d like a line of credit, please.”“Well, before we can even consider that, are you married? Are you taking a contraceptive pill? And can your husband co-sign all the paperwork so we know you have a man’s permission?”That may not be an exact rendition of an actual conversation between a woman and a US bank manager in 1970, but it’s close enough. Before the Equal Credit Opportunity Act (ECOA) was passed in 1974, it was considered good business practice for banks to discriminate against women. It didn’t matter how much money she had – a woman applying for a credit card or loan could expect to be asked invasive questions by a lender and told she needed a male co-signer before getting credit. All of which severely limited a woman’s ability to build a business, buy a house or leave an abusive relationship.Then came the ECOA, which was signed into law 50 years ago on Monday. Banking didn’t magically become egalitarian after that – discriminatory lending practices are still very much an issue – but important protections were enshrined in law. A woman finally had a right to get a credit card in her own name, without a man’s signature.When things feel bleak – and things feel incredibly bleak at the moment – it is important to remember how much social progress has been made in the last few decades. Many of us take having access to a credit card for granted, but it’s a right that women had to fight long and hard for. Indeed, the ECOA was passed five years after the Apollo 11 mission. “Women literally helped put a man on the moon before they could get their own credit cards,” the fashion mogul Tory Burch wrote for Time on the 50th anniversary of the ECOA being signed.If feels fitting that such an important anniversary is so close to such an important election. While we must celebrate how far we’ve come, it’s also important to remember that progress isn’t always linear. Rights that we have taken for granted for decades can, as we saw with the overturning of Roe v Wade, be suddenly yanked away.Is there any chance that, if Donald Trump gets into power again, we might see Republicans take away a woman’s right to her own credit card? It’s certainly not impossible. Trump’s entire campaign is, after all, about taking America back. The former president has also cast himself as a paternalistic protector of women.“I’m going to do it, whether the women like it or not,” Trump said at a rally on Wednesday. “I’m going to protect them.”Of course, we all know what “protect” really means in this context: it means “control”. Should he become president again, Trump and his allies seem intent on massively expanding the power of the president and eliminating hard-won freedoms. Conservative lawmakers and influencers want to control a woman’s access to reproductive healthcare. They want to control the sorts of books that get read and the type of history that gets taught. They want to control how women vote. They want to control whether a woman can get a no-fault divorce. They might not take away women’s access to credit, but they will almost certainly try to chip away at a woman’s path to financial independence.Elon Musk denies offering sperm to random acquaintancesA recent report from the New York Times alleges that he wants to build a compound to house his many children and some of their mothers. “Three mansions, three mothers, 11 children and one secretive, multibillionaire father who obsesses about declining birthrates when he isn’t overseeing one of his six companies: It is an unconventional family situation, and one that Mr Musk seems to want to make even bigger,” the Times notes. Apparently, in an effort to do this, he has been offering his sperm to friends and acquaintances. Musk has denied all this. This joins a growing list of sperm-based denials. Over the summer, he denied claims in the New York Times that he’d volunteered his sperm to help populate a colony on Mars.Martha Stewart criticises Netflix film that ‘makes me look like a lonely old lady’The businesswoman was also upset that director RJ Cutler didn’t put Snoop Dogg on the soundtrack: “He [got] some lousy classical score in there, which has nothing to do with me.”JD Vance thinks white kids are pretending to be trans so they can get into collegeLike pretty much everything the vice-presidential candidate says, this is insulting and nonsensical. Rather than having advantages conferred on them, trans people in the US are subject to dehumanizing rhetoric and laws that want to outlaw their existence. Meanwhile, it is well-documented that there are plenty of privileged children whose parents spent a lot of money so their kids could pretend to be athletes to get into college.What happened to the young girl captured in a photograph of Gaza detainees?The BBC tells the story of a young girl photographed among a group of men rounded up by Israeli forces. In her short life, Julia Abu Warda, aged three, has endured more horror than most of us could imagine.Pregnant Texas teen died after three ER visits due to medical impact of abortion banNevaeh Crain, 18, is one of at least two Texas women who have died under the state’s abortion ban.Sudan militia accused of mass killings and sexual violence as attacks escalateThe war in Sudan, which has displaced more than 14 million people, is catastrophic – particularly for girls and women. In a new report, a UN agency said that paramilitaries are preying on women and sexual violence is “rampant”. And this violence is being enabled by outside interests: many experts believe that, if it weren’t for the United Arab Emirates’ alleged involvement in the war, the crisis would already be over. The UAE, you see, is interested in Sudan’s resources. Meanwhile, the Guardian reported back in June that UK government officials have attempted to suppress criticism of the UAE for months.The week in pawtriarchyYou’ve almost certainly heard of the infinite monkey theorem: the idea that, given all the time in the world, a monkey randomly hitting keys on a typewriter would eventually produce the complete works of Shakespeare. Now, two Australian mathematicians have declared the notion im-paw-ssible. Indeed, they only found a 5% chance that a single monkey would randomly write the word “bananas” in their lifetime. Meanwhile, the Guardian notes that Shakespeare’s canon includes 884,647 words – none of them “banana”. More