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      ‘Get over it’: some middle America Trump supporters remain unfazed over Epstein files tumult

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      It has united luminaries of the far right, from media personality Tucker Carlson to activist Laura Loomer, from tech billionaire Elon Musk to congresswoman Marjorie Taylor Greene. Typically unwavering in support of Donald Trump, all have criticised his administration’s handling of files about the late sex offender Jeffrey Epstein.But in towns and cities across the US, a more complicated and nuanced picture emerges, serving as a reminder that – like any other political constituency – Trump voters are not a monolith.Some of the US president’s supporters are undoubtedly animated by the Epstein issue and urging Congress to push for greater transparency. “It’s the number one phone call that we get. By far,” Eric Burlison, a Republican congressman from Missouri, told CNN this week. “It’s probably 500 to one.”But others seem to be shrugging off the crisis as they have so many others that seemed to threaten Trump’s political career. They remain fiercely loyal to a president they believe is delivering low inflation, strong border security and sweeping reversals of progressive policies. They are willing to take White House advice to “trust in Trump”.That was the prevailing mood this week in Johnstown, Pennsylvania, a former steel town and Democratic stronghold that swung heavily for Trump in last November’s election.“Trump is right about everything, no matter what he does,” was the blunt take of Teddy, 55, wearing a Stars and Stripes hat and sitting on a bench in Central Park in downtown Johnstown. “Epstein – he’s dead, that’s it, it’s over.”Did he have no concern that Trump’s name is reportedly listed in the Epstein files which have yet to be made public? “That’s a bunch of bullshit,” said Teddy, who didn’t want to give his last name. “The world should move on, get over it.”Curt, 51, another Trump supporter in Central Park, who was recently released from state prison, expressed similar views. The only people who were in a nervous state about Trump’s relationship with Epstein were Democrats, he said.“Epstein was a piece of shit and got what he deserved. As for Trump, they haven’t come up with any evidence that he actually did anything,” he said.Pennsylvania was crucial in tipping Trump over the line of 270 electoral college votes needed to win the White House. Rural areas in the west of the state responded especially favourably to his promises to bring back manufacturing, reduce living costs and drive out immigrants. Trump won Cambria county, which includes Johnstown, by 69% to Kamala Harris’s 30%.View image in fullscreenAt the local Walmart, Pam, who also asked not to give her last name, said she didn’t believe that Trump’s name was in the files. “Trump has morals – it may not seem like he does, but deep down he does. He wanted to protect the United States when nobody else did.”As for media coverage of the story, she said: “My uncle was in the Secret Service. He used to tell me that everything you see on TV is what they want you to believe, not what is actually happening.”Trump has been under growing pressure from political friends and foes alike to release more information about the justice department’s investigation into Epstein, a disgraced financier who officials ruled died by suicide in 2019 while awaiting trial on sex-trafficking charges.After Pam Bondi, the US attorney general, promised to disclose additional materials related to possible Epstein clients and the circumstances surrounding his death, the justice department reversed course this month and said there was no basis to continue investigating and no evidence of a client list.That sparked an outcry from some of Trump’s base of supporters who have long believed the government was covering up Epstein’s ties to the rich and powerful. On Friday, Trump denied reports that he was told by Bondi in May that his own name appeared in the Epstein files.Yet interviews by the Guardian in multiple states found Republicans generally willing to give Trump the benefit of the doubt – and suspicious that he is the victim of a double standard.Gavin Rollins, a lawyer from Orlando, Florida, acknowledged disappointment in the way the administration’s initial communications raised expectations but praised Trump for doing a “phenomenal job” overall.“I think on the Epstein thing, I wish things had been handled a little bit differently,” he admitted. “I think the rollout was less than smooth. I would say that it’s important but I also believe in giving grace to people and he’s gotten so many things right.”Jeff Davis, the Republican party chair in Greenville county, South Carolina, accused the media of using the Epstein controversy to falsely portray a divide in the Maga (Make America great again) movement.He said: “I think the Epstein issue is obviously critical and important but I think what most people care about is that the Trump agenda – the Maga ‘America first’ agenda – is being promoted. I think [Epstein is] being used as a distraction.”Davis added: “We can walk and chew gum at the same time. They need to pursue the Epstein thing to the nth degree but I think most people are interested in the results of the things that the Trump administration is doing, as opposed to analysing this issue from the old days.”skip past newsletter promotionafter newsletter promotionMary Smith, the party chair in Dickson county, Tennessee, said: “If Donald Trump’s name is linked to something, it’s like a shark fest, whereas if it’s somebody else’s name attached, ‘Oh, it’s no big deal,’ and it’s swept under the rug. I get so tired of that whole focus on Trump.”Despite Democrats’ efforts to keep attention focused on the Epstein saga, some are ready to move on. James Bennett, who runs a lumber company and is Republican party chair in Calhoun county, Alabama, said: “As far as I’m concerned with Trump, it’s about run its course. I know the Democrats are the ones out there trying to put gas on the fire, but you know, the fire’s about out.”That may prove wishful thinking. Just 17% of Americans approve of Trump’s handling of the Epstein case, a weaker rating than the president received on any other issue in a Reuters/Ipsos opinion poll last week. Among Republicans, 35% approve and 29% disapprove, while the rest said they are unsure or did not answer the question.Whit Ayres, a Republican consultant and pollster, draws a distinction between Trump voters who identify as part of the Maga movement and those attracted by his pledges to bring down inflation, juice the economy, close the southern border and tackle “woke” culture.“For the Maga group, this is a very big deal,” Ayres said. “Many of them bought into all the conspiracy theories surrounding Epstein, whether it was the fact that he abused a bunch of kids and then covered it up or symptomatic of a widespread deep state conspiracy protecting elites and the privileged in general.“For the other people who voted for Trump, it is disturbing but not as compelling as it is for the Maga crowd. They are more interested in whether he is going to be able to bring inflation down than they are in Epstein. That’s not to say that Epstein is not a disturbing story for them, but it’s more a matter of perspective.”Yet another survey published this week again challenged the conventional wisdom. An Economist/YouGov poll found that Republican voters who identify as “Maga” were more likely to approve of how the president is dealing with the Epstein investigation (56%) than those who do not (38%). Overall among Republicans, 45% approve and 25% disapprove, with the remaining 30% unsure.One such Maga voter is Mike Boatman, 57, who has attended about a hundred Trump campaign rallies, including the one last year in Butler, Pennsylvania, where the then Republican nominee survived an assassination attempt. His faith remains unshaken.“I’m backing President Trump,” said Boatman, an independent contractor from Evansville, Indiana. “He knows more than what we know about the situation. There’s more important concerns for me than the Epstein files.“There’s so much that President Trump needs to get done. He’s got three and a half years to get it done. Don’t get me wrong, I’m against paedophiles and whoever has done that with Epstein should be punished. But there’s more important things.”Still, the story continues to dominate headlines and put heat on Republicans in the House of Representatives. They went on recess a day early to avoid holding a vote on releasing Epstein material. Mike Johnson, the House speaker, insisted the Epstein case is “not a hoax” despite Trump using that very word.The president has been defiant, describing supporters hung up on the issue as “weaklings” who were helping Democrats. “I don’t want their support anymore!” Trump said in a social media post.This week, he sought to distract his followers by making the baseless claim that Barack Obama and his officials fabricated intelligence reports to assert that Russia interfered in the 2016 election, accusing his predecessor of treason. Next he might try something even more extreme to change the narrative.Reed Galen, president of the Union, a pro-democracy coalition, said: “My real fear is that he gets us into some sort of Wag the Dog thing where all of the distraction isn’t working so he decides to throw up some gigantic bright, shiny object that gets us all in trouble.”But otherwise Galen is sceptical that the Epstein scandal will have far-reaching political implications. “To me, the flip side of this is: what difference does it make? I shouldn’t say that as a means of diminishing the crimes of Jeffrey Epstein or the pain of his victims. I’m looking at this from a purely electoral perspective.“He’s not going to leave office. The midterms are 15 months, 16 months away. Do I think this is fodder for the left and the media and even the true Magas who are like, ‘What’s happening?’ Yeah. Do I think that ultimately, a year from now, we’ll be talking about this? Hard to believe.”

