US healthcare

Subterms

    Latest story

    200 Shares71 Views

    DC rally protests cuts to US veterans programs: ‘Promises made to us have come under attack’

    by

    A flurry of red, white and blue American flags fluttered across the National Mall on Friday as more than 5,000 military veterans and their allies descended on Washington to protest against the planned elimination of 80,000 jobs at the Department of Veterans Affairs (VA) and the cancellation of hundreds of contracts for veterans services with community organizations.“I hope that in the future veterans will be able to get their benefits,” said David Magnus, a navy veteran who decided to travel from Pittsburgh, Pennsylvania, after his doctor told him she was quitting during a recent mental health appointment. Before Donald Trump returned to office in January, “the VA was good”, he said, but since then medical staff have faced harassment that puts the entire system at risk.“It used to be, you’d call and get an answer,” he said. “Now, so much is going on that they don’t know where to put you.”Organizers said that in addition to the march in Washington, there were more than 200 corresponding actions across the country, from watch parties to vigils held at VA clinics. Many veterans told the Guardian they came to the nation’s capital on their own after hearing about the rally online.The VA secretary, Doug Collins, has said the efforts are designed to trim bureaucratic bloat and will have no impact on veterans’ healthcare or benefits. Reporting by the Guardian last month found the agency, which provides healthcare to more than 9 million veterans, has already been plunged into crisis. Across the nation, appointments have been cancelled, hospital units closed, the physical safety of patients put at risk.View image in fullscreenDemonstrators said the Trump administration is seeking to destroy the VA, the largest integrated healthcare system in the United States, with 170 government-run hospitals and more than 1,000 clinics, and replace it with a private voucher program that will provide substandard care.“We’re a generation of service. We volunteered and stepped up to lead. Now we are seeing the promises made to us come under attack,” said Kyleanne Hunter, the chief executive of Iraq and Afghanistan Veterans of America and a Marine Corps veteran who flew multiple combat missions as an AH1-W Super Cobra attack pilot.The administration’s proposed budget for the VA, released on Friday, slashes spending for “medical services” by $12bn – or nearly 20% – an amount offset by a corresponding 50% boost in funding for veterans seeking healthcare in the private sector.“We’re already being starved,” said Sharda Fornnarino, a Navy veteran and one of about three dozen nurses brought to the rally by the National Nurses United union. Fornnarino, who works at the VA in Denver, Colorado, said that while politicians in Washington debate permanent staff reductions, essential healthcare positions are being left vacant.With fewer staff on the floor, veterans on hospice “are being left to die in their own piss and shit”, said Teshara Felder, a Navy veteran and nurse at the agency’s hospital in Atlanta, Georgia, said.A blue-ribbon commission established by the agency last year found veterans received significantly better care at lower cost from the public system. Private providers operated with little oversight, they wrote, and “are not required to demonstrate competency in diagnosing and treating the complex care needs of veterans nor in understanding military culture, which is often critical to providing quality care for veterans”.The VA says the budget submission “prioritizes care for our most vulnerable veterans, including those experiencing homelessness or at risk of suicide” and “eliminates nonessential programming and bureaucratic overhead that does not directly serve the veteran”.View image in fullscreenThe march was held on the 81st anniversary of D-day, when Allied troops stormed the beaches of Normandy, a decisive turn in the war against Nazi Germany during the second world war. Organizers said their inspiration goes back even further – to the “Bonus Army” march on Washington in 1932 during the depths of the Great Depression, when thousands of first world war veterans gathered on the National Mall to demand promised benefits, only to have the US military deployed against them.Christopher Purdy, an Afghanistan war veteran and organizer of today’s march, said the Bonus Army rally helped set the stage for the New Deal social programs and eventually the GI Bill, which provided higher education, healthcare and home ownership to veterans returning from the second world war.Other speakers criticized Trump’s decision to impose a travel ban on visitors from 12 countries, including Afghanistan, where many of the demonstrators served alongside translators who risked their lives for the US. Shortly after taking office in January, Trump ordered a pause on the US refugee admissions program, putting translators’ safety in doubt.“We all left behind people who are now marked,” said Nadim Yousify, who immigrated to the United States in 2015 after working as a US government translator in Afghanistan and later joined the Marine Corps. More

