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      ‘Government by the worst’: why people are calling Trump’s new sidekicks a ‘kakistocracy’

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      Matt Gaetz chosen to run the justice department. Fox hosts in charge of the Pentagon and transportation. Elon Musk as head of layoffs. And Robert F Kennedy Jr and Dr Oz overseeing the nation’s health.Some have likened Donald Trump’s administrative picks to a clown car; others are calling our incoming leadership a kakistocracy, or “government by the worst people”, as Merriam-Webster puts it.The word has been trending online, with a burst in search traffic in recent weeks and a new dedicated subreddit. It’s not the first time Trump has (accidentally) made the term famous; many discovered it in his first term. But even after Gaetz’s departure, the kakistocracy of 2016 looks like Mister Rogers’ Neighborhood compared with the president-elect’s new batch of sidekicks.It’s not the first time a president has popularized the term. Trump would be horrified to know he shares this distinction with several of America’s least-discussed presidents, including Rutherford B Hayes, James Garfield and Chester A Arthur. This trio – somehow forgettable despite the fact that the middle one was assassinated – led the US from the late 1870s to the early 1880s, a period following Reconstruction that saw the expansion of Jim Crow laws and segregation, as well as another election in which the parties clashed over the results. That span saw a surge in the use of the word, as Kelly Wright, assistant professor of language sciences at the University of Wisconsin-Madison, points out based on Oxford English Dictionary data. “Hayes’ term was absolutely being described as a kakistocracy,” she says. (1880 was also a general election year in the UK, another country known for its contributions to the English language. That year, William Gladstone became prime minister for the second time; perhaps his opponents were among those giving the word a boost.)In fact, as André Spicer wrote in the Guardian in 2018, the term has been around since at least 1644, during the English civil war, when a sermon warned of “a mad kinde of Kakistocracy” looming.Its roots, of course, go back even further – it’s borrowed from the Greek kakistos, or “worst”, which itself probably comes from the Proto-Indo-European word kakka, meaning “to defecate”.In other words, as Nancy Friedman wrote at her Substack on language in 2016, “you could say that kakistocracy is ‘government by the shitty’.”The term resurfaced on both sides of the Atlantic in the 19th century. Initially it tended to refer to government by the “unskilled, unknowledgeable and unvirtuous”, rather than the infallible aristocracy, Spicer wrote, but by the 20th century, it referred more to government by the corrupt. Today, Friedman’s definition seems most apt.But why does a word that is rarely used in common speech have such longevity? Nicole Holliday, acting associate professor of linguistics at the University of California, Berkeley, likens the term’s use to identifying a disease: “Some of this is about there being a diagnosis, and if there’s a diagnosis, then maybe there’s a treatment,” she says.Wright agrees. Those embracing the term, she says, may be thinking: “I didn’t know there was a word for this, and now that I do it helps me understand what’s going on.”Americans, Holliday says, love labels. “We like having words for things, because then they seem like they’ve been en-thing-ified” – in what sociolinguists call “enregisterment”, kakistocracy becomes an identifiable phenomenon. “Language is social,” Holliday notes, and when we have “conventionalized ways of talking about things, it makes us feel less alone” – especially when other ways of describing the situation feel inadequate.Of course, it’s not just the modern American left that uses the word; another ex-Fox host, Glenn Beck, used it during the Obama years; Boris Yeltsin also received the distinction. In fact, Wright says, usage has been fairly stable for five centuries.“We have no real opposite of kakistocracy, because competency is assumed to be the normal order of things,” Holliday says. “It’s not notable that the government is being run by the most competent people, because, indeed, that’s what you think should be happening. It’s only notable when it’s not.”

      This article was updated on 21 November 2024 to reflect Matt Gaetz’s withdrawal from consideration for attorney general. More

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      Hear me out: RFK could be a transformational health secretary | Neil Barsky

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      Among the cast of characters poised to join the Trump administration, no one is as exasperating, polarizing or potentially dangerous as Robert F Kennedy Jr. But in a twist that is emblematic of our times, no single nominee has the potential to do as much good for the American people.Bear with me. RFK Jr has been rightly pilloried for promoting a litany of theories linking vaccines with autism, chemicals in the water supply to gender identity, how people contract Aids and saying the Covid-19 vaccine, which in fact stemmed the deadliest pandemic of our lifetimes, was itself “the deadliest vaccine ever made”. He claimed Covid-19 was meant to target certain ethnic groups, Black people and Caucasians, while sparing Asians and Jewish people.In normal times, these notions would be disqualifying. Spouting unfounded scientific claims is corrosive to a functioning democracy. It weakens the bonds of trust in our public institutions, and feeds the rightwing narrative that all government is illegitimate. This is why, writing in the Guardian this September, I dismissed the prospect of RFK Jr, saying his “anti-vaccine work is more likely to make America have measles again”.But these are not normal times. RFK Jr is Donald Trump’s pick to run our country’s health and human services department. He will have a massive impact on our broken, expensive and largely ineffectual delivery of healthcare services. How shall we deal with this?On one hand, RFK Jr’s anti-vaccine views are beyond the pale. To obtain Senate approval, I think he will have to repudiate the unproven assertion that the Covid-19 vaccine was harmful, and embrace the scientific reality that vaccines for measles, smallpox, coronavirus and other contagious diseases are in fact modern medical miracles that spared the lives hundreds of millions of people. And here is where I will part company with many of my Trump-fighting friends: should RFK Jr be able to abandon his numerous conspiracy theories about vaccines, he can be the most transformative health secretary in our country’s history.This is because RFK Jr has articulated what our Democratic and Republican leaders have largely ignored: our healthcare system is a national disgrace hiding in plain sight. He recognizes the inordinate control the pharmaceutical and food industries over healthcare policy, and the revolving door that exists among congressional staffers, pharmaceutical lobbyists and corporate executives. In testimony during hearings chaired by the Republican senator Ron Johnson this past September, Kennedy offered a lucid analysis of what is making America metabolically sick; he railed against big pharma and big food, and drew links between the damage done by ultraprocessed foods such as seed oils and sugars to our health, as well as the efforts of the food industry to come up with chemicals that make these foods addictive.He advocates banning pharmaceutical advertising on television, and wants to clamp down on the corporate ties to federal agencies such as the Food and Drug Administration and National Institute of Health. (To my knowledge, he has not spoken out against the egregious cost of life-saving drugs or unequal access to medical treatment, but hopefully he will get around to that as well.)We spend $4tn on healthcare annually, and lead the world in spending more than $12,000 per person, 50% more than Switzerland, which is the second biggest spender per capita. American doctors dominate the Nobel prizes for medicine, and our medical schools are considered the best in the world. Yet we appear incapable of stemming the epidemic of chronic diseases. A staggering 73% of us are obese or overweight and more than 38 million people suffer from diabetes.This issue hits home for me, as I was diagnosed with severe type 2 diabetes in 2021, and – after receiving terrible medical advice to rely on insulin and metformin – reversed my condition by adopting a diet low in carbohydrates. This year, I published a “follow the money” series for the Guardian, Death By Diabetes, in which I highlighted the heavy influence of big pharma and big food on the American Diabetes Association (ADA). The ADA is a so-called patient advocacy group that sets the standard of care for diabetes treatment in this country, and yet it accepts money from food companies such as the makers of Splenda and Idaho potatoes – two products which have been found to increase people’s risk of getting diabetes.I subsequently wrote about amputations, and the reality that African Americans with diabetes are four times more likely to endure that grim procedure than white people. I view nutrition and metabolic health as a matter of racial and economic equity. I am clear-eyed, I think, of the serious risks to public health that RFK Jr’s unfounded anti-vaccine views pose. But so long as we still have a voice and can find a drop of hope in these terrible times, I think we should try to tilt policy toward the public good where we can. To that end, here is the game plan I believe RFK Jr should pursue.

