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      Abortion providers on two years of Texas ban: ‘We’re living in a devastating reality’

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      Nearly a year before the US supreme court eviscerated Roe v Wade, the court allowed an unprecedented abortion ban to take effect in Texas, serving as a harbinger of what was to sweep over the rest of the country.The most restrictive abortion law at the time, with no exception for rape, incest, or lethal fetal abnormality, Senate Bill 8 barred care after six weeks of pregnancy, and carried a private enforcement provision that empowered anyone to sue a provider or someone who “aids or abets” the procedure.The move successfully wiped out almost all abortion care in the second-most populous state in the US. When Dobbs v Jackson Women’s Health Organization hit, the state doubled down, criminally banning all care and solidifying itself as the largest state in the US to outlaw abortion.In the two years since, Texas abortion providers – some of the first in the US to experience a nearly post-Roe world – reflect on the devastating and lasting effect of the severe law, the trauma they felt denying patients care, and the struggle they faced when deciding whether or not to flee the state or stay put.Dr Jessica Rubino: ‘The law forced me to be a bad doctor’ When Senate Bill 8 took effect, Dr Rubino felt like she was on a “sinking ship”. The abortion provider and family medicine specialist was forced to turn away dozens of patients at Austin Women’s Health Center – including one who was experiencing kidney failure. At the same time, patients below the six-week mark were rushing to choose abortion care before it was too late, leaving thoughtful decision-making behind.“I had to tell people there’s nothing I can legally do for you, unless you’re on death’s doorstep,” said Rubino. “The law forced me to be a bad doctor.”“It was heartbreaking and soul-crushing,” she continued. “I was watching a healthcare disaster play out in real time, knowing that this law not only affects our state but is causing a ripple effect in every other state. With SB 8 – and even years before the law – we saw the writing on the wall with Roe and tried to warn everyone, but I’m not sure who was listening.”Rubino also recalled a conversation she had six months prior to SB 8 with colleagues across the state who appeared united, vowing to continue providing care despite the law’s consequences. People are going to die, she told them, we should take the “personal hit”. However, that wave of defiance never materialized. Rubino lacked critical mass.She soon fell into an “extreme” depression; it was difficult to get out of bed each day and she eventually sought mental health therapy and antidepressants. Her brain felt “broken”, she said. After Dobbs, she stopped performing abortion for nearly a year, exacerbating her gloom.“Having to deny patients the healthcare you are trained – and able – to give them is something you never get over. It’s not only medically unethical, it’s morally wrong,” said Rubino. “It was traumatizing, and it still haunts me.”SB 8, she said, was the tipping point for abortion providers in Texas like her who have been forced to navigate onerous laws over the years that compromise the care they give, including a mandatory sonogram and 24-hour waiting period that incorporates relaying erroneous medical information, bans on insurance coverage for care, restrictions on minors’ access to abortion, and more.In May, under the advice of attorneys and those closest to her, Rubino and her family left Texas with no plans to return. She worked at a clinic in Bristol, Virginia, where she largely served patients in banned southern states, before moving to DC in late August to help expand abortion services at a reproductive health clinic there.Rubino still struggles with the decision to flee Texas, while also acknowledging the legal inability to continue her calling.“There is a sense of guilt, of letting down the community I serve. Sometimes I feel like I gave up on these people,” she said.She also worries that a national abortion ban could once again pull her away from the community she now treats. She considers one day working in the UK or New Zealand.Rubino feels deeply anxious about the fate of the patients she has left behind and mentioned a recurring patient, a victim of domestic violence, whose partner blocked her access to birth control.“She’s going to call and I’m not going to be there,” said Rubino. “She’s not in a safe situation and we know staying pregnant can lead to more abuse, and even death by an abusive partner. The safest thing for her would be to get an abortion but now she’s not going to have that choice.”Dr Ghazaleh Moayedi: ‘Inhumane and illogical’ Testifying before Congress three separate times to oppose abortion bans and uplift the right to access, Dr Ghazaleh Moayedi has made her mark as an outspoken and passionate reproductive justice advocate for Texans.But the road wasn’t always clear for the doctor: unsure of what to do after graduating college, Moayedi’s friend recommended she take a nanny job. Her boss was Amy Hagstrom-Miller, the head of a network of abortion clinics and then major figure in Texas reproductive rights who would go on to lead several legal challenges against the state, including a 2016 US supreme court victory. Moayedi began working in Miller’s clinic, where she saw her interests collide.As a “brown, Muslim” n Iranian American woman who grew up in Texas, Moayedi quickly realized the majority of state abortion doctors – largely white men – did not reflect the diversity of the patients they treated, and vowed to fix that.“I could feel a palpable racial and cultural divide,” she said. “None of the doctors looked like the people we take care of. I wanted to be a provider that helped represent the communities we serve. I decided to go to medical school with that goal as a driving force.”Moayedi has worked in Texas abortion care since 2014, weathering the roller coaster of state abortion laws, including a 2020 order to ban abortion under the pretense of the Covid emergency, which, at the time, upended her plans to start her own practice.After SB 8, she transitioned her care to Oklahoma. When Oklahoma’s abortion law took effect, she switched gears, providing ultrasounds in Texas to those traveling to and from out-of-state abortion care. Moayedi then became uncertain if she could safely venture to states where abortion was still legal, as the Texas attorney general, Ken Paxton, encouraged local prosecutors to go after providers shortly after Roe fell. She and abortion funds sued the state for legal protection, and paused their services in the meantime.After securing a court victory, Moayedi has worked to build an abortion and miscarriage telemedicine practice, still in the process of getting off the ground. She is now licensed in 20 states – but only half allow abortion telemed. She also travels to Kansas, a safe haven state, to provide care.“I’ve had to really pivot quite a bit. It’s been absolutely wild,” she said. “My practice doesn’t look anything like I thought it would. For now, my goal is to stay in Texas but we’ll see what happens.”Moayedi says the law’s “inhumane and illogical” impact is especially pronounced when she is treating a patient in another state only to discover they’re from not just the same city as her, but the same neighborhood.“Here we both are, hundreds of miles away from our home and support system, just to receive healthcare,” she said. “Moments like those just hit you in the gut.”As a complex family planning specialist, Moayedi constantly worries for patients with “potentially catastrophic” high-risk pregnancies, especially as the Texas law offers only vague medical emergency exceptions, leading patients to near-death experiences. She receives calls from colleagues wondering if pregnant patients with complications, like C-section scar ectopic pregnancies, can receive care in Texas. She often refers them out of state to be safe.