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    Trump’s queasy prescription to ‘make America healthy again’ takes shape

    From assertions that America’s highest-profile vaccine critic would lead health agencies to new promises for “massive reform” of Obamacare, the chaotic last week of Donald Trump’s presidential campaign will probably serve as a preview of what “Make America healthy again” could mean should the former president regain power.The jumble of proposals echoed conservative policy documents, channeled the residual anger of the post-pandemic anti-vaccine movement and alarmed experts who help set the nation’s health policies.“My first reaction is that a Trump administration would be the most anti-public health, anti-science administration in history,” said Lawrence Gostin, a global health law professor at Georgetown Law School.“In my mind, health is very much on the ballot,” he said.Over the last week of the campaign, Trump said he would let the nation’s foremost vaccine skeptic “go wild” at the nation’s food and drug agencies and refused to rule out banning certain vaccines. The Republican House speaker, Mike Johnson, also promised “massive reform” of Obamacare should Trump win.Vaccines are among society’s most effective public health interventions, saving an estimated 154 million lives worldwide over 50 years, according to a study in the Lancet. Obamacare has grown in popularity even among Republicans.“It reminds me of the chaos of the first administration, right in the midst of the pandemic,” said Gostin, referring to a time when Trump floated bogus treatments for Covid from injecting disinfectant to ivermectin to hydroxychloroquine – all debunked and often actively harmful.“But it’s far worse,” continued Gostin, “because while Trump at least was surrounded by credible scientists like Tony Fauci, I don’t think there will be any similar restraint in the next Trump administration.”The official Republican party platform is short on details, but blames immigrants for high healthcare prices, and says the party will “commit” to lowering healthcare prices through “choice” and “transparency”. It also pledges to “protect” Medicare from Democrats, who it claims plan to allow “tens of millions of new illegal immigrants” to enroll in the program.Voters in both parties cite healthcare costs as their top health-related issue. However, transparency measures would probably only result in a 1% reduction in healthcare prices over 10 years, according to the Congressional Budget Office. “Choice” is often a euphemism for reducing health insurance regulations, which would allow Americans to buy plans that cover fewer services.Undocumented migrants are not eligible to enroll in Medicare, and the Democratic presidential candidate, Kamala Harris, backed away from a policy that would have provided government-backed healthcare to all residents of the US, regardless of immigration status.A detailed look at how Trump’s supporters might attempt to change US health policy is found in the conservative playbook Project 2025. There, health policy proposals are dominated by calls to restrict abortion and diminish the role of scientific research.In it, the Department of Health and Human Services (HHS) should be known as the “Department of Life”, approval for medication abortion should be withdrawn, and health policy should promote “fatherhood” and the “nuclear family” and stop research that amounts to “woke transgender activism”.HHS should stop focusing on “LGBTQ+ equity” and end policies that are “subsidizing single-motherhood, disincentivizing work, and penalizing marriage”. Its sub-agencies, such as the Centers for Disease Control and Prevention, should be split in two with the power to make policy recommendations severely curtailed. The “incestuous relationship” between government researchers and vaccine manufacturers should end, the plan says.As voters head to the polls, the people who might institute these policies have also come into focus. Robert F Kennedy Jr, the former independent candidate and staunch vaccine critic, said he had been “promised” a role helming the nation’s health agencies by Trump.“The key, which President Trump has promised me, is control of the public health agencies,” said Kennedy on a Zoom call with supporters, according to ABC News. Those agencies include “HHS and its sub-agencies, CDC, Food and Drug Administration, [National Institutes of Health] and a few others. And also the [United States Department of Agriculture], which is, you know, key to making America healthy”.skip past newsletter promotionafter newsletter promotionKennedy ended his presidential run and endorsed Trump in August after a conspiracy theory-fueled campaign that revealed he had health issues related to a brain worm, once sawed the head off a whale and dumped a dead bear in Central Park.Dr Joseph Ladapo has been floated as a potential pick for the head of HHS. The Harvard University-educated Florida surgeon general warned state residents against using Covid-19 vaccines and allowed unvaccinated children to go to school during a measles outbreak.Although ideas floated by Trump’s supporters may be easily disproved, health researchers and policy experts said they take the threat of their influence deadly serious, with the last week highlighting how legitimate concerns about the power of pharmaceutical and chemical companies can be exploited.“I think we leaned into a libertarian left hook,” said Dr Paul Offit, director of the vaccine education center at Children’s Hospital of Philadelphia and a member of an advisory committee on vaccines for the US Food and Drug Administration (FDA).Offit said he worried vaccine mandates primed some Americans to believe vaccine misinformation, and even though he supported them, worried they may “have done more harm than good”.Another research advocate who spoke anonymously to Science magazine said: “We’re all in a state of panic … I don’t know anybody who isn’t worried about this.”Soon, the nation will know the extent to which such messages resonated with voters.“I’m surprised that anti-vaccine rhetoric is considered to be convincing enough to get you elected,” said Offit. “I’m surprised that such a significant portion of the population would be compelled by that.”Read more of the Guardian’s 2024 US election coverage