      Lose the conspiracies and stick to the science. RFK Jr is right, and there is more than ample research to focus on the deleterious impact of sugars and seed oils. Following the money has always been a valuable strategy. Let’s start there.

      Lean on the vast ecosystem of committed researchers, clinicians and writers who have devoted their career to promoting metabolic health, even while knowing they would forfeit access to government and pharmaceutical grants. Many of these mavericks come from top medical schools, but they are a decided minority on their faculties. They include clinicians such as Georgia Ede, Mariela Glandt, Tony Hampton, Eric Westman, scientists such as Benjamin Bikman, Ravi Kampala, Cate Shanahan, and writers such as Gary Taubes, Nina Teicholz and Casey Means. These are heroic people who, in getting to know them and reading their work, I have found to be intellectually honest health practitioners.

      Appoint a diabetes czar to come up with proposals to once and for all fix this deadly and utterly reversible disease. I choose this particularly chronic ailment because it is ubiquitous, ruinously expensive, a disease that disproportionately afflicts the poor, is closely connected to our obesity epidemic, and utterly reversible through diet. Wouldn’t it be amazing if we could finally reverse type 2 diabetes in our lifetime?

      Increase federal funding of nutrition studies. The FDA and NIH historically have tilted the research scales in favor of studies that might produce the next blockbuster drug. In reality, we still do not understand why we get fat and why we have seen an increase in chronic (non-contagious) diseases such as diabetes, Alzheimer’s and Crohn’s.

      Severely regulate the ability of cereal companies to market their sugary wares to children, and the ability of pharmaceutical companies to barrage the rest of us with advertisements. Will a Republican-controlled Congress allow for more government regulation – even if it saves lives?
      RFK Jr’s ascent represents a tricky issue for people like myself who strongly supported the election of Kamala Harris. Healthcare is far from the only issue I am committed to, and I am disgusted by the Trump administration’s plans to deport millions of undocumented people, its attack on democratic institutions, and possible abandonment of Ukraine and the Nato alliance. While I disagreed with Liz Cheney about many, if not most, issues, I also embraced her apostasy when it came to the election – I adhere to the approach of not interrupting people you disagree with while they are doing the right thing.After writing something unkind about RFK Jr in the days leading up to the election, I received a private note from Jan Baszucki, a prominent metabolic health advocate I have come to admire over the past year. “With all due respect,” she wrote. “I am a big fan of your reporting on type 2 diabetes. But your comments about RFK Jr … are not helpful to the cause of metabolic health, which is only on the national agenda because he put it there.”Leading up to the election, I believed RFK Jr was fair game. I was, and remain, particularly concerned that his fringe ideas about vaccines and poisons would get conflated with his excellent perspective on metabolic health, and hurt the cause. Now I think we should be constructive where we can advance the public good.The larger question hanging over RFK Jr’s term as HHS secretary is whether Donald Trump will back him up when he takes on the pharmaceutical and food industries. The US’s health is not an issue the president-elect has evinced an interest in in the past. And his embrace of corporate executives such as Tesla’s Elon Musk suggests crony capitalism could be the dominant theme of the second Trump administration. But if we know anything about what makes Trump tick, we know that he responds to positive reinforcement.After all, it was the criminal justice advocates such as Van Jones and Trump’s son-in-law Jared Kushner who coaxed him into supporting the First Step Act, a significant piece of criminal justice reform (and one which Trump now forswears). As founder of the Marshall Project, the non-profit journalism organization that covers the US criminal justice system, I believe criminal justice reform should also be a matter of national urgency, yet at the time, I was ambivalent about efforts to work with the administration. In retrospect, whatever harm Trump might have otherwise inflicted, I would say we are a better country for the First Step Act.We are in a similar dilemma with respect to healthcare today: the system is ruinously expensive and inhumane. If there is someone in the administration who wants to make things better, let’s not interrupt him.

      Neil Barsky, a former Wall Street Journal reporter and investment manager, is the founder of the Marshall Project More

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      Trump likely to choose surgeon and writer Marty Makary as FDA chief

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      Donald Trump is likely to choose the Johns Hopkins surgeon and writer Martin Makary to lead the Food and Drug Administration, two sources familiar with the matter told Reuters on Wednesday.Makary raised concerns about a number of public health issues during the Covid pandemic, touting the protection from natural immunity and opposing Covid vaccine mandates.The FDA is the world’s most influential drug regulator with a more than $7bn budget. It is responsible for approving new treatments and ensuring they are safe and effective before entering the biggest and most lucrative market. It has regulatory authority over human and veterinary drugs, biological medicines, medical devices and vaccines.The agency is also responsible for maintaining safety standards for the food supply, tobacco, cosmetics, and products that emit radiation.Brian Hughes, a spokesperson for the Trump transition team, said he would not speculate on or get ahead of any announcement.As FDA commissioner, Makary would report to the head of the Department of Health and Human Services.To lead HHS, Trump has nominated Robert F Kennedy Jr, an environmental activist who has spread misinformation about the safety of vaccines and one of several unconventional Trump picks for top administration jobs.As a doctor, Makary was a co-developer of the Surgery Checklist, a routine for surgeons that improved patient outcomes and has been spread around the globe by the World Health Organization.His most recent book, Blind Spots, was published in September. In interviews promoting the book, he spoke against what he called “massive overtreatment” in the US that he called “an epidemic of inappropriate care”.He has advocated for re-examining the use of hormone replacement treatment in menopausal women, reducing overuse of antibiotics and reforms to medical education.Makary, who lives in Baltimore, has served as an adviser to the conservative healthcare thinktank Paragon Health Institute in Washington.If confirmed by the Senate, he would succeed Dr Robert Califf, a cardiologist and researcher who also held the role of FDA commissioner in the Obama administration.In his second term, Califf revamped the agency’s food operations and inspections processes and tried to combat misinformation. More