“I really don’t have words to describe the deep, deep pain I feel,” said Moayedi. “These laws are insulting, disgusting, cruel, and absolutely pointless.”The provider and advocate expresses disappointment with the federal administration, who she feels has failed to meaningfully protect abortion providers and patients since SB 8 took effect.“The Biden administration’s response has been a limp handshake,” she said. “We want to see tangible, bold action to restore or at least prevent the further erosion of reproductive rights. We need unwavering support – not a leader who can barely say the word ‘abortion’.”Kathy Kleinfeld: ‘SB 8 was meant to be a fear tactic that paralyzed care’ Kathy Kleinfeld will never forget the desperation that swept over Houston Women’s Reproductive Services after SB 8 took effect. Anxious patients begged her and her staff to perform abortion care past the six-week mark, even offering money under the table and other favors.“They were crying and pleading with us, saying ‘I’ll do whatever you want,’” said Kleinfeld. “It was so heartbreaking, there was nothing we could do.”Patients – as well as clinic staff – held their breath during each ultrasound, hoping the pregnancy would fall under the state-mandated time frame. For those past the mark, Kleinfeld and colleagues became “dystopian travel agents” connecting patients with out-of-state care.After 30 years of providing abortion in Houston, Kleinfeld had never experienced anything so chaotic and devastating. Then Dobbs hit.“It felt like everything we experienced with SB 8 was magnified – it was like SB 8 on steroids,” said Kleinfeld. “The intensity, the confusion, the chaos all became so overwhelming.”While she was forced to halt abortion care, Kleinfeld did not want to leave her patients behind. One month after the fall of Roe, she regrouped, considerably downsizing her 5,000 sq-ft clinic and cutting her staff by more than half. She now provides pre- and post- abortion ultrasounds for those traveling out of state, as well as abortion clinic referrals. Her clinic is only one of two former independent abortion providers in Texas – and just a handful across the US – that have not closed or moved away.“We did not want to completely abandon pregnant people in Houston,” said Kleinfeld. “We felt it was still really important to adapt and provide this necessary service. It feels absolutely awful to not be able to offer abortion care, but at the same time, we feel grateful to be able to still help patients in whatever way we can.”Her clinic received around 1,200 visits this year, with most traveling to and from New Mexico, Colorado and Kansas.The fear unleashed by SB 8 two years ago still lingers today: Patients are scared to disclose that they want or have had an abortion; they are fearful to bring a partner or family member with them to a procedure out-of-state or even to the ultrasound at Kleinfeld’s clinic, worrying that a loved one may be in legal trouble for “aiding or abetting” care.“We still have to explain to patients all the time that it is not illegal to help someone obtain a legal abortion,” said Kleinfeld. “SB 8 was meant to be a fear tactic that paralyzed care and instilled anxiety in patients, and even after Dobbs, we are still seeing its impact.”Dr Alan Braid and Andrea Gallegos: ‘Waving our hands hands on top of a burning building’As a medical resident in 1972, Dr Alan Braid will never forget treating a 15-year-old girl in a San Antonio emergency room who was suffering from sepsis – a life-threatening blood infection – after a botched and illegal abortion, her vaginal cavity packed with rags. Braid and doctors did everything they could but the infection was so severe, she died a few days later from massive organ failure. That year, he saw another two teenagers die from illegal abortions.It was then that Braid realized that abortion care was vital and medically necessary, an inextricable component of overall healthcare. One year later, Roe would help solidify and protect Braid’s mission.For the next 45 years, he provided ob-gyn and abortion care in Texas. When Senate Bill 8 hit, it felt like 1972 all over again, he said.“To repeat history and expect a different outcome is insanity. Women will be injured and women will die – again – without access to healthcare,” said Braid.With a passion for reproductive rights, Andrea Gallegos joined her father’s practice as manager of Alamo Women’s Reproductive Services a few years ago. She describes the impact of SB 8 as “devastating” to patients, many of whom were saddled with multiple barriers to care. Even when staff would offer to pay for travel or the procedure itself, patients – still bound by the inability to find child care or time off work – couldn’t make the journey out of state.Braid felt like he had to fight back. In an act of overt defiance, the provider performed an abortion on a patient beyond the six-week limit. He was not only acting out of medical duty but hoped to invoke a legal challenge that would eventually halt SB 8.“I don’t think any of us really thought SB 8 would last – it’s so blatantly unconstitutional and just crazy, we figured the courts – even a court as conservative as the fifth circuit – would recognize the law needs to be stopped,” said Gallegos.While Braid’s intentional act of resistance attracted an outpouring of nationwide support, the lawsuits against him ultimately failed to halt SB 8, leaving the provider feeling largely defeated.He and his team continued to navigate the draconian law, routinely sending patients to their Tulsa, Oklahoma, clinic, where the caseload tripled within the first couple of months, placing a strain on the out-of-state provider.When Oklahoma’s governor signed into law an abortion ban – modeled after Texas’s SB 8 – in April 2022, Braid was forced to shutter the critical pipeline for Texans.“It felt like we were waving our hands on top of a burning building, trying to warn everyone else that this is what it’s going to look like for the rest of the country soon,” said Gallegos. “While we see the lack of access, the forced travel, the domino effect on surrounding clinics now everyday post-Dobbs, in Texas we were experiencing it first.”Following Roe’s demise, Braid was forced to close the doors to his San Antonio clinic and stopped practicing abortion care in Texas after nearly five decades. In May, he officially moved to Albuquerque, New Mexico, where he has set up a clinic in the safe haven state.Gallegos relocated to Carbondale, Illinois, in July, a spot nestled between abortion-hostile states, to oversee a new clinic there.Leaving Texas – and friends and family behind – is deeply “bittersweet” for the father-daughter duo: there is a sense of “abandonment” but also a recognition that the move was necessary.“It’s not easy to completely start over but I know this is where I’m supposed to be,” said Gallegos.For the abortion providers, it’s also a painful reminder of the growing inequity of reproductive healthcare across the US.“It hits me hard knowing geography has played such a significant role in privilege to access to what I consider basic healthcare,” said Gallegos. “Geography should not determine if you can have a safe or dangerous pregnancy. We are living in a devastating reality.”Braid, now in his late 70s, describes working in New Mexico as “refreshing”, as he can “just be a doctor” and not “have to call attorneys” for guidance every step of the way, as he did in Texas.However, he has left his home state – and the place where he learned to be a physician so many years ago – with a tinge of regret, wishing he not only provided one abortion in violation of SB 8, but several more, convinced that the act of rebellion would have eventually led to a successful court battle that brought down the law. His daughter seeks to allay his remorse.“I remind my dad that the law was so unprecedented, so hard to predict and navigate, none of us knew what would happen,” said Gallegos. “In the end, the whole point of SB 8 was to elicit fear in abortion providers and sadly, that’s exactly what it did.” More