      This article was amended on 27 July 2025. Trump won Cambria county by 69% to Kamala Harris’s 30%, not by 68% to Joe Biden’s 31% as an earlier version stated. More

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      Top medical body concerned over RFK Jr’s reported plans to cut preventive health panel

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      A top US medical body has expressed “deep concern” to Robert F Kennedy Jr over news reports that the health secretary plans to overhaul a panel that determines which preventive health measures including cancer screenings should be covered by insurance companies.The letter from the the American Medical Association comes after the Wall Street Journal reported on Friday that Kennedy plans to overhaul the 40-year old US Preventive Services Task Force because he regards them as too “woke”, according to sources familiar with the matter.During his second term, Donald Trump has frequently raged against organizations and government departments that he considers too liberal – often without any evidence. The US president, and his cabinet members such as Kennedy, have also overseen huge cuts and job losses across the US government.The taskforce is made up of a 16-member panel appointed by health and human services secretaries to serve four-year terms. In addition to cancer screenings, the taskforce issues recommendations for a variety of other screenings including osteoporosis, intimate partner violence, HIV prevention, as well as depression in children.Writing in its letter to Kennedy on Sunday, the AMA defended the panel, saying: “As you know, USPSTF plays a critical, non-partisan role in guiding physicians’ efforts to prevent disease and improve the health of patients by helping to ensure access to evidence-based clinical preventive services.”“As such, we urge you to retain the previously appointed members of the USPSTF and commit to the long-standing process of regular meetings to ensure their important work can be continued without disruption,” it added.Citing Kennedy’s own slogan of “Making America healthy again,” the AMA went on to say: “USPSTF members have been selected through an open, public nomination process and are nationally recognized experts in primary care, prevention and evidence-based medicine. They serve on a volunteer basis, dedicating their time to help reduce disease and improve the health of all Americans – a mission well-aligned with the Make America Healthy Again initiative.”According to the Affordable Care Act, public and private insurance companies must cover any services recommended by the Preventive Services Task Force without cost sharing.In a statement to MedPage Today, Department of Health and Human Services spokesperson Andrew Nixon did not confirm the reports, instead saying: “No final decision has been made on how the USPSTF can better support HHS’ mandate to Make America Healthy Again.”Reports of Kennedy’s alleged decision to overhaul the taskforce come after the American Conservative published an essay earlier this month that described the taskforce as advocating for “leftwing ideological orthodoxy”.It went on to accuse the panel of being “packed with Biden administration appointees devoted to the ideological capture of medicine”, warning that the “continued occupation of an important advisory body in HHS – one that has the capacity to force private health insurers to cover services and procedures – by leftwing activists would be a grave oversight by the Trump administration”.In response to the essay, 104 health organizations, including the American Medical Association, issued a separate letter to multiple congressional health committees in which they urged the committees to “protect the integrity” of the taskforce.“The loss of trustworthiness in the rigorous and nonpartisan work of the Task Force would devastate patients, hospital systems, and payers as misinformation creates barriers to accessing lifesaving and cost effective care,” the organizations said.In June, Kennedy removed all 17 members of a US Centers for Disease Control and Prevention panel of vaccine experts. Writing in a Wall Street Journal op-ed, he accused the committee of having too many conflicts of interest.Kennedy’s decision to overhaul the immunization panel was met with widespread criticism from health experts, with the American Public Health Association executive director Georges Benjamin calling the ouster “a coup”.“It’s not how democracies work. It’s not good for the health of the nation,” Benjamin said. More

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      Democrats use new tactic to highlight Trump’s gutting of Medicaid: billboards in the rural US

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      The road to four struggling rural hospitals now hosts a political message: “If this hospital closes, blame Trump.”In a series of black-and-yellow billboards erected near the facilities, the Democratic National Committee (DNC) seeks to tell voters in deep red states “who is responsible for gutting rural healthcare”.“UNDER TRUMP’S WATCH, STILWELL GENERAL HOSPITAL IS CLOSING ITS DOORS,” one sign screams. The billboards are outside hospitals in Silex, Missouri; Columbus, Indiana; Stilwell, Oklahoma; and Missoula, Montana.The fate of rural hospitals has become a politically contentious issue for Republicans, as historic cuts pushed through by the GOP are expected to come into effect over the next decade. Donald Trump’s enormous One Big Beautiful Bill Act (OBBBA) cut more than $1tn from Medicaid, the public health insurance program for low-income and disabled Americans, insuring more than 71 million adults.“Where the real impact is going to be is on the people who just won’t get care,” said Dave Kendall, a senior fellow for health and fiscal policy at Third Way, a center-left advocacy organization.“That’s what used to happen before we had rural hospitals – they just don’t get the care because they can’t afford it, and they can’t get to the hospital.”In response to criticism, Republicans added a $50bn “rural health transformation fund” just before passage of the OBBBA. The fund is expected to cover about one-third of the losses rural areas will face, and about 70% of the losses for the four hospitals where Democrats now have nearby billboards. The rural health fund provides money through 2030, while the Medicaid cuts are not time-bound.That is already becoming a political football, as Democrats argued in a letter that the money is a “slush fund” already promised to key Republican Congress members.“We are alarmed by reports suggesting these taxpayer funds are already promised to Republican members of Congress in exchange for their votes in support of the Big, Ugly Betrayal,” wrote 16 Democratic senators in a letter to Dr Mehmet Oz, Trump’s head of Medicare and Medicaid.View image in fullscreen“In addition, the vague legislative language creating this fund will seemingly function as your personal fund to be distributed according to your political whims.”Rural hospitals have been under financial strain for more than a decade. Since 2010, 153 rural hospitals have closed or lost the inpatient services which partly define a hospital, according to the University of North Carolina Sheps Center for Health Services Research.“In states across the country, hospitals are either closing their doors or cutting critical services, and it’s Trump’s own voters who will suffer the most,” said the DNC chair, Ken Martin, in a statement announcing the billboards.The OBBBA is expected to further exacerbate those financial strains. A recent analysis by the Urban Institute found rural hospitals are likely to see an $87bn loss in the next 10 years.“We’re expecting rural hospitals to close as a result – we’ve already started to see some hospitals like, ‘OK, how are we going to survive?’” said Third Way’s Kendall.skip past newsletter promotionafter newsletter promotionA June analysis by the Sheps Center found that 338 rural hospitals, including dozens in states such as Louisiana, Kentucky and Oklahoma, could close as a result of the OBBBA. There are nearly 1,800 rural hospitals nationally, according to the Kaiser Family Foundation (KFF), a healthcare research non-profit.That perspective was buttressed by the CEO of the National Rural Health Association, Alan Morgan, who in a recent newsletter said 45% of rural hospitals are already operating at a loss.“When you remove $155bn over the next 10 years, it’s going to have an impact,” he said.In the fragmented US healthcare ecosystem, Medicaid is both the largest and poorest payer of healthcare providers. Patients benefit from largely no-cost care, but hospitals complain that Medicaid rates don’t pay for the cost of service, making institutions that disproportionately rely on Medicaid less financially stable. In rural areas, benefit-rich employer health insurance is harder to come by; therefore, more hospitals depend on Medicaid.But even though Medicaid pays less than other insurance programs, some payment is still better than none. Trump’s OBBBA cut of more than $1tn from the program over the coming decade is expected to result in nearly 12 million people losing coverage.When uninsured people get sick, they are more likely to delay care, more likely to use hospital emergency rooms and more likely to struggle to pay their bills. In turn, the institutions that serve them also suffer.“This is what Donald Trump does – screw over the people who are counting on him,” said Martin, the DNC chair. “These new DNC billboards plainly state exactly what is happening to rural hospitals under Donald Trump’s watch.” More