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      House ethics committee fails to agree on Gaetz report; Sarah McBride responds to Capitol bathroom ban – live

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      Susan Wild, the ranking Democrat on the House ethics committee, accused the committee’s chair, Michael Guest, of “betraying the process” and mischaracterizing the meeting.She said that the committee voted on whether to release the report but were in deadlock along party lines.“In order to affirmatively move something forward, somebody has to cross party lines and vote with the other side,” Wild told reporters, noting that there were five Democrats and five Republicans on the committee.She said that the committee will reconvene on 5 December to discuss.The state of Texas has offered thousands of acres of land to Donald Trump “to construct deportation facilities”.Texas land commissioner Dawn Buckingham wrote in a letter to Trump that her “office is fully prepared to enter into an agreement with the Department of Homeland Security, Immigration and Customs Enforcement, or the US border patrol to allow a facility to be built for the processing, detention, and coordination of the largest deportation of violent criminals in the nation’s history”.In October, Buckingham’s office, the Texas general land office (GLO), purchased 355,000 acres (144,000 hectares) of land – equivalent to half the size of Rhode Island. Of this, 1,402 acres have been offered to the federal government.The land sits on a ranch in Starr county in the Rio Grande valley on the US-Mexico border.Terms of the purchase were not disclosed, but Buckingham writes in his letter that the land was purchased from a woman who previously had refused to let state officials build a border wall on her property. Now, the state plans to build 1.5 miles (2.4km) of the border wall where they were once denied.The rest of the 353,598 acres, collectively known as “Brewster Ranch”, located near Big Bend national park, were purchased in October for roughly $245m from billionaire and tobacco tycoon Brad Kelley, the state’s largest private landowner. It was one of the most significant public purchases of land in the history of Texas.More than two weeks after election day, there are more than half a million ballots left to count in California, and one of the most closely watched US House races remains too close to call with a razor-thin margin between Michelle Steel and Derek Tran.Democratic challenger Tran has a 314-vote lead over the Republican incumbent in the congressional contest in the southern California district. Republicans already control the US House, as well as the Senate, but picking up the seat would be a big win for Democrats, who lost it to Steel in 2020.Although Steel initially had a commanding lead, the race became neck and neck as election workers tallied more ballots. There are nearly 40,000 ballots left to process in Orange county and more than 30,000 in Los Angeles county, where the district is based.Michael Guest, the chair of the House ethics committee, told reporters that “there was not an agreement by the committee to release the report” on Matt Gaetz, Donald Trump’s pick for attorney general.Guest did not say if the committee took an official vote, but did not say when it would meet again.The committee is evenly split between the two parties.The panel has previously said it was investigating claims that Gaetz “may have engaged in sexual misconduct and/or illicit drug use, shared inappropriate images or videos on the House floor, misused state identification records, converted campaign funds to personal use, and/or accepted a bribe, improper gratuity, or impermissible gift”.The justice department launched its own inquiry into accusations that Gaetz engaged in a sexual relationship with a 17-year-old girl, but the department closed its investigation last year without filing charges. Gaetz has consistently denied the allegations.Sean Casten, a Democratic congressman from Illinois, has threatened to move to force a vote on the House floor to release the House ethics committee’s report on Matt Gaetz, Donald Trump’s pick for attorney general.If the House ethics committee does not vote to release the Gaetz report on Wednesday, Casten said he will introduce a privileged resolution forcing a vote to require the committee to release its report.“The allegations against Matt Gaetz are serious. They are credible. The House ethics committee has spent years conducting a thorough investigation to get to the bottom of it,” he said in a statement.“If the Ethics Committee chooses to withhold this information, later today I will introduce a privileged resolution to require a vote by the full House of Representatives on the release of the Gaetz report.”Tech entrepreneurs Elon Musk and Vivek Ramaswamy have laid out their plans for the new Department of Government Efficiency, or Doge, in a Wall Street Journal op-ed published today.The pair said they will follow recent Supreme Court rulings that they say can be used to take power away from federal agencies to reduce rules that are unnecessary, costly and inefficient, Reuters reports.With an electoral mandate and the 6-3 conservative majority in the court, Musk and Ramaswamy said, the panel has an opportunity to enact substantial structural downsizing within the federal government.“The two of us will advise DOGE at every step to pursue three major kinds of reform: regulatory rescissions, administrative reductions and cost savings,” they wrote.The panel will give its list of regulations to president-elect Donald Trump, “who can, by executive action, immediately pause the enforcement of those regulations and initiate the process for review and rescission,” they wrote.A vote to block arms sales to Israel will be held on Wednesday in the Senate.The joint resolutions of disapproval (JRDs), introduced by the senator Bernie Sanders in September, would prevent the Pentagon from sending another $20bn to Israel as it continues its assault on Gaza – which has killed at least 43,000 people.The resolutions to be voted on the floor, and would block the sale of 120mm mortar rounds, joint direct attack munitions (JDAMS), and tank rounds, must pass both the Senate and the House with a simple majority. If they pass, they go to the president.The Sanders-led effort to stop the flow of arms to Israel comes after the country failed to meet the US-imposed deadline of 12 November to increase humanitarian aid and allow at least 350 trucks into Gaza a day. Despite Israel’s failure, the US took no action.Joe Biden marked his 82nd birthday on Wednesday as Democrats began searching for a younger generation of party leaders following Kamala Harris’s morale-sapping defeat in this month’s presidential election.Democrats are engaged in seeking replacements for the octogenarian leadership represented by the president and 84-year-old Nancy Pelosi, the former House speaker who was recently re-elected to a 20th term as a member of Congress and continues to wield much influence.New leadership may also be on the horizon in the Senate, where the Democrats’ leader, Senator Chuck Schumer, is 73 and recently oversaw the loss of the party’s single-seat majority to the Republicans, who have just replaced their 82-year-old leader, Mitch McConnell.At 54, Hakeem Jeffries, Pelosi’s successor as the party’s leader in the House, is less vulnerable to challenge on age-related grounds, but youth – at least in relative terms – is on Democrats’ minds as they contemplate the road to recovery from a catastrophic reversal at the polls.The party is looking at a younger generation of state governors to emerge as presidential candidates in four years’ time, many of whom would have been in the mix had Biden passed the torch earlier and had there been an open primary or had he not immediately endorsed Harris when he finally stepped aside. They include Pennsylvania’s Josh Shapiro, 51, Gretchen Whitmer of Michigan, who is 53, Gavin Newsom, 57, of California, 49-year-old Jared Polis, the governor of Colorado, and Andy Beshear, 46, the governor of Kentucky.Future leadership may also be available in the person of Pete Buttigieg, 42, the transportation secretary, who has been notably effective in arguing the Democrats’ case in conservative forums like Fox News.Sarah McBride, the first out transgender person elected to Congress, has issued a longer statement after Republican House speaker Mike Johnson announced that transgender women are not permitted to use women’s bathrooms in the Capitol building.“I’m not here to fight about bathrooms. I’m here to fight for Delawareans and to bring down costs facing families,” McBride said in a statement posted to X.“This effort to distract from the real issues facing this country hasn’t distracted me over the last several days, as I’ve remained hard at work preparing to represent the greatest state in the union come January.”The Delaware congresswoman-elect goes on to say that she is looking forward to getting to know her future colleagues on both sides of the aisle, adding: “Each of us were sent here because voters saw something in us that they value.“I have loved getting to see those qualities in the future colleagues that I’ve met and I look forward to seeing those qualities in every member come January. I hope all of my colleagues will seek to do the same with me.”Democratic Representative Mark Pocan, who is the chair of the congressional Equality Caucus, has released a statement condemning Speaker Mike Johnson’s announcement that transgender women are not permitted to use women’s bathrooms in the Capitol building.The statement reads:
      Speaker Johnson’s holier-than-thou decree to ban transgender people from using bathrooms that align with their identity is a cruel and unnecessary rule that puts countless staff, interns, and visitors to the United States Capitol at risk.
      How will this even be enforced? Will the serjeant at arms post officers in bathrooms? Will everyone who works at the Capitol have to carry around their birth certificate or undergo a genetic test? This policy isn’t going to protect anyone-but it is going to open the door to rampant abuse, harassment, and discrimination in the Capitol.
      Republicans can’t even pass a Farm Bill or pass major appropriations bills, so they turn to using these cruel attacks to distract from their inability to govern and failure to deliver for the American people.
      President-elect Donald Trump’s team is reportedly discussing with the digital asset industry whether to create a new White House post dedicated to crypto policy and is vetting candidates, Bloomberg reported this afternoon.If created, it would be the first-ever crypto-specific White House job, per Bloomberg.The House Ethics Committee meeting has begun, according to Politico and the Washington Post.At the meeting, members are expected to discuss whether to release a report on their investigation into allegations of sexual misconduct involving Donald Trump’s attorney general pick, Matt Gaetz. More