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      Why some people get sucked into the conspiracy rabbit hole | Letter

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      Naomi Klein asks what causes her fellow author Naomi Wolf and others to “lurch to the hard right” and ally with conspiracy theorists (Naomi Klein on following her ‘doppelganger’ down the conspiracy rabbit hole – and why millions of people have entered an alternative political reality, 26 August). There are two important factors. First, the attraction of “theories of everything” that ignore nuance and complexity, and are prevalent at both ends of the political spectrum. Second, there has long been a rebellious thrill to the counter-culture that once favoured the left against a Conservative establishment, but since the adoption of some left-liberal policies, now seems to work both ways. Policies of community and solidarity are probably a more solid foundation for the left from which to challenge the real elite.Tim SandersLeeds More

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      Age apparently gives you wisdom, so why doesn’t Joe Biden know when to quit? | Chris Mullin

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      Some years ago, at an African Union conference in Addis Ababa, I heard the then UN secretary general, Kofi Annan, say to an audience stuffed with life presidents: “One of the tests of leadership is knowing when to leave the stage.” All the big offenders were present – Robert Mugabe from Zimbabwe, Omar Bongo from Gabon, Teodoro Obiang from Equatorial Guinea and Yoweri Museveni from Uganda. They sat stony-faced amid much nervous foot-shuffling and laughter as the chairman, the former president of Mozambique, Joaquim Chissano (one of the few African leaders who stood down when his time was up), pointed at them and said, “And we all know who Kofi was talking about, don’t we?” It was an electric moment.Annan may have been talking about African presidents, but today his words might equally apply elsewhere. Is it not extraordinary that, more than 200 years after it was founded, a political system as open and allegedly sophisticated as that in the US can only offer the American electorate a choice between two elderly males – one a serial liar and the other a decent man well past his sell-by date. One can understand what drives Donald Trump (77) – a desire to stay out of prison – but why on earth should Joe Biden (80), who has held elected office since 1972, want to cling to power? And not just Biden; what of Nancy Pelosi (83), until recently House speaker, or the Senate Republican leader, Mitch McConnell (81), both visibly fading? Or, indeed, the revered supreme court justice, Ruth Bader Ginsburg, whose refusal to recognise that her time was up arguably gifted control of the most important institution in the US to the hard right when she died in post in 2020 at the age of 87.Despots at least have the excuse that, having trampled their enemies and made themselves rich beyond the dreams of avarice, they can’t guarantee that were they to relinquish the reins of office, they wouldn’t be called to account for their misdeeds. Political leaders in a mature democracy, however, have no such excuse. A comfortable retirement awaits them – a good pension, lucrative memoirs and (should they want it) adulation on the after-dinner speaking circuit.In the UK, whatever our problems, rule by geriatrics is not an issue, although once upon a time it was. William Gladstone, Winston Churchill and Clement Attlee – great men in their heyday – overstayed their welcome. Margaret Thatcher and Tony Blair, though by no means geriatric, had to be prised out of office. Some of our judges, too – notably Lord Denning – overstayed.Our problem, however, is almost the opposite: in the increasingly febrile UK, such is the pressure on a reigning prime minister that, in recent years, it has been rare to last a single full term, never mind two. And as for ministers, the turnover is extraordinary. Rory Stewart, to name but one, held five posts in four years. We could do with a bit more stability, not less.Many of the current generation of MPs seem to get their feet on the ladder when they are far too young. Some are not long out of university or a political thinktank. I am occasionally asked by an ambitious young person for my thoughts on how to get into parliament. My advice is always the same: “Go away and do something else first and then you might be of more use if and when you do get elected.” For better or worse, I was 39 when I was first elected as an MP.Experience in other fields is important. There is more to politics than tweeting. (Though I read with horror the other day that there are now companies that, for an appropriate fee, offer a bespoke social media service to young professionals vying for selection as candidates for parliament. Lord, save us.)Power, of course, when finally achieved, is addictive. Having striven for so long to reach the top – nearly 50 years in Biden’s case – there is understandably a reluctance to relinquish office. The longer you are in power, the more messianic you become. “All prime ministers go mad after two terms,” one of Blair’s closest advisers once remarked to me, only half-jokingly. The US system, for all its faults, does have one great strength: two terms and you are out.As for me, who only ever inhabited the political foothills, I stood down at the age of 62. As those who have read my diaries will know, a great deal of agonising preceded the decision. At the time I regarded it as either the best or the worst decision of my life. Thirteen years on, I am pleased to report that it has worked out better than I could ever have anticipated. It’s always better to go when people are still asking “why” rather than “when”.
      Chris Mullin is a former Labour minister. His most recent diaries, Didn’t You Use to Be Chris Mullin?, are published by Biteback More

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      ‘Better martyrs’: the growing role of women in the far-right movement

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      Researchers who track how the far right in the US mobilizes, self-promotes and recruits are reporting that women are playing a growing role in the movement.They often work behind the scenes to advance conspiracy theories through social media and softly attract new women into the fold. But at the same time, in recent years “alt-right” women have also shifted to influential public-facing roles in rightwing media production and far-right national politics.They have taken prominent roles in events like the January 6 attack on the Capitol, count US congresswomen in their number and have seen the emergence of powerful new groups like Moms for Liberty.“[Far-right women] have a lot more power than you think,” said Dr Sandra Jeppesen, a professor of media and communications at Lakehead University in Ontario, Canada.Despite their seemingly understated presence in extremist groups and far-right politics, they can be effective organizers, responsible for bringing thousands of people to the Capitol for the January 6 “Stop the Steal” rally and now mobilizing against inclusive education.Some women figures on the far-right scene have a lot of money, especially the most prominent ones, said Tracy Llanera, an assistant professor of philosophy at the University of Connecticut. The most high-profile far-right conservative women are involved in social media production because they fit the mold of what Llanera calls “the acceptable faces of conservative propaganda”.They include Fox News commentator Tomi Lahren and Canadian far-right YouTuber Lauren Southern, who produce conservative media and rightwing propaganda, amassing a huge following and millions of dollars.Even so-called “Tradwives” – such as the TikToker Estee Williams, who promotes strict adherence to traditional gender roles – generate income from their social media content. The Global Network on Extremism & Technology recently linked Tradwives to “alt-lite” and “alt-right” ideologies.“I think women definitely want power,” Jeppesen argued. “I don’t think ‘alt-right’ women go into politics for altruistic reasons.”Like men in the movement, women commit to far-right politics believing there is a crisis and they have to commit to extraordinary action, she stated. In the days leading up to 6 January 2021, Marjorie Taylor Greene, the extremist congresswoman from Georgia, paid tens of thousands of dollars for a promoted Parlor post stating the need for a grassroots army and created a Photoshopped image of her and Donald Trump.The post, used as an election fundraiser for Greene’s campaign, garnered millions of views and played a strong role in mobilizing people to the Capitol, Jeppesen explained.While Greene’s social media presence attracted insurrectionists to Washington DC, the far-right election-denial group Women for America First ultimately held the permit for the rally outside the White House, helped to coordinate the march that became the January 6 riot, and eventually organized fundraisers for election audits in Georgia and Arizona in 2021, Vice News reported.Other female insurrectionists played a pivotal role in the riots and spreading election denial conspiracies during and after.Jessica Watkins, an Oath Keepers member and founder of the Ohio State Regular Militia, arranged for both militias to travel to the Capitol, organizing and communicating on site with the encrypted walkie-talkie-style app Zello. She was sentenced to eight and a half years in prison; people such as Watkins are considered political prisoners to members of the far-right movement.skip past newsletter promotionafter newsletter promotionWhen Ashli Babbit was killed by Capitol Hill police during the January 6 attack, she was promoted as a martyr, with even the former US president Donald Trump calling her parents. “Women make better martyrs in the ‘alt-right’,” Jeppesen said about Babbit’s lingering effect.Another growing power on the far right is Moms for Liberty, a group that began as a small parents’ rights group but which has spread across the US and is a leading force in promoting book bans.The group – with a fervent membership of conservative mothers – aims to affect US education, attacking anything that meddles with the far-right view of what is suitable for bringing up children, said Llanera of the University of Connecticut. “Mothers protect their offspring, out of the private sphere where they are most relevant,” she added.Iowyth Ulthiin, a PhD student at Toronto Metropolitan University and researcher at Lakehead University, explained that rightwing sects will use a broad appeal to a general issue like children’s safety in order to spread far-right ideas.“Who doesn’t love children and want them to be safe?” Ulthiin said.Far-right mothers start building rapport with other parents, using the vulnerability of their children to open the door to QAnon conspiracy theories and anti-government sentiment.The far right can take the same recruitment posture online. Ulthiin’s research has seen women in the “mommy blogger aesthetic” on Instagram, known for sharing photos of “lovely, enviable lives”, become subtly political and then escalate rapidly into conspiracy theories.Most notably, film-maker Sean Donnelly produced an eight-minute documentary, QAmom: Confronting My Mom’s Conspiracy Theories, about his mother’s transformation from a new age Californian to an outright conspiracy theorist who believed well-known celebrities would be arrested for pedophilia.Ulthiin said that women who fall into the far-right trap often have similar psychological profiles. “It would be a similar crowd to those who are in danger of joining a cult,” they said. More