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      We do not comply: how do we disrupt the momentum of Trump’s cruelty? | V (formerly Eve Ensler)

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      The exterminating force of Project 2025 is plowing through the culture, the government and people’s hearts and bodies like a drunk on a violent tear. We wake each morning, holding our breath to bear witness to the new devastation: PBS and NPR defunded, cuts to the fight against human trafficking, Medicaid gone for millions, Ice working to surveil critics, tons of food for the poor ordered burned and wasted.The momentum of cruelty always feels inevitable. Cruelty is by definition “a callous indifference to or pleasure in causing pain”. For those of us who have suffered physical, political, racial and emotional abuse, it feels like a familiar steamroller of violence. We only have to witness the cries of parents being separated from their children, men screaming out for “libertad” from cages in Everglades detention center (AKA Alligator Alcatraz), non-violent protesters beaten for trying to stop a genocide, to be frozen in that same incapacitating dread and fear.What is the antidote to this destructive environment of mendacity possessing us now with fear, ennui and self-mutilating rage?Ash-Lee Woodard Henderson, a powerhouse activist and brilliant organizer, told me: “It’s not decided where we go yet. Which is why it feels tense. What we know is that there’s no going back to an old normal because our economic system has failed us and our governmental structure is being destroyed. They’re trying to replace what was with this minority rule of disgustingly wealthy humans dictating what can happen not only in this country, but globally.“We’ve gotta block and build at the same time. That means confronting both elected officials and the corporations that are lifting them up. We need to make sure that we are gumming up their ability to successfully implement any sort of action, whether it’s policy or otherwise, that takes more power and rights and access to life-saving resources away from our communities.”So how do we gum up their momentum; how do we become refusers, artists of disruption, interrupters of their hateful and life-destroying trajectory? How do we clear the noise and fear in our heads so that we are able to hear the call of our inner morality?“The thing that I love about being non-cooperative and non-compliant with the Trump administration,” Ash-Lee told me, “is its accessibility: people have all sorts of abilities, all sorts of means, regardless of class, regardless of identity, to find a tactic that fits for them. What keeps you up at night enough to make you active? Trump says we shouldn’t ask people for warrants. We demand warrants. When a business puts a ‘No Kings’ sign up or a ‘No Ice’ sign in their window, they’re not complying. And we need more people to do that wherever they are,” she said, “whether it’s a general saying, ‘I’m not gonna command my troops to do this,’ whether it’s troops becoming conscientious objectors, whether it’s us boycotting Target and T-Mobile.”This tyrannical white supremacist landscape is erasing our sense of existence and meaning. Daily forms of rebellion birth us back into our bodies and our purpose. Non-compliance is art, as art is meant to defy the status quo, question the givens, expand the boundaries of knowing and freedom. And as you courageously make your mark of refusal, you carve a path for others to be brave. Non-compliance is praxis, stretching and transforming the muscles of our discontent into impactful and embodied action.There are a multitude of ways that we can make their lives miserable by taking small risks and huge ones. Like folks in California sitting in their cars outside the hotels where the Ice agents are and just lying on their horn for hours. Or people towing Ice vans away that are parked illegally. Or the Harlem baseball coach who knew all his kids were American-born. When Ice invaded the field, he told his kids to get inside the batting cage and stay silent. He said he was willing to die for his kids to get home.“And non-complying is also filling in the gaps of resources and care that they are taking away. They’re already closing rural hospitals where we live because our governor didn’t expand Medicaid,” Ash-Lee told me. “So residents must build an alternative like country people and Black folks across the country have been doing on their own accord for decades, if not centuries, creating community spaces where we can both line dance, do some boots-on-the-ground organizing, get your blood pressure checked, get your mammogram in the mobile unit, get your teeth cleaned, whatever. All of those things are not complying.”I think of the man who suggested we all dress in Ice suits with masks and Oakley sunglasses and enter detention centers and free immigrants. Or my white British friend who was in a store in Nevada when Ice invaded and they started harassing Latinos for their identification. He stepped up and calmly asked why they weren’t asking for his ID. He asked simply without hostility. He asked it three times. Even though they continued, he momentarily disrupted the trajectory of cruelty and forced them to bring consciousness to what they were doing. Or the Rev Mariann Budde’s staring down Trump and his billionaire cronies in the first row of a Washington church in January, calmly and fearlessly demanding compassion for immigrants, refugees and LGBTQ+ communities.skip past newsletter promotionafter newsletter promotionAnd this is the time for artists to speak out, to disembed themselves from a fascist system, to place principles over profit and self-advancement. To be what Viet Thanh Nguyen calls “disagreeable”. Yes, of course there are risks. But at this moment, with the jackboots in the streets and at our door, when each hour another liberty is being erased, and those who speak truth to power are being removed from TV, from universities, from cultural centers, when the cultural platforms are being removed themselves, speaking out is not just an obligation, it’s survival.And there are artists beginning to organize. The poet Michael Klein is creating a new podcast calling writers “to take our language back in writing a way through the various veils of deceit–an act, which in itself, has always been a form of resistance”. Meena Jagannath, a movement lawyer, is gathering artists and activists in salons to deepen our collective investigation and imaginative co-creation. She told me: “Our charge in these times is to support each other in building protagonism – a sense that we have agency to contest fascist narratives about how the world is and should be. It needs to be a collective, creative and responsive process that takes in what’s going out there and alchemizes it into a more expansive imagination of what could and should be.”So in a nod to the late great Mary Oliver, I ask you, what is the one precious, wild creative act you are doing to impede this nightmare?