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      House ethics committee fails to decide whether to release Matt Gaetz report

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      The House ethics committee deadlocked on releasing a report examining allegations of sexual misconduct against Matt Gaetz, the former Republican representative and Donald Trump’s choice to lead the US justice department, after the panel met behind closed doors on Wednesday.Emerging from the meeting after roughly two hours, most members of the panel declined to offer details on their discussion, but the Republican chair, Michael Guest, told reporters that there was “not an agreement by the committee to release the report”.Susan Wild, the top Democratic representative on the ethics committee, told reporters that the panel did hold a vote on the matter, but there was “no consensus”. Wild implied that the committee, which is evenly divided between Democrats and Republicans, broke along party lines and thus could not reach a decision. The panel plans to reconvene on 5 December, Wild added.The panel has previously said it was investigating claims that Gaetz “may have engaged in sexual misconduct and/or illicit drug use, shared inappropriate images or videos on the House floor, misused state identification records, converted campaign funds to personal use, and/or accepted a bribe, improper gratuity, or impermissible gift”.Guest told reporters before the meeting on Wednesday that he had “some reservations” about releasing the report when it had not yet gone through a review process.“That is something that we will be talking about today, and that’s another reason I have some reservations about releasing any unfinished work product,” Guest said.The justice department launched its own inquiry into accusations that Gaetz engaged in a sexual relationship with a 17-year-old girl, but the department closed its investigation last year without filing charges. Gaetz has consistently denied the allegations.Two women testified to congressional investigators that Gaetz paid them for sex and that he was seen having sex with the 17-year-old, a lawyer for the women has said.As the ethics committee is evenly split between the two parties, it would take only one Republican siding with every Democrat on the panel to have the report released. But prominent Republicans, including the House speaker, Mike Johnson, have cautioned against releasing the report on Gaetz, who resigned his seat immediately after Trump announced his nomination as attorney general.“I think that would be a Pandora’s box,” Johnson told CNN on Sunday. “I don’t think we want the House ethics committee using all of its vast resources and powers to go after private citizens, and that’s what Matt Gaetz is now.”Gaetz was on Capitol Hill on Wednesday with the vice-president-elect, JD Vance, meeting with some of the senators who will decide his fate. After his conversation with Gaetz, Senator Lindsey Graham, a Trump loyalist, indicated he was open to supporting the attorney general nominee and condemned the “lynch mob” raising concerns about the sexual misconduct allegations.“My record is clear. I tend to defer to presidential cabinet choices unless the evidence suggests disqualification,” Graham said in a statement. “I would urge all of my Senate colleagues, particularly Republicans, not to join the lynch mob and give the process a chance to move forward.”Other Republicans, including Senator Markwayne Mullin, have suggested the report should be at least made available to the senators who will vote on confirming Gaetz’s nomination.“I believe the Senate should have access to that,” Mullin told NBC News on Sunday. “Now, should it be released to the public or not? I guess that will be part of the negotiations. But that should be definitely part of our decision-making.”skip past newsletter promotionafter newsletter promotionDemocrats have appeared open to the idea of releasing the report. Nearly 100 House Democrats signed a letter requesting the ethics committee’s findings be released, noting that there was some precedent for issuing reports on former members who resigned amid scandal.Representative Sean Casten, who led fellow Democrats in signing the letter, indicated on Wednesday that he would introduce a privileged resolution to require a full House vote on releasing the report. Casten would need the support of only a handful of Republicans to get the resolution approved in the House, where Gaetz has made enemies on both sides of the aisle.Democratic members of the Senate judiciary committee, which will hold Gaetz’s confirmation hearings, have also requested the FBI’s file on the attorney general nominee.“The Senate has a constitutional duty to provide advice and consent on presidential nominees, and it is crucial that we review all the information necessary to fulfill this duty as we consider Mr Gaetz’s nomination,” the Democrats wrote on Wednesday in a letter to the FBI director, which was obtained by Politico. “The grave public allegations against Mr Gaetz speak directly to his fitness to serve as the chief law enforcement officer for the federal government.”RThe representative Susan Wild, the top Democratic representative on the ethics committee, said on Monday that she supported the report’s release, echoing comments made over the weekend by a fellow Democrat on the committee, Rthe representative Glenn Ivey.“It should certainly be released to the Senate, and I think it should be released to the public, as we have done with many other investigative reports in the past,” Wild told reporters, peraccording to NBC News. “There is precedent for releasing even after a member has resigned.”If the ethics committee report is released, it could further damage Gaetz’s prospects of Senate confirmation, but Trump has floated the idea of installing his nominees via recess appointment to circumvent the confirmation process. More

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      Vance pleads with US senators to back Matt Gaetz as Trump’s attorney general