    More stories

    • 188 Shares50 Views

      in US Politics

      ‘This isn’t just about Trump’: the Rev William Barber arrested after prayer-protest against Republican-led budget

      by

      A police officer’s sense of timing seemed to illuminate the Rev William Barber’s moral mission with startling clarity.During a prayer vigil on Monday in the Capitol Rotunda, close to the very heart of US democracy, Barber was lamenting that Congress starts each day with its own prayers to the Almighty even while preying on the poor. A Capitol police captain, John Hersch, serendipitously choose that very moment to intervene.“Your activity right now is taking the form of a demonstration,” Hersch told Barber and an accompanying gathering of clergy. “It is unlawful to demonstrate in the Capitol Rotunda. If you do not cease your demonstration at this time, there is a possibility you will be placed under arrest.”Moments later, after two further warnings, Barber and seven accomplices – standing in front of the portrait of three 19th-century women’s suffrage campaigners – were arrested as police sealed off the Rotunda.The arrests marked the climax of the latest Moral Monday protest organised by Repairers of the Breach, a group founded by Barber that’s trying to derail Donald Trump’s planned tax and spending bill on the grounds that it will slash vital health and social services to lower-income Americans.It was the third Moral Monday Barber had led at the Capitol since April – and the third time he and his cohorts had been arrested.Barber, a social activist and founding director of Yale Divinity School’s centre for public theology, had earlier led a rally outside the US supreme court attended by an estimated 2,000 protesters.As a band belted out gospel songs, demonstrators held signs with slogans such as “Slashing the safety net is moral murder” and “Don’t cut Snap for 40 million poor people.”Wearing a white robe emblazoned with the words “Jesus was a poor man,” Barber – the son of civil rights workers who campaigned for racial desegregation – enjoined demonstrators to crusade against legislation that the US president has termed his “big, beautiful bill” and deemed essential to extending his 2017 tax cuts, which are due to expire this year.The Republican-controlled House of Representatives passed the bill last month by a single vote, 215 to 214. It now goes forward to the Senate against a chorus of criticism over its potential impact on the most vulnerable.Passage would result in 13.7 million people losing access to Medicaid and health insurance, Barber said.“This bill represents the worst kind of evil, which is the love of money … the root of all evil,” he said “This isn’t just about Trump. Two hundred and fifteen Republicans in the House voted for this bill – and now every senator is going to decide whether they’re going to vote for the ‘we’re all going to just die’ approach to politics.”Barber was referring to remarks by Joni Ernst, a Republican senator for Iowa, who faced criticism for telling a town hall last week that “we’re all going to die” after a constituent warned that health cuts could result in some people dying.Ernst doubled down by issuing a mock “apology” filmed in a cemetery, saying: “For those that would like to see eternal and everlasting life, I encourage you to embrace my lord and saviour, Jesus Christ.”Barber compared Ernst’s rhetoric with justifications used by slaveowners.“That’s the same language that slave masters used to tell slaves,” he said in an interview. “They would say: ‘Don’t fight for freedom, but believe in Jesus so that in the eternal life …’“It’s so cynical. What she said was one of the most contradictory misinterpretations of faith I’ve ever heard. It’s theological malpractice.“As Dr [Martin Luther] King once said, we’re not talking about over yonder. We’re talking about over here and people need healthcare over here. People need food over here. For her to bring up religion and bring up Jesus – if Jesus did anything, he provided everybody he met free healthcare. He never charged a leper, or a sick person, or a blind person, for their healing.”The Moral Monday protests have been adapted from similar demonstrations Barber started in North Carolina in 2013, following the election of rightwing Republican Pat McCrory as governor. The protests lasted two years, recalled Barber, resulting in thousands of arrests for civil disobedience but also spurring thousands more to register to vote.As protests against Trump ramp up, Barber is vowing to make Moral Mondays a regular feature of the landscape of dissent.“Moral Monday is not a one-time event,” he said. “If this budget passes the way it is, it will have a negative impact on this country for 10 years. It could possibly not be fully reversed for up to 50 to 60 years. This is serious business.”The protests are likely to expand to encompass a broader pro-democracy agenda. “Our role is not just the budget passing or not passing, but mobilizing poor and low-wage folk. We stand against any attacks on voting rights, on public education, [or] on healthcare,” said Barber.“Poor and low-wage people now represent 30% of the electorate in this country, and in battleground states, over 40%,” he said, making them the largest potential expansion for voting power in the country.In an acknowledgment of Moral Monday’s growing significance, this week’s rally was addressed by Ezra Levin, co-executive director of the progressive Indivisible movement, which spearheaded nationwide Hands Off protests in April that drew millions of participants.Levin praised protesters for having the courage to overcome fear.“People see us organized, and they say, wow, you are fearless,” he said. “Oh no. If you are fearless in this moment, you’re not paying attention. The authoritarians over there, they’re taking over our democracy.”But congressional Republicans, too, felt fear, he said. “They are projecting strength right now. They’re acting as if this is inevitable. They’re acting as if they have the power, you know, passing a bill through the House in the middle of night. [But] that’s not strength, pushing it through before the public can comment on it“The truth is, they’re terrified. They are terrified their voters are going to see what they’re doing. They’re terrified they’re going to lose their majority. And you know what? They should be terrified.” More