      V (formerly Eve Ensler) is a playwright and activist and the founder of V-Day, a global movement to end violence against women and girls More

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      Trump news at a glance: president tells Europe to ‘stop the windmills’ ahead of EU and UK trade talks

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      Donald Trump spent the night at his family-owned golf resort in Scotland but took time to criticise European leaders over wind turbines and immigration, claiming there won’t be a Europe unless they “get their act together”.“I say two things to Europe. Stop the windmills. You’re ruining your countries. I really mean it, it’s so sad. You fly over and you see these windmills all over the place, ruining your beautiful fields and valleys and killing your birds,” he said.“On immigration, you better get your act together or you’re not going to have Europe any more.”Intensive negotiations continued on Saturday between the EU and the US before a crunch meeting in Scotland between Trump and the European Commission president, Ursula von der Leyen, seeking to avert a costly trade war.Here’s more on this and the day’s other key Trump administration stories.Trump skips press meeting to play golf before US-EU talksDonald Trump abandoned a scheduled meeting with the press on Saturday morning for a round of golf at his seaside course in Turnberry, with music blaring from the buggy he drove.During what is billed as a four-day family visit to Scotland, Trump is meeting European leaders and the British prime minister, Keir Starmer, raising hopes of new and refined trade deals with the EU and the UK.On the prospects of an EU trade deal, the US president has said there are “20 sticking points”. When asked what they were, he said: “Well, I don’t want to tell you what the sticking points are.”He described Ursula von der Leyen as a “highly respected woman” and said the meeting on Sunday with the EU chief would be “good”, rating the chances of a deal as “a good 50-50”.Read the full storyDemocrats request copy of Epstein ‘birthday book’ House Democrats on Friday sent a letter to the attorneys representing the estate of Jeffrey Epstein requesting a copy of the so-called “birthday book” that reportedly contains a crude poem and doodle from Donald Trump in celebration of the late sex offender’s 50th birthday.In the letter, California congressmen Ro Khanna and Robert Garcia say the contents of the book may be “essential” to congressional oversight of the Trump administration’s handling of the Epstein controversy. In the letter, they ask for a “complete and unredacted” copy of the book by 10 August.Read the full storyDoge reportedly using AI tool to create ‘delete list’ of federal regulationsThe “department of government efficiency” (Doge) is using artificial intelligence to create a “delete list” of federal regulations, according to a report, proposing to use the tool to cut 50% of regulations by the first anniversary of Donald Trump’s second inauguration.The “Doge AI Deregulation Decision Tool” will analyze 200,000 government regulations, according to internal documents obtained by the Washington Post, and select those it deems to be no longer required by law.Read the full storyTrump says Cambodia and Thailand agree to ‘immediate’ ceasefire talksThailand and Cambodia have agreed to “immediately meet” to work out a ceasefire, according to Donald Trump, who spoke to the leaders of both countries as he sought an end to clashes that continued for a third consecutive day.In social media posts, Trump said: “Both parties are looking for an immediate ceasefire and peace”, adding he would not negotiate a trade deal with either side until the fighting stopped.Read the full storyUnease as crowded Cotswolds braces for JD Vance’s summer holidayThe narrow lanes and honeyed stone walls of Stow-on-the-Wold are not the setting where one would expect to see an angry altercation. But could this charming UK town soon find itself at the heart of the angry US culture wars?According to reports, the US vice-president, JD Vance, will be holidaying in the Cotswolds with his family next month, and protesters are determined to let him know just how warm the welcome will not be in England’s chocolate box countryside.Read the full storyWoman who fled Cuba for asylum arrested at US immigration courtroomJenny, 25, entered the US legally, but Ice agents arrested her after a hearing, part of a growing trend of court detentions.Read the full storyMen freed from El Salvador mega-prison endured ‘state-sanctioned torture’, lawyers sayVenezuelans whom the Trump administration expelled to El Salvador’s most notorious megaprison endured “state-sanctioned torture”, lawyers for some of the men have said, as more stories emerge about the horrors they faced during capacity.Read the full storyCan a rural hospital on the brink survive Trump’s bill?Republican lawmakers voted for the “big beautiful bill” but cuts to Medicaid will hit hard in rural areas like Missouri’s poorest county, Pemiscot.The Pemiscot Memorial hospital has long been the destination for those who encounter catastrophe in this rural stretch of farms and towns. Yet its days of serving its community may be numbered.Read the full storyHundreds removed from ‘Alligator Alcatraz’ detention camp, DeSantis saysFlorida has begun deporting people from the notorious “Alligator Alcatraz” detention camp, the state’s governor said, and deportations are expected to increase in the coming weeks.At a press conference at the controversial facility, Ron DeSantis said “hundreds of illegals have been removed” from the facility. He later clarified that most of those were flown from Alligator Alcatraz to other detention facilities in the US.Read the full storyWhat else happened today:

      A debating opponent of the leftwing media figure Mehdi Hasan in a controversial viral YouTube video was previously the organizer of two violent far-right protests in Berkeley, California, in 2017, the Guardian can reveal.

      Authorities in Michigan are investigating after multiple people were stabbed at a Walmart in Traverse City, police said on Saturday.
      Catching up? Here’s what happened on 25 July 2025. More

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      Doge reportedly using AI tool to create ‘delete list’ of federal regulations

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      The “department of government efficiency” (Doge) is using artificial intelligence to create a “delete list” of federal regulations, according to a report, proposing to use the tool to cut 50% of regulations by the first anniversary of Donald Trump’s second inauguration.The “Doge AI Deregulation Decision Tool” will analyze 200,000 government regulations, according to internal documents obtained by the Washington Post, and select those which it deems to be no longer required by law.Doge, which was run by Elon Musk until May, claims that 100,000 of those regulations can then be eliminated, following some staff feedback.A PowerPoint presentation made public by the Post claims that the Department of Housing and Urban Development (HUD) used the AI tool to make “decisions on 1,083 regulatory sections”, while the Consumer Financial Protection Bureau used it to write “100% of deregulations”.The Post spoke to three HUD employees who told the newspaper AI had been “recently used to review hundreds, if not more than 1,000, lines of regulations”.During his 2024 campaign, Donald Trump claimed that government regulations were “driving up the cost of goods” and promised the “most aggressive regulatory reduction” in history. He repeatedly criticized rules which aimed to tackle the climate crisis, and as president he ordered the heads of all government agencies to undertake a review of all regulations in coordination with Doge.Asked about the use of AI in deregulation by the Post, White House spokesperson Harrison Fields said “all options are being explored” to achieve the president’s deregulation promises. Fields said that “no single plan has been approved or green-lit”, and the work is “in its early stages and is being conducted in a creative way in consultation with the White House”.Fields added: “The Doge experts creating these plans are the best and brightest in the business and are embarking on a never-before-attempted transformation of government systems and operations to enhance efficiency and effectiveness.”Musk appointed a slew of inexperienced staffers to Doge, including Edward Coristine, a 19-year-old who was previously known by the online handle “Big Balls”. Earlier this year, Reuters reported that Coristine was one of two Doge associates promoting the use of AI across the federal bureaucracy. More

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      ‘Hundreds’ of people have been removed from ‘Alligator Alcatraz’ detention camp, says Florida governor