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      JD Vance has said Donald Trump “deserves a cabinet that is loyal” as he pleaded with senators on Wednesday to support the incoming president’s most controversial nominee, the former representative Matt Gaetz, who faces allegations of sexual misconduct and doubts over his qualifications to be attorney general.Vance, the vice-president-elect and Republican senator for Ohio, met up with Gaetz on Capitol Hill as the House of Representatives’ ethics committee convened to decide whether to release a report that could make or break his chances of confirmation in Senate hearings.The pair also met a procession of Republican senators in the Strom Thurmond Room in the Capitol rotunda as Vance took on the role of selling Trump’s case to fellow senators that Gaetz is a fit and proper person to be America’s top law enforcement official.Amid mounting scepticism, including among some Republican lawmakers, Vance made the case on social media beforehand, telling senators that they owed Trump their support regardless of their reservations about Gaetz.“Donald J Trump just won a major electoral victory. His coattails turned a 49-51 senate to a 53-47 senate,” he wrote.“He deserves a cabinet that is loyal to the agenda he was elected to implement.”The post amounted to a boldfaced effort to cast the Republicans’ newly acquired Senate majority as attributable to the political smarts of Trump, who endorsed several GOP candidates who subsequently went on to unseat vulnerable sitting Democrats.Despite a GOP Senate majority that would normally ensure nominees a safe passage through hearings, hostility toward Gaetz among Republican senators is wide enough to deny him confirmation unless enough of them can be persuaded to change their minds.While some Republican senators are wary of facing a backlash from Trump if they resist Gaetz, others are believed to by buoyed up by the fact that they have just been elected to six-year terms, and so cannot face a primary challenge in the near term.Trump nominated Gaetz, a far-right representative from Florida, as his attorney general after being persuaded that he would purge the Department of Justice and the FBI, against whom the president-elect has vowed retribution as payback for criminal prosecutions they pressed against him.But Gaetz is a controversial choice among senators and fellow congressmembers because of his hardline political views, abrasive character and the fact that he himself has been subjected to an FBI investigation, over sex-trafficking allegations.The inquiry was dropped, but the House of Representatives’ ethics committee conducted its own investigation into the allegations, which included suspicions of him having had sex with a 17-year-old and taking illegal drugs.The committee had been due to publish its report last week but Gaetz threw that into suspension by resigning his seat after Trump nominated him.Vance has been given the task of shepherding at least one of Trump’s other controversial picks, Pete Hegseth as defence secretary, through the Senate. Hegseth, until recently a host on Fox News, also faces a difficult Senate passage over misgivings that he has no qualifying experience to run the Pentagon and previously faced a police investigation over a sexual assault allegation.Following several other questionable picks, Trump has in the past 24 hours nominated Linda McMahon – who gained prominence running World Wrestling Entertainment – as secretary of the Department of Education, which he has vowed to abolish. McMahon, a former head of the Small Business Administration in Trump’s first presidency, has no prior experience running educational institutions or departments.The president-elect also chose Mehmet Oz, a television celebrity, to head the Centers for Medicare and Medicaid Services (CMS), which oversees health insurance for 155 million people.Oz, who has a reputation for pushing theories unsupported by scientific evidence and has no experience in running a government department, has been tasked by Trump to “cut waste and fraud within our Country’s most expensive Government Agency”. More

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      Trump’s cabinet picks are agents of his contempt, rage and vengeance | Sidney Blumenthal