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    Red or blue? The bellwether counties that could swing the US election

    With recent election polling showing a dead heat – or slim victory for Donald Trump or Kamala Harris within the statistical margin of error – seven swing states are all but certain to decide the race.As pollsters scramble to make sense of these results, amid questions about reliability given bad calls over support for Trump in 2016 and 2020, analysts are taking an even more granular approach in interpreting battleground state voters, focusing on a handful of counties in these hotly contested regions.They are often referred to as bellwether counties. This in effect means counties that could tip the scale in determining a swing state’s outcome.Here are the counties that analysts – ranging from seasoned election-watchers to Wall Street financiers – are focused on.Maricopa county, ArizonaIn 2020, Joe Biden beat Trump in Arizona by a mere 10,000 votes. Biden’s victory was bolstered by voters in Maricopa county, which encompasses the Phoenix metro area.View image in fullscreenFour years ago, Maricopa comprised more than 60% of Arizona ballots. Biden won Maricopa by 45,000 votes – with 50.3% of voters casting their ballots for him – underscoring just how important this county is. The Associated Press explained the importance of this: “In states where voters are so overwhelmingly concentrated in a single county, even a narrow win can produce big shifts in the statewide numbers.”Also worth pointing out: Maricopa has large proportion of demographics both campaigns have courted aggressively, such as centrist suburban Republicans, Latino voters, and senior citizens, per US News & World Report.Miami-Dade county, FloridaThe Sunshine state has taken a sharp right turn in recent election cycles. Trump boasts almost a double-digit advantage over Harris. Florida, once a purplish swing state, is bright red.Analysts are keeping an eye on Miami-Dade county, which includes Miami and many surrounding communities. Long a Democratic stronghold, with Hillary Clinton winning the county by a 30-point margin in 2016, it has since moved right.View image in fullscreenBiden beat Trump by seven points in 2020. But, the state’s most populous county is expected to post results “relatively early” after polls close at 7pm, Reuters notes.Some analysts believe Miami-Dade could foreshadow Harris’s overall results. If she underperforms, especially among Latinos, this could bode poorly for her overall, the news outlet said.Metro Atlanta counties in GeorgiaThe Atlanta, Georgia, metropolitan area is considered by virtually every analyst as integral to deciding this swing state. Some have focused on Forsyth county, located 40 miles from Atlanta, as the decisive county, while others have insisted that a collection of suburban and exurban counties will determine the race.In addition to Forsyth, analysts have pointed to Cobb, Gwinnett, and DeKalb counties as potentially decisive. Of course, Fulton county, which encompasses Atlanta, is seen as key.View image in fullscreenOn a recent episode of Pod Save America, NBC’s election expert Steve Kornacki noted that nine counties, which he referred to as the “blue blob”, comprised more than 40% of Georgia’s vote. This region “is just getting bluer and bluer every election”.Kornacki said this race could indicate whether it’s expanding.“There’s one county in that area, it’s been moving dramatically towards Democrats but just missed – Fayette county – the last time around,” he said. “If the Democrats are flipping that this time around and expanding that blob, I think that’s a sign, because that’s talking about enthusiasm in the suburbs.”Saginaw county, MichiganLocated in the Great Lakes Bay Region of Michigan, Saginaw county is considered the pre-eminent swing county in the most decisive swing state. There are multiple reasons for this, among them Saginaw’s voting record.Barack Obama landed Saginaw in 2008 and 2012. In 2016, Trump bested Hillary Clinton by just over 1,000 votes. The margin thinned still more in 2020, when Biden won by a mere 303 ballots.View image in fullscreenBiden’s 2020 win in Saginaw, however, was complicated by Trump’s votes actually increasing in that county. His loss was also attributed to Democrats who didn’t vote in 2016 but decided in 2020 to boot Trump out.Harris could need the same voter turnout in Saginaw to win. The outcome of this county could well reflect national trends, as voters’ concerns there echo that of those in other crucial contests.Clark county, NevadaBiden beat Trump by just three points in Nevada’s 2020 presidential race. Clark county, which is home to Las Vegas, has approximately 50% of Nevada’s population.If Trump wants to win Nevada, he would have to sap Democratic votes in Clark county, Reuters explains. Observers are also paying attention to Washoe county; this is Nevada’s second-largest population center, containing the city of Reno.Similar to Las Vegas, Trump would have to chip away at Democratic margins in the Reno area as well. As a testament to the tension surrounding Washoe, observers from both sides of the aisle have been closely monitoring the count following recent controversies over voting there.The Republican county commissioners recently voted against certifying results in this year’s primary, prompting legal action, before they reversed course. The elections office, meanwhile, has been answering an onslaught of questions and public information requests, in an effort to allay the public’s concerns about the election.While Democrats have won every presidential vote in Nevada since 2008, economic stressors – such as increased prices and decreased affordable housing – have spurred questions about working-class voters’ leanings.Mecklenburg county, North CarolinaRepublicans have won every presidential election in North Carolina since Obama’s run in 2008. Reuters notes that tight polling has turned North Carolina into a swing state this year.Mecklenberg county, which includes Charlotte, is strongly Democratic. Analysts are also eyeing adjacent Cabarrus county: Trump beat Biden there in 2020, but his lead slimmed by 10 points compared to 2016, Reuters noted.Wake county, which contains the highly educated city of Raleigh, is similarly drawing attention. This higher-than-average income county once skewed Republican but has favored Democratic presidential candidates since 2008 “by generally increasing margins”, US News & World Report notes.Erie county, PennsylvaniaErie county, which contains the city of Erie, has been described as “a bellwether area in a bellwether state”. Per US News, “No county in Pennsylvania – and possibly in the country – is as consistently swingy as Erie county.”Indeed, Trump won the working-class county in 2016, followed by a slim Biden win there in 2020. Some analysts are also paying attention to Lackawanna county.Scranton, Pennsylvania – Biden’s birthplace – is in this county. Unlike Erie county, Lackawanna has become more Republican of late. If Trump performs well in Lackawanna, it could spell broader success for him across this pivotal state.Read more of the Guardian’s 2024 US election coverage