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      The big idea: is it too late to stop extremism taking over politics?

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      Welcome to the 2020s, the beginning of what history books might one day describe as the digital middle ages. Let’s briefly travel back to 2017. I remember sitting in various government buildings briefing politicians and civil servants about QAnon, the emerging internet conspiracy movement whose adherents believe that a cabal of Satan-worshipping elites runs a global paedophile network. We joked about the absurdity of it all but no one took the few thousand anonymous true believers seriously.Fast-forward to 2023. Significant portions of the population in liberal democracies consider it possible that global elites drink the blood of children in order to stay young. Recent surveys suggest that around 17% of Americans believe in the QAnon myth. Some 5% of Germans believe ideas related to the anti-democratic Reichsbürger movement, which asserts that the German Reich continues to exist and rejects the legitimacy of the modern German state. Up to a third of Britons believe that powerful figures in Hollywood, government and the media are secretly engaged in child trafficking. Is humanity on the return journey from enlightenment to the dark ages?As segments of the public have headed towards extremes, so has our politics. In the US, dozens of congressional candidates, including the successfully elected Lauren Boebert, have been supportive of QAnon. The German far-right populist party Alternative für Deutschland is at an all-time high in terms of both its radicalism and its popularity, while Austria’s xenophobic Freedom party is topping the polls. The recent rise to power of far-right parties such as Fratelli d’Italia and the populist Sweden Democrats bolster this trend.I am often asked why the UK doesn’t have a successful far-right populist party. My answer is: because it doesn’t need to. Parts of the Conservative party now cater to audiences that would have voted for the BNP or Ukip in the past. A few years ago, the far-right Britain First claimed that 5,000 of its members had joined the Tory party. Not unlike the Republicans in the US, the Tories have increasingly departed from moderate conservative thinking and lean more and more towards radicalism.In 2020, Conservative MP Daniel Kawczynski was asked to apologise for attending the National Conservatism conference in Rome. The event is well known for attracting international far-right figures such as Italy’s Giorgia Meloni, Hungary’s Viktor Orbán, former Fox News host Tucker Carlson and the hard-right US presidential candidate Ron DeSantis. This year, an entire delegation of leading Conservatives attended the same conference in London. It might be hard for extreme-right parties to rise to power in Britain, but there is no shortage of routes for extremist ideas to reach Westminster.Language is a key indicator of radicalisation. The words of Conservative politicians speak for themselves: home secretary Suella Braverman referred to migrants arriving in the UK as an “invasion on our southern coast”, while MP Miriam Cates gave a nod to conspiracy theorists when she warned that “children’s souls” were being “destroyed” by cultural Marxism. Using far-right dog whistles such as “invasion” and “cultural Marxism” invites listeners to open a Pandora’s box of conspiracy myths. Research shows that believing in one makes you more susceptible to others.I sometimes wonder what a QAnon briefing to policymakers might look like in a few years. What if the room no longer laughs at the ludicrous myths but instead endorses them? One could certainly imagine this scenario in the US if Donald Trump were to win the next election. In 2019 – before conspiracy myths inspired attacks on the US Capitol, the German Reichstag, the New Zealand parliament and the Brazilian Congress – I warned in a Guardian opinion piece of the threat QAnon would soon pose to democracy. Are we now at a point where it is it too late to stop democracies being taken over by far-right ideologies and conspiracy thinking? If so, do we simply have to accept the “new normal”?There are various ways we can try to prevent and reverse the spread of extremist narratives. For some people who have turned to extremism over the past few years, too little has changed: anger over political inaction on economic inequality is now further fuelled by the exacerbating cost of living crisis. For others, too much has changed: they see themselves as rebels against a takeover by “woke” or “globalist” policies.What they have in common is a sense that the political class no longer takes their wellbeing seriously, and moves to improve social conditions and reduce inequality would go some way towards reducing such grievances. But beyond that, their fears and frustrations have clearly been instrumentalised by extremists, as well as by opportunistic politicians and profit-oriented social media firms. This means that it is essential to expose extremist manipulation tactics, call out politicians when they normalise conspiracy thinking and regulate algorithm design by the big technology companies that still amplify harmful content.skip past newsletter promotionafter newsletter promotionIf the private sector is part of the problem, it can also be part of the solution. Surveys by the Edelman Trust Barometer found that people in liberal democracies have largely lost trust in governments, media and even NGOs but, surprisingly, still trust their employers and workplaces. Companies can play an important role in the fight for democratic values. For example, the Business Council for Democracy tests and develops training courses that firms can offer to employees to help them identify and counter conspiracy myths and targeted disinformation.Young people should be helped to become good digital citizens with rights and responsibilities online, so that they can develop into critical consumers of information. National school curricula should include a new subject at the intersection of psychology and internet studies to help digital natives understand the forces that their parents have struggled to grasp: the psychological processes that drive digital group dynamics, online engagement and the rise of conspiracy thinking.Ultimately, the next generation will vote conspiracy theorists in or out of power. Only they can reverse our journey towards the digital middle ages. Julia Ebner is the author of Going Mainstream: How Extremists Are Taking Over (Ithaka Press).Further readingHow Democracies Die by Daniel Ziblatt and Steven Levitsky (Penguin, £10.99)How Civil War Starts by Barbara F Walter (Penguin, £10.99)Pastels and Pedophiles: Inside the Mind of QAnon by Mia Bloom and Sophia Moskalenko (Redwood, £16.99) More