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      Florida has begun deporting people from the notorious “Alligator Alcatraz” detention camp, the state’s governor said, and deportations are expected to increase in the coming weeks.At a press conference at the controversial facility, Ron DeSantis said “hundreds of illegals have been removed” from the facility. He later clarified that most of those were flown from Alligator Alcatraz to other detention facilities in the US. DeSantis, who has built a political career on his anti-immigration views, said 100 people had been deported from the US.“I’m pleased to report that those flights out of Alligator Alcatraz by [the Department of Homeland Security] have begun. The cadence is increasing,” DeSantis said. “We’ve already had a number of flights. … Hundreds of illegals have been removed from here,” De Santis said.He added: “We look forward to this cadence increasing.”Officials said two or three flights have so far departed, but didn’t say where those flights were headed.Last week, a number of non-profit organizations demanded the closure of the facility, which is based in the rural Everglades region, about 40 miles (64km) from Miami.The facility’s conditions are reportedly appalling, advocates said, with detained immigrants sleeping in overcrowded pods, along with sewage backups “resulting in cages flooded with feces”, and, in addition, “denial of medical care”. Advocates said the 39-acre camp, which was built in a matter of days, now holds more than 1,000 men in “flood-prone” tents.Donald Trump said the jail would be reserved for immigrants who were “deranged psychopaths” and “some of the most vicious people on the planet” who were awaiting deportation, but in mid-July it emerged that the jail contains hundreds of detainees with no criminal records or charges. Democrats have sued DeSantis, demanding access to the facility.Kevin Guthrie, executive director of the Florida division of emergency management, said the facility had grown, in less than a month, to have a current capacity of 2,000 people. That will increase to 4,000, he said.skip past newsletter promotionafter newsletter promotionGuthrie defended conditions inside the facility, claiming that “whether it’s Florida standard or national standard [of conditions and services in detention facilities], we meet or exceed the higher standard”.Since the jail opened in early July, the Trump administration and local officials have specifically touted the brutality of the facility, including its remote location in a wetland surrounded by alligators, crocodiles, pythons and swarms of mosquitoes. Officials have also seemed to revel in the crude name the facility has been given, echoing the long-shut and notoriously harsh Alcatraz prison in San Francisco Bay. More

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      ‘We need some hope’: can a rural hospital on the brink survive Trump’s bill?