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    Here is what my final polling data says about the US presidential election | John Zogby

    The final six public polls that have been released pretty much tell the same story as each other and the previous polls in October. The race to become the 47th president of the United States is on a razor-thin margin. Three of those last six polls were actual ties; one has Kamala Harris ahead by three points; the others have Donald Trump up by one point and two points.My own firm, John Zogby Strategies, just released a final survey for our clients of 1,005 decided voters nationwide showing Harris leading with 49.3% of the vote and Trump polling at 45.6% of the vote – a margin, or difference, of 3.7 percentage points.That is close, and even more of a squeeze because of the current relationship of the popular vote to the electoral college. Harris is certain to receive millions of “excess” votes in large states such as California, New York, Illinois and Massachusetts which will beef up her total popular vote nationwide but not do anything for her in key battleground states such as Arizona, Nevada, Georgia, North Carolina, Pennsylvania, Michigan and Wisconsin – all of which are too close to call as we approach election day.Harris’s lead in the John Zogby Strategies poll is within the margin-of-sampling error, but it reveals some dynamics that portend changing demographic support for both the Democratic and Republican parties. These are some findings and possible trend lines that not only explain what may happen once the votes are counted, but also suggest possibly significant realignments within both parties.For one, Harris appears to have underperformed with 18- to 29-year-olds nationally; in contrast Trump is leading among them, capturing 47% of the vote, while Harris polls at 45%. Ironically, in our poll, she did best among those over 65 with a 58%-39% margin. Those age cohorts usually produce opposite results, with older voters tending to be more conservative. The gen Z and millennial voters also revealed a huge “gender gap” of well over 60 points between men and women.There is also a substantial “marriage gap”: Trump won married voters by four points – not as big as in 2020 (seven points), but Harris won among non-married people by eight points (51%-43%), not as much as Joe Biden’s 18-point victory, but still enough to see that marital status is a key to how people vote. Notably, married women, who usually tend to be on the conservative side, chose Harris in our poll.Harris leads among voters who identify as independents by 13 points (51% of independents polled say they will vote for her, compared with just 38% saying they will vote for Trump), about the same as Biden, who received 54% of independent votes, compared with Trump getting 41% of their vote in 2020.The candidates chose messages and styles that aimed at different groups of voters. Trump stayed with his dark and isolationist theme, focusing on rallying his base first, then hoping to pick up more moderate independents who feel that the Biden-Harris team have led the US down the wrong path. Harris opted for directing her campaign with an appeal to those who were tired of Trump’s negativity and, at times, bizarre behavior. Her approach appears to have paid off, as she leads with 56% of self-described moderate voters. That puts her 19 points ahead with moderates than Trump, who polls at 37. This was a group that Biden won by 30 points last time.Harris did, as was suggested throughout the year’s polling, underperform in our poll among Black voters (73% said they would vote for her, and 19% said Trump) and Hispanic voters (Trump polls at 48% with Hispanic voters, Harris at 44%), but she is doing much better among white voters – down by only five (she polls at 46% and Trump polls at 51%), compared with Trump’s 17-point victory in 2020, where 58% voted for him and 41% voted for Biden.Harris is down considerably among Catholics (43% back her, compared with 55% backing Trump) and Protestants (36% back her, compared with 59% backing Trump), but scores well among those with no religious affiliation and with atheists. Democrats have been getting 30% or so of born-again evangelical voters in recent elections, but Harris only shows 24% in our poll.Harris not only leads in cities (53% of city-dwellers back her, compared with 43% backing Trump) but also in the suburbs (she was backed by 50% of the suburban voters polled, compared with 44% backing Trump) – the latter powered by a solid performance among suburban women. Biden won both in 2020: he won 60% of votes in cities (while Trump only got 38% of the vote in cities), but barely scraped by in suburbs, where only 50% voted for him, compared with 48% voting for Trump.There is a wide “education gap” in US politics. Harris has the backing of 57% of those with college degrees, compared with 39% for Trump. In 2020, Biden won the same group by 12 points (he received 55% of their vote, while Trump received 43%). Trump leads among those without degrees (50% of voters without college degrees back him, compared with 44% backing Harris). That was 50% for Biden and 48% for Trump last time.The gender gap propels Harris’s lead, with 49% of Trump voters being men versus 43% of Harris voters being men. (In 2020, 45% of Trump voters were men, while 53% of Biden voters were men.) Women back Harris by 12 points, with 55% of women supporting her to 43% supporting Trump (Biden won 57% of women, while Trump only received 42% of the women’s vote). There is in our poll an 18-point gender point gap.All of these “gaps” suggest a very real issues gap between Harris and Trump supporters. For those selecting Harris, the top issues are abortion (45%), the economy/Inflation (39%), democracy (37%) and climate change (19%). For those backing Trump, the top are the economy/inflation (68%), immigration (61%), keeping the US out of war (15%) and crime (14%). Two different worlds.Some key states such as Pennsylvania and Wisconsin, both hotly contested, will not finish counting ballots until later in the week, and other states likely to be very close will have automatic recounts. It is not likely that we will know who won for a while. Our poll is thus far the only one that polled through Sunday 3 November; we left the lights on longer to try to capture late-breaking trends.