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      ‘How dare they?’ Kamala Harris says in fiery speech on Roe’s overturn as protests mark anniversary – as it happened

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      From 4h agoVice-President Kamala Harris took the stage in North Carolina on Saturday and delivered an impassioned address on restoring nationwide reproductive freedoms following a year since the supreme court’s decision to strip them.Speaking to a crowd full of supporters including healthcare professionals and activists, Harris said:
      “How dare they? How dare they attack basic healthcare? How dare they attack our fundamental rights? How dare they attack our freedom?…
      In the midst of this healthcare crisis, extremist so-called leaders in states across our nation have proposed or passed more than 350 new laws to restrict these freedoms and the right to have access to reproductive healthcare. Right now in our country, 23 million women of reproductive age live in a state with an extreme abortion ban in effect…
      Most of us here know is that many women don’t even know they are pregnant in six weeks. Which by the way tells us most of these politicians don’t even understand how the body actually works. They don’t get it,” Harris continued.
      She went on to issue a strong warning towards Republican lawmakers in Congress, saying:
      Extremist Republicans in Congress have proposed to ban abortion nationwide. But I have news for them. We’re not having that. We’re not standing for that. We won’t let that happen. And by the way, the majority of Americans are with us.
      The majority of Americans, I do believe, agree that one does not have to abandon their faith or deeply held beliefs to agree the government should not be telling her what to do with her body…
      The United States Congress must put back in place what the Supreme court took away.”
      It is slightly past 4pm in Washington DC. Here is a wrap up of the day’s key events:
      President Joe Biden has issued a statement to mark the one-year anniversary of the supreme court’s overturn of Roe, which he said “has already had devastating consequences.” “States have imposed extreme and dangerous abortion bans that put the health and lives of women in jeopardy, force women to travel hundreds of miles for care, and threaten to criminalize doctors for providing the health care that their patients need and that they are trained to provide.”
      Vice-President Kamala Harris took the stage in North Carolina on Saturday and delivered an impassioned address on restoring nationwide reproductive freedoms following a year since the supreme court’s decision to strip them. Speaking to a crowd full of supporters including healthcare professionals and activists, Harris said: “How dare they? How dare they attack basic healthcare? How dare they attack our fundamental rights? How dare they attack our freedom?”
      A handful of Democratic lawmakers have pledged their support on Saturday to protect and fight for reproductive rights as the country marks first anniversary of Roe’s overturn. “House Dems are working hard to stop these extremists and restore reproductive freedom. Together we will win,” wrote Hakeem Jeffries, House minority leader. US representative Jamie Raskin of Maryland tweeted: “Pro-choice America won’t rest until we restore women’s freedom as law of the land.”
      As reproductive rights activists protested against the end of Roe v Wade, anti-abortion leaders celebrated one year since the landmark decision was overturned. Speaking at the Faith & Freedom Coalition’s Road to Majority conference in Washington, Marjorie Dannenfelser, president of the anti-abortion group Susan B Anthony Pro-Life America, framed the end of Roe as just the beginning of right-wing activists’ work.
      Arizona’s Democratic governor Katie Hobbs has signed an executive order that will further protect reproductive rights across the state and curtail restrictive reproductive legislation from Republicans. On Friday, Hobbs tweeted about her executive order, saying, “I will not allow extreme and out of touch politicians to get in the way of the fundamental rights of Arizonans.”
      Several reproductive rights organizations have announced their endorsement of the Biden-Harris administration in the upcoming 2024 presidential election. The organizations include Planned Parenthood, NARAL (National Association for the Repeal of Abortion Laws) Pro-Choice America , and EMILYs List, a political action committee dedicated to electing Democratic pro-choice women into office.
      More than a quarter of registered US voters say they will only vote for candidates who share their beliefs on abortion, according to a poll released earlier this week, a total (28%) one point higher than last year. The survey, from Gallup, was released before the first anniversary of Dobbs v Jackson, by which conservatives on the supreme court removed the right to abortion that had been safeguarded since Roe v Wade in 1973.
      That’s it from me, Maya Yang, as we wrap up the blog for today. Thank you for following along.Human rights organization Amnesty International has issued a statement condemning the supreme court’s decision a year ago to strip federal reproductive right protections.Tarah Demant, the national programs director at Amnesty International USA said:
      “One year after the Supreme Court shamefully stripped millions of their rights, women, girls, and people who can become pregnant in the United States are facing an unprecedented human rights crisis.
      A patchwork of devastating laws now blankets the country. One in three women and girls of reproductive age now live in states where abortion access is either totally or near-totally inaccessible…and a climate of fear is being purposefully sewn to restrict women, girls, and people who can get pregnant from finding legal abortion care.
      “Yet despite these coordinated and vitriolic attacks on our rights, Americans continue to overwhelmingly support access to safe and legal abortion, multiple states have added new protections, and activists across states continue to advocate for their rights. Abortion is a human right and basic healthcare, and activists across the country and around the world are more determined than ever to ensure that people across the USA will be able to access this right.”
      A Planned Parenthood abortion-providing clinic in Fairview Heights, Illinois saw a 700% increase in abortion-seeking patients from out of state.According to a new report by Jezebel, Planned Parenthood said that the 700% increase in out-of-stage patients seeking abortions in their Fairview Heights clinic comes along with a 35% increase in abortion patients overall who came to the clinic in the last year.Speaking to the outlet, Yamelsie Rodriguez, president and CEO of Reproductive Health Services of St. Louis region’s Planned Parenthood branch, said that the patients coming to her clinic hail from 29 states and are “mostly from the South.”The Guttmacher Institute has categorized Illinois as a state with “protective” abortion policies. Currently, abortion is banned at fetal viability, generally 24–26 weeks of pregnancy, and state Medicaid funds cover abortions.In addition, Illinois has a shield law that protects abortion providers from investigations launched by other states.Following the overturn of Roe vs. Wade, women of color have found themselves struggling even more to access reproductive healthcare in a medical and political landscape that has traditionally failed them.The Guardian’s reproductive rights reporter Poppy Noor profiled two women, Anya Cook and Samantha Casiano, on their experiences of being denied abortions in post-Roe America.Here is the full story on Cook and Samantha’s experiences and how they reflect the harsh realities faced by countless of other women of color in America:In a video address on Saturday, New York attorney general Letitia James reaffirmed New York’s status as a safe haven for abortion seekers and promised to continue fighting for reproductive rights. James said:
      “A ban on abortions will not ban abortions. It will only ban safe abortions.
      But it’s important to know that New York is a sanctuary city and state and that we provide assistance to young women, individuals who need reproductive care…
      Here in New York, we believe in you having control over your body and we believe in providing you with healthcare.
      I will continue to fight and to use the law to protect your rights each and every day.”