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      “Shock” suddenly became the most commonly uttered word in habitually nonplussed Washington DC. After Donald Trump had attempted to subvert the certification of a presidential election, incited a mob, absconded with national security secrets, was convicted as a felon, and waged his Nazi-esque “poison in the blood” campaign, his brazen cabinet appointments are so mind-boggling that even hard-bitten cynics gasp.Sheer hypocrisy would have drawn a yawn. But Trump’s cabinet selections would have startled even the character of Captain Louis Renault in Casablanca, who feigned surprise at discovering gambling in the backroom of Rick’s Café before pocketing his winnings: “I’m shocked, shocked to find that gambling is going on in here!”If Russia occupied the United States, it would not impose a collaborationist regime of such hare-brained incompetents. Kleptocrats would be expected as commissars, but not patent lunatics. Hitler, for his part, murdered the Nazi radicals in the Night of the Long Knives to solidify his rule over the conservative establishment.Trump declared he would be a dictator on “day one”. But before day one, he has decided to empower some of the most fringe characters floating around his Maga movement. The outrageousness of his nominees is intended above all to force the subjugation of those remaining Republicans who insist on their independence. He has posed a battle royale with the Republican Senate to determine whether it will buckle under his mafia test to recess-appoint his madcap cabinet. He wants to break the Senate and crush it under his heel as his first act. Humiliation is the essence of his idea of power.Trump’s cabinet appointments are agents of his contempt, rage and vengeance. The motive for naming his quack nominees is located in his resentments from his sordid first term for which he pledged retribution. He sees the US government in its totality as a bastion of his “enemies within”. He intends to shatter every department and agency, root out expertise that might contradict his whims, demolish the balancing power of the Congress that could inhibit him, and trample the law that might stand in his way.Wrecking the government is not only Trump’s technique for gaining submission and compliance, but is his ultimate purpose. He will achieve vindication by tearing down anything he feels was used to restrain his destructive impulses or tried to hold him accountable for his past crimes, whether it is the military, the justice system or science itself.Before the election, Trump developed two elaborate plans, one if he lost and the other if he won. In either case, he would attack the federal government. He had learned lessons from the failure of his January 6 coup. His preparation throughout 2024 to declare the election stolen and force a constitutional crisis was the underside of his campaign.In advance, he organized an extensive network of lawyers and political operatives to deny he lost, refuse to certify the election in districts and states to the point of preventing an electoral college majority, and throw the election to the House of Representatives, where the Republicans held the margin from control of state legislatures to cast 26 states for him.In March, Trump ousted the chair of the Republican National Committee, Ronna McDaniel, because she would not divert the committee’s resources into an election-denial operation and fund his legal expenses. He inserted his daughter-in-law, Lara Trump, as the new head. She fired 60 staffers, but named Christina Bobb, a former far-right One America Network TV presenter, who was a key cheerleader of the fake elector scheme in 2020, as senior counsel of its election integrity unit. In April, she was indicted along with 17 other Arizona Republicans for fraud, forgery and conspiracy. Trump was named “Unindicted Co-Conspirator No 1”. Bobb’s indictment only elevated her standing as a Trump loyalist.A week after Trump’s election, he appointed the outside counsel for Bobb’s effort, William McGinley, Trump’s cabinet secretary in his first term, as his new White House counsel. In Trump’s first term, his White House legal counsel, Don McGahn, had resisted his pressure to provide him with cause to fire Robert Mueller, the special counsel investigating Russian interference in the 2016 election, and his successor, Pat Cipollone, objected to Trump’s schemes to overturn the 2020 election results. Trump at last has an in-house lawyer to tell him how to do what he wants.Joe Biden welcomed Trump to the Oval Office on 13 November in a show that the transfer of power was peaceful. Biden’s message was to re-establish a constitutional standard, contrasting with Trump’s graceless refusal to meet with him after January 6. But the atmosphere of normalization was illusory. Biden acted as though by his example regular order could have a chance of restoration. His gesture was nostalgic.Minutes after Trump left Biden’s presence, he announced his nomination of Matt Gaetz to be attorney general. Ding, dong. The clock struck 13, again and again.But Trump had given fair warning.Trump rolled out his team of travesties in the spirit he had promised. “Well, revenge does take time. I will say that. And sometimes revenge can be justified,” Trump said in June on Dr Phil’s Fox News show. When Fox News host Sean Hannity followed up, trying to prod Trump into softening his threats, Trump rejected the opportunity. “When this election is over, based on what they’ve done, I would have every right to go after them,” he said.Trump’s plan upon winning, now unfolding, is to launch a full-scale assault on the federal government from the top down. He has no need to smash into the Capitol with the Proud Boys, whom he has promised to pardon as “hostages”.Certain common characteristics run through his cabinet of curiosities and horrors to mark them collectively unique among any cabinet of any president – alleged sexual misconduct and abuse, drug addiction, megalomania, authoritarianism, cultism, paranoia, white supremacy, antisemitism and grifting. Some nominees meet all these qualifications, others only two, three or four. For a few, it’s just plain and simple self-aggrandizing corruption.Each of Trump’s appointees is there to savage a target on Trump’s hitlist. When he came to Washington he was a relative blank slate, despite hauling a baggage train of scandal from New York. Back then, Trump blithely spoke of getting away with shooting someone on Fifth Avenue. Now, it’s Pennsylvania Avenue, where six people died as a result of January 6. Trump has been in the business of making enemies of anyone trying to enforce the law. The federal cases against him will be dropped to follow the ruling of the US supreme court that he has absolute immunity for “official actions”. Liberated from accountability, Trump is building his government on revenge.Quite apart from his appointees’ dearth of managerial experience and competence, they represent the antithesis of the core mission of the departments and agencies they have been named to oversee. They are not being appointed to run them efficiently, but to rule and ruin.The greatest influence in public life exercised by Pete Hegseth, a Fox News host and former national guard officer before Trump named him as secretary of defense, was in 2019 when he privately lobbied Trump and publicly advocated on Fox for pardons for three military officers convicted of war crimes, which Trump granted.Hegseth has denounced women in the military; they make up 17.5% of active duty personnel and more than 20% of reserves. He has called for the firing of the chair of the joint chiefs of staff, Gen Charles Q Brown Jr, who is Black, saying that any general “involved in any of the DEI, woke shit has got to go”.Hegseth was one of 12 national guard members who were removed from Biden’s guard detail at his 2021 inauguration after he was deemed “an inside threat”. Hegseth’s body is covered with tattoos – a Jerusalem cross, a symbol of the First Crusade, inked across his chest, and the crusader slogan “Deus Vult” (“God wills it”) on his arm among other crusader markings. This iconography has become popular with far-right Christian nationalists and white supremacists. The Deus Vult cross flag was carried by insurrectionists at the Capitol on January 6. When the tattoos were spotted by his national guard master sergeant, who wrote of the “disturbing” symbols to the commanding general of Washington, Hegseth was kept far from Biden.The Associated Press first reported the story of Hegseth’s exclusion from proximity near the president. JD Vance attacked the news organization, tweeting: “disgusting anti-Christian bigotry from the AP”.In 2017, Hegseth was the subject of a police investigation for rape in Monterey, California. His second wife had divorced him in September for his affair with a Fox News producer whom he had impregnated. She would give birth to a daughter in August. In October, Hegseth attended a meeting of the California Federation of Republican Women, drank at the hotel bar in the evening, and, visibly intoxicated, was assisted to his room by a female member of the group, who attended the event with her two young children and husband. Something happened. She was bruised. Hegseth claimed they had consensual sex. The police did not press charges.According to a memo given to the Washington Post by a friend of the accuser, also present at the meeting as a participant, the alleged victim and her husband hired a lawyer “to ensure Hegseth didn’t get off without punishment”. Hegseth wound up paying her an unspecified sum of money in exchange for a non-disclosure agreement.Revelations of Hegseth’s alleged behavior have not elicited censure from Trump, but expressions of sympathetic support for the would-be #MeToo victim. “Mr Hegseth has vigorously denied any and all accusations, and no charges were filed,” stated the Trump transition response. Hegseth’s lawyer attacked the woman: “She was the aggressor. She was sober, he was drunk. She took advantage of him.”Hegseth appears to Trump as the ideal man to purge the military. Trump’s transition team has drafted an executive order for a “warrior board” to remove any general or admiral “lacking in requisite leadership qualities”. Trump complained to his chief of staff Gen John Kelly that he wanted “my generals” to be more like “Hitler’s generals”.Hegseth would be his enforcer of politicizing the military so that it never questioned any illegal behavior, like violating the War Crimes Act, or refusing an order to open fire on American protesters. “Can’t you just shoot them, just shoot them in the legs or something?” Trump said to Gen Mark Milley, chairman of the joint chiefs, in the presence of the secretary of defense, Mark Esper, about demonstrators after George Floyd’s murder in 2020. Hegseth would not be the defense secretary to advise Trump against invoking the Insurrection Act to impose martial law as Mike Flynn, his disgraced former national security adviser, suggested to him shortly before January 6.Tulsi Gabbard, the former congresswoman nominated to be the director of national intelligence, who flipped seamlessly from far left to far right, has been steady as a rote pro-Russian propagandist, hailed on Russian state media as “our girlfriend”, and has been identified with a secretive Hare Krishna-affiliated sect called the Science of Identity Foundation that mixes vegetarianism, homophobia and Islamophobia.Gabbard is there to wreak havoc on Trump’s phantom nemesis, the “deep state”. His first director of national intelligence, Dan Coats, a former Republican senator from Indiana, closely observed Trump’s relationship with