    John Zogby is senior partner at the polling firm of John Zogby Strategies and is author of Beyond the Horse Race: How to Read the Polls and Why We Should More

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    Trials, drop-outs and assassination attempts: 15 moments that defined the US election campaign

    It has been called the most critical election in US history, and it has certainly been one of the wildest races, with an incumbent president stepping down late in the campaign, a criminal guilty verdict for one of the candidates and a couple of assassination attempts. We revisit the key moments, played out against the backdrop of two seismic global conflicts, of a political struggle that holds American democracy itself in the balance.1. The challengersThe hard-right Florida governor Ron DeSantis was widely seen as the Republican most likely to prevent former president Donald Trump from becoming the party’s nominee for a third consecutive election. However, in January, despite being backed by the tycoon Rupert Murdoch, DeSantis ends his flailing campaign – and eventually endorses Trump, whose team had smeared him as “Pudding Fingers” due to his alleged eating habits. Running almost as an incumbent, Trump’s last serious challenger ends up being the former South Carolina governor Nikki Haley, who, against all expectations, takes on the mantle of the anti-Trump vote. Casting doubt on Trump’s mental fitness and his loyalty to the US constitution, the former UN ambassador garners significant support – and perseveres until Super Tuesday in March, when she finally stands aside, leaving Trump the last major candidate standing for the 2024 Republican nomination.View image in fullscreen2. The presidentIn the annals of American politics, incumbent presidents seeking re-election typically enjoy a significant edge over their challengers. However, Joe Biden – the country’s oldest president – bucks the trend as his meandering remarks, frequent misspeaking of names and halting speech raise concerns that he might just be too old to take on Trump again. Nevertheless, essentially unopposed, the 46th president of the United States runs the board in the Democratic primaries and is named the party’s candidate for 2024, while vowing that, despite his advancing years, he remains the most capable contender to defeat Trump once again.View image in fullscreen3. The trialThe first real jolt of the election campaign arrives on 30 May, when a jury of 12 New Yorkers makes Trump the first ex-president in American history to become a convicted felon. They find him guilty of committing a crime – 34 of them, in fact – when he falsified business records to disguise $130,000 in hush-money payments to the porn star Stormy Daniels, to hide the scandal from American voters on the eve of the 2016 election. It is far from Trump’s only legal woe: at various times he has faced more than 90 criminal counts, including racketeering charges in Georgia for a conspiracy to overturn the 2020 election results, where he marked another milestone: the first mugshot of an American president. (That case itself later takes a dramatic turn when the district attorney, Fani Willis, is revealed to have had an affair with a prosecutor she hired, and the case remains on hold while a judge considers whether to disqualify her.) Separately, in February, a federal judge orders Trump to pay $83.3m to the writer E Jean Carroll, who had sued for defamation after Trump publicly disputed that he had sexually assaulted her – an accusation the judge ruled was “substantially true”. Many of the other cases remain in limbo while Trump pursues his well-worn legal tactic: delay, delay, delay.View image in fullscreen4. The debateBiden’s performance in the opening presidential debate against Trump on 27 June in Atlanta is perhaps one of the worst in American history. Shaky, raspy-voiced and slack-jawed, his disastrous showing is punctuated by repeated stumbles over words, uncomfortable pauses and at least one point where he trails off before claiming: “We finally beat Medicare.” Top Democratic figures and donors panic, while recriminations swirl about the role of his campaign and of the media in failing to adequately account for his apparently declining mental fitness. The drumbeat for Biden, 81, to step aside becomes increasingly relentless, as Democratic strategists finally join average voters in questioning whether the party might yet swap him out for a younger standard bearer to face off against Trump.View image in fullscreen5. The immunity rulingOn 1 July, the supreme court drops a bombshell of its own: it rules Trump at least partly immune from criminal prosecution for anything he did in his “official capacity” as president. The decision, a major victory for Trump, destroys the likelihood of a criminal trial for Trump over trying to subvert the 2020 election occurring before the new election in November 2024. It is also the latest example of what most observers agree is the rightwing capture of the supreme court that Trump himself made possible by appointing three arch-conservative judges. Having already overturned Roe v Wade – a monumental victory for the anti-abortion movement, for which Trump proudly claims credit, that