    • 175 Shares98 Views

      in US Politics

      Republican senator criticized for mock apology after saying ‘we all are going to die’

      by

      Senator Joni Ernst triggered fierce criticism after making light of voters’ fears that Republican Medicaid cuts could prove fatal, telling a town hall audience “we all are going to die” and then filming a mocking response video over the weekend.The Iowa Republican, who is facing a possibly challenging re-election battle in 2026, was explaining at a Friday town hall how the Republican immigration and tax package would affect Medicaid eligibility when an audience member shouted that people could die if they lost coverage through the proposed cuts.“Well, we all are going to die,” Ernst responded as the crowd groaned. “So, for heaven’s sakes. For heaven’s sakes, folks.”Rather than clarify or apologize, Ernst channeled Trump-era defiance in her response on Saturday with an Instagram video that appeared to be filmed in a graveyard.“I made an incorrect assumption that everyone in the auditorium understood that, yes, we are all going to perish from this earth,” she said. “So I apologize, and I’m really, really glad that I did not have to bring up the subject of the tooth fairy as well.”She concluded by telling viewers: “For those that would like to see eternal and everlasting life, I encourage you to embrace my Lord and savior Jesus Christ.”The controversy comes as Senate Republicans prepare to tackle the so-called “One Big Beautiful Bill”, which passed the House and would slash social safety net spending by more than $1tn over a decade. Congressional Budget Office projections suggest the measure could strip Medicaid coverage from 8.7 million people and leave 7.6 million more Americans uninsured.On Monday afternoon, the White House defended the legislation with a “mythbuster” statement dismissing claims that the bill would cause deaths as “one of Democrats’ most disgusting lies”.The White House argued the bill would actually “strengthen and protect the social safety net” by removing what it claimed were 1.4 million undocumented people from Medicaid rolls and implementing work requirements for able-bodied adults.“By removing at least 1.4 million illegal immigrants from the program, ending taxpayer-funded gender mutilation surgeries for minors, and eliminating waste, fraud, and abuse, the One Big Beautiful Bill will ensure Medicaid better serves the American people,” the statement read.Senate Republicans acknowledge the House-passed bill will undergo significant revisions, with several Republican senators seeking changes to the Medicaid provisions. Ernst’s comments have also provided Democrats with potent ammunition for their argument that Republicans prioritize tax cuts for wealthy Americans over healthcare for ordinary citizens.Iowa Democratic state senator JD Scholten told Politico on Monday he is launching a campaign to unseat Ernst, saying the senator “disrespected” its residents.The Democratic National Committee chairperson, Ken Martin, said Ernst had “said the quiet part out loud”, arguing Republicans don’t care “whether their own constituents live or die as long as the richest few get richer”.Senator Chris Murphy of Connecticut told CNN on Sunday that the Republican bill “is about life and death”.skip past newsletter promotionafter newsletter promotion“Everybody in that audience knows that they’re going to die. They would just rather die in old age, at 85 or 90, instead of dying at 40,” Murphy said. “And the reality is that, when you lose your healthcare, you are much more at risk of early death.”In Iowa, the stakes are notably high, with roughly one in five residents relying on Medicaid coverage, including half of all nursing home residents, according to the Kaiser Family Foundation.Ernst attempted damage control during Friday’s town hall, insisting Republicans would “focus on those that are most vulnerable” and protect people who meet Medicaid eligibility requirements.The senator faces several primary challengers as she seeks a third term, with the Medicaid controversy potentially complicating her political positioning in a state where healthcare access remains a key voter concern. In December, she was attacked from her right flank for being a “Rino” after initially hesitating on confirming the secretary of defense, Pete Hegseth.When asked for comment, her office stayed the path.“There’s only two certainties in life: death and taxes,” a spokesperson for Ernst said, “and she’s working to ease the burden of both by fighting to keep more of Iowans’ hard-earned tax dollars in their own pockets and ensuring their benefits are protected from waste, fraud and abuse.” More