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      When her severely allergic toddler, Josie, began gasping for breath in the middle of the night, Krissy Cunningham knew there was only one place she could get to in time to save her daughter’s life.For 74 years, Pemiscot Memorial hospital has been the destination for those who encounter catastrophe in Missouri’s poorest county, a rural stretch of farms and towns in its south-eastern Bootheel region. Three stories of brown brick just off Interstate 55 in the town of Hayti, the 115-bed hospital has kept its doors open even after the county’s only Walmart closed, the ranks of boarded-up gas stations along the freeway exit grew, and the population of the surrounding towns dwindled, thanks in no small part to the destruction done by tornadoes.For many in Pemiscot county, its emergency room is the closest available without taking a 30-minute drive across the Mississippi river to Tennessee or the state line to Arkansas, a range that can make the difference between life and death for victims of shootings, overdoses or accidents on the road. In the wee hours of one spring morning, it was there that Josie received the breathing treatments and a racemic epinephrine shot that made her wheezing subside.“There is no way I would have made it to one of the farther hospitals, if it wouldn’t have been here. Her airway just would have closed off, and I probably would have been doing CPR on my daughter on the side of the road,” recalled Cunningham, a nurse who sits on the hospital’s board.View image in fullscreenYet its days of serving its community may be numbered. In May, the hospital’s administration went public with the news that after years of struggling with high rates of uninsured patients and low reimbursement rates from insurers, they may have to close. And even if they do manage to navigate out of their current crisis, Pemiscot Memorial’s leaders see a new danger on the horizon: the “big, beautiful bill” Republicans pushed through Congress earlier this month, at Donald Trump’s request.Centered around an array of tax cuts as well as funds for the president’s mass deportation plans, the bill will mandate the largest funding reduction in history to Medicaid, the federal healthcare program supporting low-income and disabled Americans. That is expected to have ripple effects nationwide, but will hit particularly hard in Pemiscot county and other rural areas, where hospitals tend to have frail margins and disproportionately rely on Medicaid to stay afloat.“If Medicaid drops, are we going to be even collecting what we’re collecting now?” asked Jonna Green, the chairwoman of Pemiscot Memorial’s board, who estimated 80% of their revenue comes from Medicaid as well as Medicare, another federal health program primarily for people 65 and older. “We need some hope.”The changes to Medicaid will phase in beginning in late 2026, and require enrollees to work, volunteer or attend school 80 hours a month, with some exceptions. States are also to face new caps on provider taxes, which they use to fund their Medicaid programs. All told, the non-partisan Congressional Budget Office forecasts that 10 million people nationwide will lose their healthcare due to the bill, which is nonetheless expected to add $3.4tn to the federal budget deficit through 2034.Trump carried Missouri, a midwestern state that has veered sharply away from the Democratic party over the past three decades, with more than 58% of the vote last November. In Pemiscot county, where census data shows more than a quarter of residents are below the poverty line and the median income is just over $40,000 a year, he was the choice of 74% of voters, and Republican lawmakers representing the county played a notable role in steering his tax and spending bill through Congress.Senator Josh Hawley publicly advocated against slashing the healthcare program, writing in the New York Times: “If Republicans want to be a working-class party – if we want to be a majority party – we must ignore calls to cut Medicaid and start delivering on America’s promise for America’s working people.” He ultimately supported the bill after a $50bn fund to help rural hospitals was included, but weeks later introduced legislation that would repeal some of the very same cuts he had just voted for.“I want to see Medicaid reductions stopped and rural hospitals fully funded permanently,” the senator said.View image in fullscreenJason Smith, whose district encompasses Pemiscot county and the rest of south-eastern Missouri, oversaw the crafting of the measure’s tax provision as chairman of the House ways and means committee, and has argued they will bring prosperity rural areas across the state. Like others in the GOP, he has said the Medicaid cuts will ferret out “waste, fraud and abuse”, and make the program more efficient.It’s a gamble for a state that has seen nine rural hospitals close since 2015, including one in a county adjacent to Pemiscot, with a further 10 at immediate risk of going under, according to data from the Center for Healthcare Quality and Payment Reform policy group.The Missouri Budget Project thinktank estimates that the bill will cost 170,000 of the state’s residents their health coverage, largely due to work requirements that will act as difficult-to-satisfy red tape for Medicaid enrollees, while the cap on provider taxes will sap $1.9bn from the state’s Medicaid program.