made abortion a huge issue in the 2022 midterms and now the 2024 election – the conservatives had caused even more furore in May when photos proved an upside down flag flew outside the home of Justice Samuel Alito, a symbol of support for Trump’s “Stop the Steal” movement that was prominent at the January 6 riot. Since the immunity ruling, the special counsel Jack Smith has hit back, filing a new indictment with more streamlined allegations; Trump in return has promised to fire Smith “within two seconds” if he wins re-election.6. The shootingOn 13 July, during a campaign rally in Butler, Pennsylvania, Trump is shot and wounded in his upper right ear by Thomas Matthew Crooks, 20, who fires eight bullets with an AR-15-style rifle from the rooftop of a nearby building. As security agents cover the president, he stands with a raised fist and shouts: “Fight, fight, fight”, in what becomes an instantly iconic photograph and moment. The shooting claims the life of one attendee, and two others are left in critical condition; Crooks is killed by security agents. Just nine weeks later, on 15 September, Trump is allegedly the target of a second aspiring assassin at his golf club in West Palm Beach, Florida, where Secret Service agents find Ryan Wesley Routh, 58, hiding in the bushes with a rifle. As well as setting off a crisis in the Secret Service, the events give Trump a rallying cry for his re-election effort: he appears at the Republican national convention days after the Butler shooting wearing an ear bandage, to a rapturous welcome.7. The withdrawalAt 1.46pm on 21 July, Biden announces he will no longer seek re-election – ending weeks of fevered speculation and mounting pressure from lawmakers, donors, activists and voters terrified of his inability to beat Trump. A key intervention comes from the actor and Democratic fundraiser George Clooney: “It’s devastating to say it, but the Joe Biden I was with three weeks ago at the fundraiser was not the Joe ‘big F-ing deal’ Biden of 2010,” he writes. Biden’s longtime political ally and ex-House speaker Nancy Pelosi also plays a crucial role in limiting the president’s legacy to one term in what she says is a “cold calculation” for the sake of the country – and later tells the Guardian she has not spoken to her old friend since.8. The coronationTaking the stage in Chicago on 23 August to a thunderous standing ovation, the vice-president, Kamala Harris, with the full-throated support of Biden, officially accepts the Democratic presidential nomination, making her the first Black woman to lead a major party ticket. Harris declares the upcoming election an opportunity for the country to “chart a new way forward” and encourages voters to write the “next great chapter in the most extraordinary story ever told”. The impact is immediate and dramatic: she goes on to raise more than $1bn in less than three months, a record, and draws boisterous crowds to energetic rallies where she focuses on reproductive rights, economic help for the middle class and safeguarding US democracy.9. The wildcardRobert F Kennedy Jr, the scion of the most famous Democratic family whose independent campaign for president had at times reached as high as 10% in national polling, drops out. Kennedy had faced a string of scandals, including accusations he had assaulted a former babysitter. He also admitted that, yes, it was him who dumped a bear carcass in Central Park in a case that had mystified New Yorkers a decade earlier. After dropping out, the environmental campaigner turned vaccine skeptic then plays both sides – reportedly making overtures to Harris in August to discuss endorsing her in exchange for a job, then opting to back Trump, who has allegedly offered Kennedy control over the health agencies. Among third-party candidates still running are the environmentalist Jill Stein, who also stood as the Green party’s candidate in 2012 and 2016, the progressive activist Cornel West, and Chase Oliver of the Libertarian party.10. The running matesIn July, the Ohio senator JD Vance formally accepts Trump’s offer to run as his vice-presidential nominee – a dramatic change of position for Vance, the author of the hit memoir Hillbilly Elegy who once described himself as a “never Trumper” and called his new boss “America’s Hitler”. But if there is one quote for which JD Vance will be remembered in history, it is his controversial definition of leading Democrats: “A bunch of childless cat ladies,” he told the Fox News host Tucker Carlson in 2021. On the other side of the aisle, Harris chooses the Minnesota governor Tim Walz, a native of rural Nebraska who was a teacher and high school football coach and served in the National Guard for 24 years before entering politics. Walz captures national attention with a surprisingly effective takedown of Republicans: “These guys are just weird.”View image in fullscreen11. The billionaireThe wealthiest man on the planet formally declares what most people had suspected after he bought Twitter and turned it into the more extreme X: he is a full-fledged cheerleader for Trump. First endorsing Trump after the assassination attempt, and then dancing and leaping on stage at a Trump rally, the boss of Tesla, Space X and several