      Barbara Lee, a US representative from California since 1998, has pledged to continue fighting for reproductive rights in light of the first anniversary of Roe’s overturn.“I’m going to keep fighting for every person who finds herself in the same situation I was once in: pregnant, out of options, and forced to take extreme measures,” Lee tweeted.Lee, a longtime champion of women’s rights, is the author of the EACH Woman Act which would repeal the discriminatory Hyde Amendment that has restricted many women’s access to reproductive healthcare, her website said.Singer Demi Lovato has released a new song inspired by the first anniversary of Roe v Wade’s overturn.Lovato titled the pro-choice song “Swine,” which was released on Thursday.
      “It’s been one year since the Supreme Court’s decision to dismantle the constitutional right to a safe abortion, and although the path forward will be challenging, we must continue to be united in our fight for reproductive justice.
      I created ‘SWINE’ to amplify the voices of those who advocate for choice and bodily autonomy. I want this song to empower not only the birthing people of this country, but everyone who stands up for equality, to embrace their agency and fight for a world where every person’s right to make decisions about their own body is honored,” Lovato wrote in an Instagram caption.
      The music video features Lovato in front of men who appear to represent supreme court justices as she leads a revolt.
      “My life, my voice/My rights, my choice/It’s mine, or I’m just swine,” she sings. “My blood, my loins/My lungs, my noise/It’s mine, or I’m just swine,” she sings.
      Here are some images coming through the newswires as people across the country attend rallies marking the one-year anniversary of Roe’s overturn:Chelsea Clinton has also chimed in on first anniversary of the supreme court’s decision that stripped federal protections of reproductive rights from women, saying that she’s “really f**king angry.”In an interview at Aspen: Health in Aspen, Colorado, NBC host Kristen Welker asked the daughter of former president Bill Clinton and former secretary of state Hillary Clinton on her thoughts about the supreme court’s decision.Clinton replied:
      “I’m really f**king angry and I am — and that is an uncomfortable place to be because of the historical women tropes that so often have been used to kind of silence and diminish women and our voices, not just in this country but throughout human history. But I’m really angry because we know that women have died.”
      Vice-President Kamala Harris took the stage in North Carolina on Saturday and delivered an impassioned address on restoring nationwide reproductive freedoms following a year since the supreme court’s decision to strip them.Speaking to a crowd full of supporters including healthcare professionals and activists, Harris said:
      “How dare they? How dare they attack basic healthcare? How dare they attack our fundamental rights? How dare they attack our freedom?…
      In the midst of this healthcare crisis, extremist so-called leaders in states across our nation have proposed or passed more than 350 new laws to restrict these freedoms and the right to have access to reproductive healthcare. Right now in our country, 23 million women of reproductive age live in a state with an extreme abortion ban in effect…
      Most of us here know is that many women don’t even know they are pregnant in six weeks. Which by the way tells us most of these politicians don’t even understand how the body actually works. They don’t get it,” Harris continued.
      She went on to issue a strong warning towards Republican lawmakers in Congress, saying:
      Extremist Republicans in Congress have proposed to ban abortion nationwide. But I have news for them. We’re not having that. We’re not standing for that. We won’t let that happen. And by the way, the majority of Americans are with us.
      The majority of Americans, I do believe, agree that one does not have to abandon their faith or deeply held beliefs to agree the government should not be telling her what to do with her body…
      The United States Congress must put back in place what the Supreme court took away.”
      A handful of Democratic lawmakers have pledged their support on Saturday to protect and fight for reproductive rights as the country marks first anniversary of Roe’s overturn.“House Dems are working hard to stop these extremists and restore reproductive freedom. Together we will win,” wrote Hakeem Jeffries, House minority leader.“A year after SCOTUS’ disastrous Dobbs decision, I’m highlighting that districts like mine – and Black women in particular – are hurting the most,” said US representative Jasmine Crockett of Texas’s 30th district.
      “My district is 40% Black and majority women. It’s the people I represent that are hurt by life-saving medical care the most … North Texas has the highest rate of hospitalization due to pregnancy complications in the entire state … For all their talk about protecting babies, let me ask you this: What happens to the already born children of a mother who dies from pregnancy complications because she can’t get the treatment she needs during an ectopic pregnancy? Who’s protecting them?” Crockett added.
      US representative Jamie Raskin of Maryland tweeted: “Pro-choice America won’t rest until we restore women’s freedom as law of the land.”Senator Tammy Duckworth of Illinois echoed similar sentiments, saying:
      “Let’s be honest: Republicans’ anti-choice agenda is not about protecting life. If it was, perhaps they would help us tackle our maternal mortality crisis or do something–anything–to help end gun violence. But they don’t. Because it’s not about saving lives. It’s about control…
      Look, I know that a lot of us are tired from the seemingly endless fight to protect our most basic human rights. But we have to do more. Congress has to do more.”
      House Democrats also joined the pledges as they released compilation of various members promising to protect reproductive freedoms:As reproductive rights activists protested against the end of Roe v Wade, anti-abortion leaders celebrated one year since the landmark decision was overturned.Speaking at the Faith & Freedom Coalition’s Road to Majority conference in Washington, Marjorie Dannenfelser, president of the anti-abortion group Susan B Anthony Pro-Life America, framed the end of Roe as just the beginning of right-wing activists’ work.
      “We are at the starting line,” Dannenfelser said. “We have just begun. We have just begun a journey to start saving lives.”
      More people are feeling backed into a corner after the supreme court struck down the nationwide right to abortion last year, with many turning to birth control. In one of our latest features in our ‘A year without Roe’ series, Ema O’Connor explores the way that people’s relationships with birth control have evolved over the past year.O’Connor reports:Dr Rachel Neal, an OB-GYN working out of Atlanta, Georgia, said she has seen a trend toward LARCs nationally over the past six years, in part due to Trump’s presidency, as well as medicaid expansion and more insurance plans covering long term contraceptives. But in the past year Dr Neal has also seen an increased skepticism about any methods – including many birth control pills and IUDS – that pause or stop menstruation altogether. Before Roe was overturned, Dr Neal said that patients often saw not getting their periods as a positive side effect because they didn’t have to deal with cramps or spend money on tampons.
      “Now they’re uneasy towards methods that cause them to have no periods because they want to … prove to themselves that they’re not pregnant,” Dr Neal said.
      For the full story, click here:President Joe Biden has issued a statement to mark the one-year anniversary of the supreme court’s overturn of Roe, which he said “has already had devastating consequences.”
      “States have imposed extreme and dangerous abortion bans that put the health and lives of women in jeopardy, force women to travel hundreds of miles for care, and threaten to criminalize doctors for providing the health care that their patients need and that they are trained to provide.
      Yet state bans are just the beginning. Congressional Republicans want to ban abortion nationwide, but go beyond that, by taking FDA-approved medication for terminating a pregnancy, off the market, and make it harder to obtain contraception. Their agenda is extreme, dangerous, and out-of-step with the vast majority of Americans.
      My administration will continue to protect access to reproductive health care and call on Congress to restore the protections of Roe. vs. Wade in federal law once and for all.” More