Vladimir Putin, which he told Bob Woodward was “so strange”, “so subservient”. “Is this blackmail?” Coats wondered.Trump recalls that his first impeachment was the result of a whistleblower complaint from an analyst from the office of the director of national intelligence, who filed a memo about a phone call Trump had with the Ukrainian president, Volodymyr Zelenskyy, in which he sought to coerce him into manufacturing political dirt about Biden in exchange for defensive Javelin missiles already approved by the Congress. “I would like you to do us a favor,” said Trump in what he insisted was a “perfect phone call”.Trump was furious at the exposure of his blackmail. “I want to know who’s the person who gave the whistle-blower the information because that’s close to a spy,” he said. “You know what we used to do in the old days when we were smart with spies and treason, right?” Now he will send Gabbard to terminate the “spies” of the “deep state”.skip past newsletter promotionafter newsletter promotionRobert F Kennedy Jr, nominated as secretary of health and human services, is an opponent of the scientific method for which he reflexively substitutes a priori conspiracy theories. He has grifted millions on bogus claims that vaccines cause autism. “There is no vaccine that is safe and effective,” he said. A decades-long heroin addict and self-confessed sex addict, he has a family who has tried to lift him out of his turmoil, staging interventions for years to have him professionally treated for his psychological troubles, but have been reduced to despair. He claims that his family members have succumbed to “hypnosis”.During the campaign, a family babysitter emerged to accuse Kennedy of numerous sexual assaults. He claimed he had “no memory of this incident but I apologize sincerely”. He said in an interview: “I’m not a church boy.” Meanwhile, he was reportedly involved in an affair with Olivia Nuzzi, a writer for New York Magazine, which cost her her fiance and job. Three other women stepped forward to claim they had sexual affairs with him after meeting him through his anti-vaccine group, the Children’s Health Defense, and at the same time he was involved with Nuzzi, which he denied.But RFK Jr, is promoted by Tucker Carlson and his trailing entourage of lost boys, Don Jr and JD Vance. Carlson and Don Jr persuaded Bobby to drop his third-party candidacy and to endorse Trump. On 31 October, at a rally in Glendale, Arizona, Carlson interviewed Trump and asked him pointedly whether he would appoint Bobby. On 1 November, RFK Jr appeared on the Tucker Carlson Live Tour, where he told a rapturous crowd that in answer to his prayers for the fulfillment of his personal destiny: “God sent me Donald Trump.”Before the election, Rupert Murdoch’s Wall Street Journal editorial page confidently informed its readers that Trump’s bizarre statements and inclinations were not to be taken seriously, and that in any event would be blocked by “checks and balances”. After Trump was elected, the Journal has been stunned by the nominations of Gaetz and RFK Jr. “Good luck making sense of this nomination,” it editorialized about Bobby. “Matt Gaetz is a bad choice for attorney general,” ran another thundering piece. Murdoch is out in the cold. The TV host he fired, Tucker Carlson, is the kingmaker.In naming RFK Jr, Trump is reacting to his conflicts during the Covid-19 pandemic, when he wished to ignore it, dismissed mask-wearing and suggested injecting Clorox. He despised the scientists who told him his ideas would not work. He hated his chief medical adviser, Dr Anthony Fauci, and coronavirus response coordinator, Dr Deborah Birx – “all these idiots”, said Trump.Trump also fired Dr Rick Bright, the director of the Center for the Biomedical Advanced Research and Development Authority in charge of vaccine development, for refusing to approve the use of hydroxychloroquine as a treatment for Covid-19, which Bright protested was one of several “potentially dangerous drugs promoted by those with political connections”. Bright testified in May 2020 before Congress that the Trump administration had “no master plan”, that the country faced “the darkest winter in our history” and that in the absence of national leadership, “our window of opportunity is closing.”Trump has not appointed RFK Jr for his famous name, though he must receive gratification from possessing for himself this piece of the Kennedy legacy, however tarnished. Bobby Kennedy Jr is there because he says that he will fire 600 experts at the National Institutes of Health, the foremost medical research center in the world – “all these idiots”. And Tucker Carlson vouches for him.The tangled resentments of Trump’s appointees are cardinal virtues, especially when they overlap with his own grievances. Trump, the adjudicated rapist, credibly accused by dozens of women of sexual assault, whom the sex criminal Jeffrey Epstein called his “closest friend for 10 years”, identifies with Matt Gaetz fending off investigations of his alleged sex crimes. After Trump confided in Reince Priebus, his first chief of staff, that he would pick Gaetz, Priebus concluded: “So, he [Trump] feels like he has gone to hell and back 10 times. So, this is also a big middle finger to the DoJ and the FBI.”At the end of the first Trump administration, Gaetz desperately sought to secure an all-purpose pardon to cover him from the then ongoing federal inquiry into alleged sex trafficking of minors to his alleged participation as a co-conspirator in Trump’s coup. He approached, among others, the deputy White House legal counsel, Eric Herschmann, who testified before the January 6 committee. “The pardon that he was discussing, requesting was as broad as you could describe,” he stated. “From beginning – I remember he said, from the beginning of time up until today for any and all things. He had mentioned Nixon, and I said Nixon’s pardon was never nearly that broad.”In October 2023, Congressman Gaetz provoked the removal of Kevin McCarthy as speaker of the House. “I’ll give you the truth why I’m not speaker,” McCarthy said. “It’s because one person, a member of Congress, wanted me to stop an ethics complaint because he slept with a 17-year-old.”On 13 November, Trump named Gaetz attorney general. The next day, Gaetz resigned from Congress. The day following that, the House ethics committee report on Gaetz’s alleged sex crimes was scheduled to be released. But because Gaetz is no longer a member of the House, Speaker Mike Johnson, serving as Trump’s handyman, “strongly requested” that it would violate House rules to make the report public despite precedents to the contrary. He warned it would “open a Pandora’s box”, presumably of other dark secrets about Gaetz and perhaps other nominees.Democratic and Republican senators on the judiciary committee that will hold confirmation hearings have asked for the report. It remains bottled up.Trump does not attempt to hide his intention to “dismantle government bureaucracy” and “send shockwaves through the system”, as he tweeted in his appointment of “the Great Elon Musk” and Vivek Ramaswamy (no “Great” preceding his name), assigned to rampage through the entire government as a “Department of Government Efficiency”. Musk has a long history of conflicts with government regulatory agencies and outstanding unresolved investigations, including a Securities and Exchange Commission inquiry into inside stock trading. Musk’s commission is transparently a case of self-interest.“Doge”, as it is called, after “dogecoin”, a cryptocurrency that Musk has been hawking, is not at all a department, which would require FBI background checks. Musk orbits on a cocktail of LSD, cocaine, ecstasy and psychedelic mushrooms, “often at private parties around the world, where attendees sign nondisclosure agreements or give up their phones to enter”, according to people who spoke to the Wall Street Journal. He speaks privately to Vladimir Putin. During the campaign, he turned Twitter/X into a cesspool of disinformation, a good deal of his own fabrication and streams of it from Russian troll farms. Inexplicably, he continues to hold a security clearance as a government contractor that has not been suspended under review during the Biden administration.Ramaswamy, a venture capitalist and libertarian ideologue who ran for the Republican nomination for president on a platform of abolishing numerous federal agencies from the IRS to the FBI, is completely inexperienced in government affairs, which he has been tasked to reform. He has made confusing, possibly conspiratorial claims about 9/11 and suggested that January 6 was “an inside job”. During his campaign, he stated that his goal was to fire 75% of the federal workforce in short order. Merely a charlatan and a demagogue, Ramaswamy does not stand out as especially peculiar among the wholly unqualified Trump nominees.Trump’s appointment of Doug Burgum, the billionaire governor of North Dakota, as secretary of the interior and “energy czar”, fits the profile of old-fashioned plunder. In April, Burgum gathered oil and gas executives at Mar-a-Lago, where Trump flagrantly asked for $1bn in campaign contributions in exchange for tax breaks and favorable policies.Harold G Hamm, chair of Continental Resources, an independent oil company, who is an investor in a proposed $5.2bn pipeline in North Dakota, helped Burgum organize the meeting. Burgum’s family holds land that profits from Hamm’s business. “Obviously it’s no secret that I helped gather the industry up, oil and gas producers and the entire industry,” Hamm said. He handed Trump a list of more than 100 policies he wanted implemented. “I couldn’t be more thrilled by president-elect Donald Trump’s victory,” Hamm remarked. Then, Trump named as secretary of energy a fracking equipment company executive, Chris Wright, who has declared: “There is no climate crisis.”The volatile elements of petroleum, public lands and leasing deals evoke a scenario from a century ago, of a cabinet appointed by a president who promised to restore the country to its greatness in a “return to normalcy”. During the Warren G Harding presidency, the secretary of the interior, Albert B Fall, accepted kickbacks from oil companies in granting oil leases and became the first cabinet member to be sentenced to prison. It was the worst cabinet scandal in history. Make Teapot Dome Again.Trump seeks to install his cabinet by circumventing the Senate. He insists that the Republican leadership forgo its constitutional duty to advise and consent and instead allow his picks to assume their positions as recess appointments. Trump is also blocking the FBI from conducting background checks. His cabinet nominations have become his instrument for intimidation. He intends to sweep aside checks and balances for one-man rule.The appointment of Senator Marco Rubio of Florida as secretary of state illustrates the kind of behavior Trump wishes to encourage among Republican senators. During the 2016 Republican primaries, Rubio derided Trump for his “small hands”, a signifier for his genitals. “You know what they say about men with small hands?” Rubio jibed.But after Trump was convicted of 34 felonies in New York for paying hush money to an adult film actorto influence the 2016 election, Rubio leaped to blame Biden falsely for Trump’s prosecution. Rubio tweeted: “Our current President is a demented man propped up by wicked & deranged people willing to destroy our country to remain in power.” He added, with flaming emojis: “It’s time to fight [fire] with [fire].”Subservience has now received its reward. Rubio, “Little Marco”, the most conventional of Trump’s cabinet choices, is an example to them all.