other companies takes to the newest of his many jobs with a gusto that shames even the most politically active billionaires. Musk becomes everything from a Trump policy adviser to a mega-donor and (through his America Pac campaign group) a leading figure in the Republican “ground game”, its effort to get voters to the polls. In October, he also begins giving away $1m a day to Pennsylvanians who are registered voters – causing a judge to demand his presence in court for running an “illegal lottery”. To those who ask what’s in it for Musk, observers point to billions in federal contracts and Trump promising him a role in helping gut regulators.View image in fullscreen12. The debate 2.0On 11 September, Harris outperforms Trump in their first debate, appearing to vindicate Biden’s decision to gracefully bow out and marking a dramatic change in fortune as she takes a slight polling lead over Trump – though the polls essentially remain tied for the remainder of the race. However, it isn’t Harris’s victory that most attracts headlines from the debate, but the former president’s claim about immigrants from Haiti: “In Springfield, they are eating the dogs,” Trump said. “They are eating the cats. They are eating the pets of the people that live there.” Quickly immortalized in a viral song, the statement – an obvious and quickly debunked lie – appears at first to hurt the Republicans, but far from repudiating it Trump and Vance begin repeating it as part of an anti-immigrant focus that the campaign embraces as its driving principle, including a promise to carry out the largest mass deportation in US history.13. The celebsIf Trump can rely on the support of the world’s richest man, Harris can count on that of its biggest-selling recording artist. In a post on Instagram minutes after the debate, Taylor Swift endorses Harris, encouraging her fans to register to vote and signing it “Childless Cat Lady”, a reference to Vance’s slur. She is hardly alone: Charli XCX had already set off a series of pro-Harris internet memes by tweeting “kamala IS brat” – referring to a lifestyle inspired by noughties excess and rave culture, as well as the name of her hit album Brat – and eventually Beyoncé, Eminem (whose hit Lose Yourself was rapped by Barack Obama at a Detroit rally where the superstar told his home city to “use your voice” for Harris) and dozens more pop stars back Harris. From actors such as Robert De Niro – who clashes with Trump supporters outside the ex-president’s hush money trial in New York – and the cast of Marvel’s Avengers movies, or athletes such as LeBron James (“When I think about my kids and my family and how they will grow up, the choice is clear to me”), most of the highest-profile celebrity endorsements have gone to Harris – though Trump can boast Hulk Hogan, Dr Phil and Kid Rock in his camp.14. The rallyAnger and vitriol take center stage at New York’s Madison Square Garden as Trump and a cabal of acolytes hold a rally marked by racist comments, coarse insults and threats about immigrants. The rally features nearly 30 speakers, with some of them making a series of racist remarks about Latinos, Black Americans and Jewish citizens. “I don’t know if you guys know this, but there’s literally a floating island of garbage in the middle of the ocean right now. I think it’s called Puerto Rico,” Tony Hinchcliffe says, among other controversial remarks including singling out a Black man in a remark about watermelons. In the hours following, Democrats, celebrities and Hispanic groups on both sides of the political aisle condemn the comments as “offensive” and “derogatory”, with many voters of Puerto Rican heritage saying they will change their votes to Harris – potentially a key voting bloc in the swing state of Pennsylvania. The event had already drawn comparisons to an infamous Nazi rally held at the arena in 1939, with the Democratic National Committee projecting images on the outside of the building repeating claims from Trump’s former chief of staff that he had “praised Hitler” – and although Vance dismisses the comparison, many note it was only in 2016 that Vance himself had suggested Trump could become “America’s Hitler”.15. The final pitchesThe days leading up to election day are always the most frenzied, and the 2024 race is no exception, with the candidates trading insults and billions of people around the world glued to the latest polls, which do not show a clear lead for either Trump or Harris. With the White House illuminated behind her, Harris draws a crowd of more than 75,000 people in Washington DC, referring to Trump as “another petty tyrant” who had stood in the same spot nearly four years ago and, in a last-gasp effort to cling to power, helped incite the mob that stormed the US Capitol. Meanwhile, Trump continues to smear immigrants and arrives at a rally in a garbage truck, a stunt to attack Democrats. Police chiefs and sheriffs across the country brace for potential violence targeting election workers, disruptions at polling locations and harassment of voters, while unfounded allegations of voter fraud prompt fears that Trump could, once more, refuse to accept the results if he loses – and this time get millions of Americans to do the same. More