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      ‘The more women accuse him, the better he does’: the meaning and misogyny of the Trump-Carroll case

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      Donald Trump has boasted about grabbing women by the pussy without their consent. He has made innumerable misogynistic comments. He has been accused of sexual misconduct by at least 26 women. He has suggested that some of the women who have accused him of misconduct were too unattractive to assault. And, until this week, he has managed to get away with all of it. Trump has faced no meaningful consequences for his actions; he has given every impression of being above the law.Until this week. It may have taken decades, but the law has finally caught up with Trump. On Tuesday, a jury in New York found that the former president sexually abused the advice columnist E Jean Carroll in the changing room of a department store 27 years ago. It was a civil case, so Trump hasn’t been taken away in handcuffs, but his reputation and his wallet have suffered a blow. While the jury did not find that Trump raped Carroll, its verdict brands him a sexual predator. Carroll was awarded $5m (£4m) in total: $2.02m in compensation and damages for her battery claim and $2.98m in compensation and damages for defamation, as a result of Trump calling her a liar.“I filed this lawsuit against Donald Trump to clear my name and to get my life back,” Carroll said on Tuesday. “Today, the world finally knows the truth. This victory is not just for me but for every woman who has suffered because she was not believed.”It is hard to overstate just how profound it is to see one of the world’s most prominent men finally held accountable for his actions – and at a time when women’s rights in the US seem to be going backwards. “The verdict in this case is important to survivors of sexual abuse,” says the trailblazing equal rights lawyer Gloria Allred. “It will cause many of them to believe that if they are sexually abused and defamed by a rich, powerful and famous man that they may be able to fight back and win in a civil lawsuit, even if it is too late for a criminal case to be filed or even if no police report is ever made.”The activist Shannon Coulter says that the verdict feels deeply personal. “Ever since the release of the Access Hollywood tape [in which Trump made his “Grab ’em by the pussy” remark], I’ve been on this journey of understanding my own rage around the words Donald Trump said on it,” Coulter says. “This journey included confronting the sexual assault I experienced as a younger woman at the hands of a powerful man. With E Jean Carroll’s victory today, something has come full circle for me. I feel more peaceful. Less angry. I feel that some small amount of justice has, at last, been served, not just to Donald Trump, but to any man who believes that power eclipses consent.”Carroll’s victory came at a high price. First, there was the assault itself: the panicked minutes spent trapped alone with Trump, struggling as she tried to push him off. When she spoke publicly about the assault for the first time, in an article in New York magazine in 2019, Carroll wrote: “I have never had sex with anybody ever again.” Then there was the aftermath: being forced to relive the assault again and again, having every detail poked, prodded and scrutinised.Why did she take so long to come forward? Because, Carroll wrote in her essay, she knew exactly what the response would be; every woman does. “Receiving death threats, being driven from my home, being dismissed, being dragged through the mud, and joining the 15 women who’ve come forward with credible stories about how the man grabbed, badgered, belittled, mauled, molested, and assaulted them, only to see the man turn it around, deny, threaten, and attack them, never sounded like much fun,” she wrote.Of course, everything that Carroll expected to happen when she came forward happened immediately. Trump’s defence was steeped in sexism and victim-blaming; it was a masterclass in misogyny. In video testimony in October, Trump claimed that Carroll was a “nut job” who had “said it was very sexy to be raped”. In fact, what she had said was that some other people “think rape is sexy”. Meanwhile, Trump’s lawyer Joseph Tacopina called Carroll’s case “a scam” and accused the writer of “minimising real rape” and trying to profit from her accusations.What constitutes “real rape”, according to Tacopina? Well, it’s not rape if there is no screaming, he appeared to insinuate. At one particularly gruesome point in the trial, Tacopina repeatedly asked Carroll why she didn’t scream during the assault. “I was in too much of a panic to scream,” Carroll replied. Tacopina kept pushing the issue. Why hadn’t she screamed? Why hadn’t she behaved in the manner that he, Trump’s lawyer and an apparent expert on assault, expected a rape victim to behave? “I’m telling you he raped me whether I screamed or not,” an exasperated Carroll replied. “One of the reasons women don’t come forward is because they’re always asked: ‘Why didn’t you scream?’ Some women scream. Some women don’t. It keeps women silent.”“Rape myths – myths that allegations of sexual assault are uniquely untrustworthy, that women have to perform victimhood in a certain way to be credible, or that women should not be believed if they are imperfect human beings – are still powerful in our culture,” says Emily Martin, a spokesperson for the National Women’s Law Center Action Fund. “They often show up in courtrooms. We saw some of them in this trial. E Jean Carroll’s courage reaffirmed the power of survivors’ voices to create change. But no one should have to be this courageous or face the misogynistic vitriol she has faced in order to get some measure of justice. Our legal systems – and our media narratives – often fail survivors.”This trial is over, but the misogynistic vitriol directed at Carroll isn’t. Trump doesn’t take losing well and responded to the verdict in his usual restrained and eloquent manner, smearing Carroll as a liar. “I HAVE ABSOLUTELY NO IDEA WHO THIS WOMAN IS. THIS VERDICT IS A DISGRACE – A CONTINUATION OF THE GREATEST WITCH HUNT OF ALL TIME!” he wrote on his social media platform.Trump has repeated the assertion that he doesn’t know who Carroll is multiple times, despite the fact that a photograph taken in 1987 shows them together with their then spouses. He has also said that she isn’t his “type”, despite once mistaking a picture of her for his second wife, Marla Maples.What does Trump plan to do now? Hours before the verdict was announced, Trump said he would appeal. He repeated this intention to Fox News Digital after the verdict. “We’ll appeal. We got treated very badly by the Clinton-appointed judge,” Trump complained. “And [Carroll] is a Clinton person, too.” He then added: “I have no idea who this woman is.”If Trump does appeal, his argument will probably be that the case was an attempt to stop him from winning the presidency in 2024. A statement sent to reporters by the Trump campaign, for example, alleged that the trial was a “political endeavour targeting President Trump because he is now an overwhelming front-runner to be once again elected President of the United States”. That last bit isn’t bombast: Trump is the frontrunner for the Republican nomination and a Washington Post/ABC News poll released this month showed Biden trailing Trump by six percentage points in a theoretical rematch. Some analysts have questioned the methodology of that poll, but the fact remains: Trump should be taken seriously as a 2024 contender.Could the Carroll verdict hurt Trump’s political future? In a sane world, this wouldn’t even be up for debate. In a sane world, having a jury of nine people deliberate for just three hours before finding unanimously that you sexually assaulted a woman and defamed her should end your career. But, as has been demonstrated time and time again, the rules work differently when it comes to Trump. During the trial, Carroll’s attorney Michael Ferrara asked the writer why she didn’t go public with her allegations when Trump first ran for president. “I noticed that the more women who came forward to accuse him, the better he did in the polls,” she said.“Trump has always made the ability to have anyone he wants and do anything he wants with impunity part of his brand,” says Ruth Ben-Ghiat, a historian who writes about authoritarianism, democracy protection and propaganda. “When the Access Hollywood tapes came out right before the 2016 election, most people thought that would be the end of him – but it was the opposite.”This verdict won’t necessarily hurt Trump, Ben-Ghiat believes; he will just spin it so that it fits the tried-and-tested narrative that he is a victim of the liberal elite. “Trump is a superb propagandist and for years he’s pushed the narrative of himself as the victim of a witch-hunt and pushed the idea that the deep state is after him,” she says. It’s important to remember, Ben-Ghiat says, that “Trump is not a normal politician – he’s a cult leader. We’ve already seen how he managed to indoctrinate tens of millions of people into discarding the facts in front of them and believing that he didn’t lose the 2020 election.”If you need any more evidence that Trump isn’t a normal politician, look at the extraordinary advice that the US district judge Lewis Kaplan gave jurors in the Trump-Carroll case. They have had their identities kept secret, due to Kaplan’s concerns that they might face “harassment … and retaliation” from Trump supporters. After the verdict, Kaplan told the jurors that they were now allowed to identify themselves if they wished, but strongly suggested that they didn’t. “My advice to you is not to identify yourselves. Not now and not for a long time,” Kaplan said.To repeat: a judge warned a jury that they might face violence from Trump supporters. It’s the sort of warning you expect in the trial of a mob boss, not a former president. “These jury instructions show again that he’s not a normal politician – he’s a violent cult leader,” Ben-Ghiat says.Of course, while Trump may have a cult-like following, he is not omnipotent. The manner in which he is able to spin the Carroll verdict to his followers depends on what media platforms he is given and how journalists challenge his narrative about the trial. The first big test of this will be Wednesday’s live town hall forum on CNN, the first major television event of the 2024 presidential campaign. In a social media post on Tuesday, Trump seemed ambivalent about his big return to primetime. “Could be the beginning of a New & Vibrant CNN, with no more Fake News,” Trump wrote. “Or it could turn into a disaster for all, including me. Let’s see what happens?” More