      Sidney Blumenthal, former senior adviser to President Bill Clinton and Hillary Clinton, has published three books of a projected five-volume political life of Abraham Lincoln: A Self-Made Man, Wrestling With His Angel and All the Powers of Earth More

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      Who is Mehmet Oz, Trump’s pick to lead Medicare and Medicaid?

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      Donald Trump has chosen Mehmet Oz, best known for starring in his eponymous daytime talkshow for more than a decade and leaning heavily into Trumpism during his failed 2022 run for a Pennsylvania Senate seat, to lead the Centers for Medicare and Medicaid Services (CMS). The cardiothoracic surgeon, who faced immense backlash from the medical and scientific communities for pushing misinformation at the height of the Covid-19 pandemic, will oversee the agency that operates on a $2.6tn annual budget and provides healthcare to more than 100 million people.“I am honored to be nominated by [Donald Trump] to lead CMS,” Oz posted on X on Tuesday. “I look forward to serving my country to Make America Healthy Again under the leadership of HHS Secretary [Robert F Kennedy Jr].”In the announcement of Oz’s selection, Trump said that Oz will “make America healthy again” and described him as “an eminent Physician, Heart Surgeon, Inventor, and World-Class Communicator, who has been at the forefront of healthy living for decades”.Oz has been on US television screens for nearly 20 years, first appearing on the Oprah Winfrey show in 2004. In that time, he’s talked to his audience about losing weight with fad diets and what it takes to have healthy poops and, toward the end of his run, touting hydroxychloroquine as a potential remedy for Covid-19.Here’s what to know about the New York University professor and surgeon turned television show host, and now Trump appointee.Who is Mehmet Oz?Oz, 64, is a Turkish American Ohio native best known for The Dr Oz Show, which ran from 2009 to 2022. His father was a surgeon in Turkey, and after Oz graduated high school in Delaware, he was admitted into Harvard. He also served in the Turkish military in order to maintain dual citizenship, the Associated Press reports.Before entering US homes via daytime TV, he had more than 20 years of experience as a cardiothoracic surgeon at Presbyterian-Columbia Medical Center in New York. He was also a professor at Columbia University’s medical school.His bona fides at the prestigious institutions earned him quick credibility with viewers, and his popularity garnered him nine Daytime Emmy awards for outstanding informative talkshow and host.Though his show ended in 2022, Oz maintains a YouTube channel filled with old episodes of his shows where he interviews guests like Penn Jillette about his weight loss and Robert F Kennedy Jr about his 2014 book about the presence of mercury in vaccines. He also has an Instagram account that boasts more than a million followers, where Oz shares photos of his family and sells products from iHerb, an online health and wellness brand for which he is global adviser.Oz’s questionable medical advice and time in politicsThroughout his TV tenure, Oz dabbled in the hallmarks of weight loss culture like detoxes, cleanses and diets that promised rapid weight loss. He also faced a grilling by senators in 2014 over claims he made and alleged false advertising on supplements he promoted on his show. When the Covid-19 pandemic hit, Oz regurgitated misinformation that came from the fringes of the right and medical communities.These comments continued when he threw his hat into the race to represent Pennsylvania in the US Senate in 2022 against John Fetterman. At the time, the Guardian wrote:“Oz was dogged by questions about his actual connection to the state during the campaign. Oz lived in New Jersey for decades before he moved to Pennsylvania in October 2020, into a home owned by his wife’s family. He announced his bid to be the state’s US senator just months later.”Following Fetterman’s stroke, during which he said he “​​almost died”, the Oz campaign launched unsavory attacks against him, with one Oz aide, Rachel Tripp, claiming Fetterman might not have had a stroke if he “had ever eaten a vegetable in his life”.Oz ultimately lost to Fetterman, who garnered 51% of the vote compared with Oz’s 46%.What will Oz run?Oz will succeed Chiquita Brooks-LaSure, the current administrator of CMS, to lead programs including Medicare, the federal health insurance program for people aged 65 or older and disabled people, and Medicaid, the state-based health insurance program for lower-income people, which is jointly funded by states and the federal government. The two programs provide health insurance for more than 140 million Americans.Also in the CMS fold are the Children’s Health Insurance Program (Chip) and the Health Insurance Marketplace, which was created by the Affordable Care Act under Barack Obama in 2010.Trump’s economic advisers and congressional Republicans are currently discussing possible cuts to Medicaid, food stamps and other government welfare programs to cover the costs of extending the president-elect’s multitrillion-dollar 2017 tax cut. More