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    Americans head to polls with historic election on a knife edge

    Election day has arrived in America, with tens of millions of voters set to head to the polls on Tuesday in one of the closest and most consequential contests in modern US history.The Democrat Kamala Harris and her Republican opponent, Donald Trump, appear locked in a knife-edge contest with hardly any daylight between the pair in national opinion polls that have barely budged in weeks.In the seven crucial swing states – Michigan, Wisconsin, Pennsylvania, Arizona, Nevada, Georgia and North Carolina – the picture was the same. Recent polling has been unable to discern a clear pattern or advantage for either Harris or Trump in this electoral battleground, though most experts agree that whoever wins the Rust belt state of Pennsylvania is likely to have a clear advantage.“If we win Pennsylvania, we win the whole ball of wax,” Trump, 78, said at a rally in Reading, in the state’s southeast corner, during a frenetic final day of campaigning in the state. Later, in Pittsburgh, he framed the election as a choice between “a golden age of America” if he returns to the White House or “four more years of misery, failure and disaster” under Harris.Harris, 60, spent all of Monday in Pennsylvania and finished in Philadelphia, where she was joined by singer Lady Gaga and TV personality Oprah Winfrey, who warned of the threat that Trump poses to democracy. “We don’t get to sit this one out,” Winfrey said. “If we don’t show up tomorrow, it is entirely possible that we will not have the opportunity to ever cast a ballot again.”It is the swing states that will decide the election, because under the complex American political system, the result is decided not by the national popular vote but an electoral college in which each state’s number of electors is weighed roughly by the size of its population. Each candidate needs 270 votes in the electoral college to clinch victory, and the battleground is formed of those states where polls indicate a state could go either way.More than 78m early ballots have been cast but the result may not be quickly known. With polling so tight, full results in the crucial swing states are unlikely to be available on Tuesday night and may not even emerge on Wednesday, leaving the US and the wider world on tenterhooks as to who may emerge as America’s next president.The election brings to an end a remarkable and in many ways unprecedented election campaign that has deeply divided American society and upped the stress levels of many of its citizens amid warnings of civil unrest, especially in a scenario where Harris wins and Trump contests the result.Harris has consistently centered her campaign on the autocratic threat that Trump represents. In her final big signature event, Harris staged a rally of 75,000 supporters on the Ellipse in Washington – the spot where Trump helped encourage his supporters to attack the Capitol on 6 January 2021.“On day one, if elected, Donald Trump would walk into that office with an enemies list. When elected, I will walk in with a to-do list full of priorities on what I will get done for the American people,” Harris told the crowd.Harris’ campaign has tried to represent a page turning on the Trump era and threat of his return to the White House. She has acknowledged that calling Trump a fascist is a fair reflection of his political beliefs and the intentions of his movement, while insisting that she represents a choice that will serve all sides of America’s deeply fractured political landscape.skip past newsletter promotionafter newsletter promotionTrump, meanwhile, has run a campaign fueled by a sense of deep grievance, both personal, at his legal travails, and the perception among many of his supporters of an ailing America that is under threat from the Democrats. That sense of victimhood has been fueled by lies and conspiracy theories that have baselessly painted Biden and Harris as far-left figures who have wrecked the American economy with high inflation and an obsession with identity politics.Trump has also put immigration and border security at the heart of his campaign pitch, painting a picture of America as overrun with crime caused by illegal immigration that has often veered into outright racism and fear-mongering. He has referred to undocumented immigrants as “animals” with “bad genes” who are “poisoning the blood of our country”.The huge divisions between the two campaigns and the language used by candidates – especially Trump and his allies – have led to widespread fears of violence or unrest as voting day plays out and especially as the count goes on. In the run-up to election day, ballot drop boxes used for early voting were destroyed in several US states.At the same time, however, it was Trump himself who was the subject of two assassination attempts during the campaign. At a rally in Pennsylvania, an assassin’s bullet grazed his ear and at a golf course in Florida, a gunman lay in wait for an ambush, only to be foiled by an eagle-eyed Secret Service agent before he could open fire. Neither shooter seemed coherently politically motivated or definitively aligned with one side or another.Read more of the Guardian’s 2024 US election coverage:

    US election 2024 live updates: latest polls, results and news

    When do polls close?

    How the electoral college works

    Where is abortion on the ballot?

    Senate and House races to watch

    Lessons from the key swing states

    Trump v Harris on key issues

    What’s at stake in this election

    What to know about the US election More

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    How the US elections will unfold overnight for British viewers