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      ‘We will not cave’: governors stockpile abortion drugs as access is threatened

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      Several Democratic governors have moved swiftly to protect access to medication abortion in their states after a ruling by a Texas judge late last week threatened access to the widely used abortion drug mifepristone.In an announcement on Monday, Governor Maura Healey of Massachusetts said her state had ordered about 15,000 doses of mifepristone, the first of two drugs in a medication abortion regimen that has been approved for use up to the 10th week of pregnancy.Healey also issued an executive order that she said would help protect access to medication abortions and shield providers who perform them.In California, Governor Gavin Newsom, also a Democrat, said his state had secured an emergency stockpile of up to 2m pills of misoprostol, the second drug in the regimen that can be used safely on its own, though is slightly less effective as a single medication. That drug, which is used to treat other medical conditions, is also being targeted by anti-abortion groups seeking to remove it from the market.“In response to this extremist ban on a medication abortion drug, our state has secured a stockpile of an alternative medication abortion drug to ensure that Californians continue to have access to safe reproductive health treatments,” Newsom said in a statement. “We will not cave to extremists who are trying to outlaw these critical abortion services. Medication abortion remains legal in California.”Their actions come after US district judge Matthew Kacsmaryk, an appointee of Donald Trump known for his anti-abortion views, issued a ruling late on Friday that invalidated the 23-year-old approval of mifepristone by the Food and Drug Administration (FDA). On the same night, a federal judge in Washington state issued a contradictory ruling that ordered the FDA to maintain the drug’s approval in at least 17 states where Democrats had sued.On Monday, the US justice department appealed the Texas ruling, asking a federal appeals court to place a hold on the “extraordinary and unprecedented order”. Underscoring the legal uncertainty surrounding the dueling orders, the administration separately asked the federal court in Washington state for clarity.With access to the drug imperiled, and Democrats stymied in Washington by the Republican majority in the House of Representatives, a handful of liberal state governors said they were taking matters into their own hands.“A judge has made a politically motivated decision to override doctors, patients and medical experts and block access to critical medications,” Healey said on Monday, unveiling the plan at a press conference outside the Massachusetts statehouse in Boston. “Today, we collectively are saying loud and clear: not on our watch.”In anticipation of the Texas ruling, the Democratic governor of Washington, Jay Inslee, announced last week that his state would stockpile a three-year supply of mifepristone in the event the drug became more difficult to access. Days later, Kacsmaryk issued his ruling.Several other Democratic governors and state attorneys general have condemned the ruling while seeking to make clear that, at least for now, the drug remains available. Some went further, promising to keep medication abortion legal and accessible in their states, although without providing further details.More than half of abortions in the US rely on medication abortion, and most of those involve the two-drug protocol. If the appeals court doesn’t intervene, the Texas ruling would take effect on Friday with far-reaching implications for access.The FDA approved mifepristone to terminate pregnancy in 2000, when used with misoprostol. Despite claims made in the Texas lawsuit, there is decades’ worth of scientific research concluding that mifepristone is safe.States have become the epicenter of the fight over abortion rights since the supreme court’s landmark decision last June to overturn Roe v Wade. Since then, more than a dozen Republican-led states have enacted abortion bans or severely restricted access to the procedure.​Anti-abortion groups have long targeted medication abortion, the most common method for terminating a pregnancy in the US. But it became the focus of efforts after the supreme court’s landmark decision last June to overturn Roe v Wade, allowing states to regulate abortion.Although more than a dozen Republican-led states moved quickly to ban or severely restrict abortions​, with scores of new limits pending before state legislatures this session, Democratic-led states have pushed in the opposite direction. Yet if the Texas ruling stands, experts say it would upend access nationwide, limiting the drug even in states where abortion is legal.Abortion opponents in blue states denounced the efforts by Democratic governors to preserve access to medication abortion.“It is appalling that Gavin Newsom is so obsessed with ending the lives of children in the womb that he is attempting to stockpile dangerous and potentially illegal drugs,” California Family Council president Jonathan Keller wrote on Twitter. “California again proves the only ‘choice’ they care about is abortion.”Newsom said the judge’s ruling “ignores facts, science and the law” in a way that puts “the health of millions of women and girls at risk”.“Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away,” he said.Other supporters of abortion rights similarly denounced the conservative judge’s decision on abortion as “unprincipled” and out of step with the American public. In states where the issue has been put on the ballot, from right-leaning Kansas to battleground Michigan and liberal Vermont, voters have opted to preserve or expand access.“I’ve fought like hell to protect abortion access and I’m not backing down,” Michigan’s governor, Gretchen Whitmer, said on Friday. “I will keep taking steps to expand access to reproductive healthcare and fight against anyone threatening our rights.”Whitmer recently signed legislation repealing the state’s nearly century-old abortion ban, after Michigan voters overwhelmingly approved a ballot initiative in November to enshrine abortion protections into the state constitution.Democrats and reproductive rights advocates believe the issue will continue to motivate voters in the coming election cycles after lifting them to victories across the country in the 2022 midterms. Last week’s election of a liberal judge to serve on the Wisconsin supreme court brought fresh evidence of the enduring potency of abortion politics.“This decision will only enrage Americans further and move them to more action,” Mini Timmaraju, president of the Naral Pro-Choice America advocacy group, said on a call with reporters on Monday. “Our eyes are on 2023 and 2024 – 2022 was just the beginning.” More