“There’s going to be some really hard conversations over the course of the next five years, and I think that healthcare in our region will look a lot different than what it does right now,” said Karen White, CEO of Missouri Highlands Health Care, which operates federally qualified health centers providing primary and dental care across rural south-eastern Missouri. She forecasts 20% of her patients will lose Medicaid coverage through 2030.As the bill was making its way through Congress, she contacted the offices of Smith, Hawley and Missouri’s junior senator, Eric Schmitt, all politicians she had voted for, asking them to reconsider cutting Medicaid. She did not hear back.“I love democracy. I love the fact that we as citizens can make our voices heard. And they voted the way that they felt they needed to vote. Maybe … the larger constituency reached out to them with a viewpoint that was different than mine, but I made my viewpoint heard,” White said.Spokespeople for Schmitt and Smith did not respond to requests for comment. In response to emailed questions, a spokeswoman for Hawley referred to his introduction of the legislation to partially stop the Medicaid cuts.Down the road from the hospital lies Hayti Heights, where there are no businesses and deep puddles form in the potholes and ditches that line roadways after every thunderstorm. Mayor Catrina Robinson has a plan to turn things around for her 500 or so residents, which involves bringing back into service the water treatment plant that is the town’s main source of revenue. But that is unlikely to change much without Pemiscot Memorial.“Half of those people that work at the hospital, they’re my residents. So how they gonna pay their bills? How they gonna pay their water bill, how they gonna pay their light bill, how they gonna pay rent? This is their source of income. Then what will they do?” Robinson said.View image in fullscreenTrump’s bill does include an array of relief aimed at the working-class voters who broke for him in the last election, including tax cuts on tips and overtime pay and deductions aimed at senior citizens. It remains to be seen if whatever financial benefits those provisions bring to the workers of Pemiscot county will outweigh the impact of the stress the Medicaid cuts place on its healthcare system.“The tax relief of server’s tips and all that, that’s not going to change the poverty level of our area,” said Loren Clifton, the hospital’s administrative director. “People losing their healthcare insurance absolutely will make it worse.”Work can be found in the county’s corn, wheat, soybean and rice fields, at a casino in the county seat Caruthersville and at a shipyard along the banks of the Mississippi . But Green questions if those industries would stick around if the hospital goes under, and takes with it the emergency room that often serves to stabilize critical patients before transferring them elsewhere.View image in fullscreen“Our community cannot go without a hospital. Healthcare, employment, industry – it would devastate everything,” Green said.The board is exploring partnerships with other companies to help keep the hospital afloat, and has applied for a federal rural emergency hospital designation which they believe will improve their reimbursements and chances of winning grants, though that will require them to give up other services that bring in revenue. For many of its leaders, the stakes of keeping the hospital open are personal.“This is our home, born and raised, and you would never want to leave it. But I have a nine-year-old with cardiac problems. I would not feel safe living here without a hospital that I could take her to know if something happened,” said Brittany Osborne, Pemiscot Memorial’s interim CEO.One muggy Wednesday morning in July, Pemiscot’s three county commissioners, all Republicans, gathered in a small conference room in Caruthersville’s courthouse and spoke of their resolve to keep the hospital open.“It’s 50-50 right now,” commissioner Mark Cartee said of the hospital’s chances of survival. “But, as long as we have some money in the bank of the county, we’re going to keep it open. We need healthcare. We got to have a hospital.”They were comparatively sanguine about the possibility that the Medicaid work requirements would harm the facility’s finances down the line.“We got a guy around here, I guess he’s still around. He’s legally blind but he goes deer hunting every year,” commissioner Baughn Merideth said. “There’s just so much fraud … it sounds like we’re right in the middle of it.”A few blocks away, Jim Brands, owner of Hayden Pharmacy, the oldest in the county, had little doubt that there were those in the county who took advantage of Medicaid. He also believed that fewer enrollees in the program would mean less business for his pharmacy, and more hardship overall.View image in fullscreen“Just seeing this community, the situation it’s in, the poverty, we’ve got to get people to work. There are a ton of able-bodied people that could work that choose not to,” he said.“To me, there’s got to be a better way to weed out the fraud and not step on the toes of the people who need it.” More