    By late on Tuesday or early on Wednesday, we may know who is going to be the next president of the United States. Or we may know that we don’t yet know. Or we may know who’s been projected as the winner but be bracing ourselves for weeks of legal action and protest. It’s going to be that sort of night.A reminder of the basics: whether Donald Trump or Kamala Harris is the next president will be decided by the electoral college, rather than a straight count of the national vote – meaning that the winner will be the person who gets to a simple majority of 270 of the 538 electors on offer across the 50 states, whether or not they get more votes than their opponent nationwide.That means that the result is quite likely to come down to who prevails in the seven battleground states identified by both sides as being up for grabs – Arizona, Georgia, Michigan, Nevada, North Carolina, Pennsylvania and Wisconsin. Meanwhile, all 435 seats in the House of Representatives are on the ballot, as are 34 of the 100 seats in the Senate. There are also 13 state and territorial governorships to be decided.In the UK, the election will be covered across the BBC (including radio), ITV, Channel 4, Sky News and various others. You can get CNN’s US coverage by signing up on its website; it’s also available on Sky. The Guardian live blog is also running, obviously.Here is a guide to how the night will unfold. UK residents determined to stick around to the bitter end, whenever that might be, should consider getting some sleep at 8pm or 9pm, and setting alarms (at least six, at three-minute intervals) for midnight or 1am, since not much will happen before then anyway. But pace yourself. For all that we talk about election night, any of the key races – or several of them – could take well into the next day, or longer, to produce a clear result.10pm UK (5pm Eastern Time): exit polls give contextVoting ends in Indiana and most of Kentucky, but neither is in play. Meanwhile, the first batch of exit polls are released. Unlike in the UK, where exit polls are usually a decent guide to the final outcome, the American version offers only a tantalising hint of what may be in store: rather than providing a projection of final results on the basis of asking people at polling stations how they voted, they give a view of what respondents have said the issues that mattered the most to them were.They’re based on a bigger sample than typical polls – numbering in the tens of thousands – so they ought to give pretty robust findings. But knowing that voters were motivated by the economy or abortion, for example, will only be a clue to how the night might go, rather than a basis for projecting the result.Midnight UK/7pm ET: Georgia and North Carolina – the first cluesPolls close in nine states over the next hour. Don’t just follow the running count of electoral college votes to get a sense of how it’s going, though: Trump is expected to have the biggest tally coming out of this first batch, however his night is going.But polls also close in the first battleground states that could give a major indication of what’s happening: Georgia and North Carolina. Just as importantly, we may start to see whether any clear pattern is emerging that holds true across different states, and therefore provides evidence of what could happen elsewhere.We don’t know when any of the states will be called, and even the results in Georgia and North Carolina may not be known for hours – or, and let’s hope not, days – yet. It’s possible that broadcasters and the Associated Press will start to call some states that haven’t even finished counting if they conclude that the other side has no chance of catching up but the closer the race the longer it may take.(When we talk about states being “called”, we mean that major news organisations have examined the data and reached a conclusion that it is statistically impossible for the other side to win. Official declarations can take much longer.)1am UK/8pm ET: Oh God, it’s PennsylvaniaPolls close in about half the country – so any nationwide patterns should be becoming clear. But it’s Pennsylvania that matters most. With more electoral votes – 19 – than any other swing state, and polls suggesting that it’s the closest race in the country, this is a huge moment. If Trump wins, tell your friends that it was madness for Harris not to pick the state’s popular Democratic governor, Josh Shapiro, as her running mate; if Harris wins, you can muse that the insults hurled towards the state’s 470,000 Puerto Ricans at a recent Trump rally might have made the difference.Again, the polls closing doesn’t necessarily mean a quick declaration. In Pennsylvania, rules against counting mail-in ballots before polls close are likely to slow things down. So it might end up being one of the later races to be called among the key states. It took four days in 2020.Whenever they come, if Pennsylvania, Georgia and North Carolina all go in one candidate’s favour, it will be very difficult for the other to win. If we don’t get that sort of news by now, find some caffeine or a cocktail and pin your eyelids to your forehead: we might be in for a long night.2am UK/9pm ET: Three more battleground statesIn this hour, polls will close in 15 states, including three of the four remaining battlegrounds: Arizona, Michigan and Wisconsin. But Wisconsin wasn’t called until after 2pm the following day in 2016 or 2020. Arizona took more than a week in 2020, and there are more onerous rules in place around the count this time.It was around now in 2016 – 2.29am, to be precise – that AP called the race for Trump, with Clinton calling to concede a few minutes later In 2020, the result wasn’t called for four more days (the following Saturday).Another interesting state to watch now: Iowa, where a shock poll at the weekend gave Harris a lead of three points in a state generally assumed to be a sure thing for Trump, who won it at the last two elections. If that bears out in reality, it probably won’t make a difference to the overall outcome – but only because it is likely to indicate that Harris has had a better night than expected in other similar states, such as Michigan and Pennsylvania.By now, Trump is likely to have a solid-looking lead in the running electoral college count you’ll probably see on screen – but that is expected to start whittling down as polls close in big, solid blue states, including New York and California, from this point. But if and when those six swing states where polls have closed by now are called, it’s very likely that the result will be apparent.3am UK/10pm ET: NevadaPolls close in Nevada, the last swing state, this hour. It’s unlikely that its six electoral college votes will be decisive but if they are, things are probably going to feel uncertain for a while yet. It took 88 hours to call the state in 2020.Another question will be whether either candidate comes out to speak to their supporters, and when. Everything Trump has said suggests that it is very unlikely that he will concede defeat on election night, except in the unlikely event of a landslide against him. (In 2020, he made a speech at the White House at 2.21am ET in which he made his first false claims of electoral fraud.)The tone he and Harris strike in these hours and afterwards will give a sense of whether the result is going to be accepted all round – or if we could be in for a much more febrile period.4am/11pm ET: California, Alaska and everything afterThe last polls close over the next two hours and, while it is just about theoretically possible that it could all come down to Alaska, I wouldn’t bet your house on it. What seems significantly more likely is: whatever the candidates have said, if the race looks close, lawyers for both sides will be gearing up for court challenges in key states – while pro-Trump poll watchers and other supporters are likely to be making numerous claims of election interference.Last time around, exhaustive legal processes found similar claims to be without foundation but that doesn’t mean they won’t be repeated. It is entirely possible that we will have a clear call of a result from the major networks by this time – but that everything will still appear to be in flux. More