    • 88 Shares83 Views

      in US Politics

      Has RFK Jr misdiagnosed America? – podcast

      by

      Archive: AP, ABC News, CBS News, Face the Nation, Fox News, PBS Newshour
      Read Alaina Demopoulos’s feature on Maha moms
      Subscribe to the Guardian’s new narrative series Missing in the Amazon
      Send your questions and feedback to politicsweeklyamerica@theguardian.com
      Help support the Guardian. Go to theguardian.com/politcspodus More

    • 163 Shares90 Views

      in US Politics

      Woman’s life-saving treatment delayed by Trump cuts to NIH: ‘Cancer shouldn’t be political’

      by

      A 43-year-old woman and mother of two with advanced cancer says she is experiencing life-or-death delays in treatment because of the Trump administration’s cuts to the National Institutes of Health (NIH).Natalie Phelps, who has stage 4 colorectal cancer, has spoken publicly, raising the alarm about a setback in care for herself and others who are part of clinical trials run by the agency. Her story has made it into congressional hearings and spurred a spat between a Democratic senator and the US health secretary, Robert F Kennedy Jr. Behind the scenes, she and others are advocating to get her treatment started sooner.So far, Phelps has been told that her treatment, which should have started around mid-June, will not begin until after mid-July.“I’ve done everything I can do,” Phelps, who lives in Washington state, told the Guardian. “There’s nothing else I can do. I’m really just out of options. There’s very limited treatments approved for colorectal cancer.”Phelps is one of many Americans whose lives have been disrupted or altered by the ongoing cuts to government services made by the Trump administration’s so-called “department of government efficiency”, or Doge. Some NIH scientists have lost their jobs, and others have seen their grants ended. Researchers told the Associated Press that cuts to the agency and its programs would end treatment for cancer patients and delay cures and treatment discoveries.View image in fullscreenPhelps was diagnosed in 2020, soon after giving birth to her second child, and after her symptoms were dismissed by doctors for months. Since then, she’s gone through 48 rounds of chemotherapy. She had an 18-hour surgery to remove her primary tumor, plus two follow-up liver surgeries. She’s had radiation therapy to her brain, leg and pelvis.Dr Steven Rosenberg’s cell-based immunotherapy trial at the NIH offered hope. The treatment uses a person’s own cells to fight cancer and has seen some promise for patients with colon, rectal and GI cancers. This was deemed an exciting step by the medical community because the process had previously worked on blood cancers, but not solid cancers, the Washington Post reported.But these promising developments are coming alongside cuts to federal agencies, including ones that have affected these trials, Rosenberg has publicly confirmed. The trial itself was not cut, but it is experiencing delays because of staff reductions, Rosenberg has said.Phelps passed the initial medical steps to enter the trial in March, then flew to Bethesda, Maryland, at the end of April this year. There, they drew her blood to use to engineer T-cells for her treatment, which she previously was told takes about four weeks. Instead, she was told it would now take eight weeks, which the doctors said was because of funding cuts imposed by Doge.“That got me motivated enough to start to really panic, because my cancer between March and April really exploded and progressed to my lymph nodes and my bones,” she said. “My oncologist was very anxious about the difference between four and eight weeks could make, waiting for those treatment products.”One month can make a huge difference in late-stage cancer treatment, but the delay also brought up major decisions for Phelps. She wouldn’t be able to do chemo for a month before the treatment began. With a delay, she could maybe do chemo for a bit, then stop a month before.Then there was the size of her tumors – which would become the subject of the spat in a congressional hearing. She needed a tumor of at least one centimeter in size to start the trial, or an exemption – her disease was spreading in the number of tumors, not in one large tumor. The tumor would help scientists track how the treatment was working.View image in fullscreenIf she underwent chemo before doing a final scan needed to start the trial, tumors could shrink, affecting her eligibility. But if she waited for two months and did nothing, the disease could keep spreading. Her oncologist thought maybe the trial would have to be placed on the back burner, given the extended timeline.Phelps posted on social media, explaining her predicament. After seeing her videos, friends suggested she reach out to her members of Congress, who could intervene with the agency and help her get treated sooner.The office of Patty Murray, a Washington Democratic senator, got involved. On 14 May, Murray questioned Kennedy during a Senate health, education, labor and pensions committee hearing, sharing Phelps’ story and asking how many staff have been cut from the NIH’s clinical center. Kennedy said to reach out to his office for specifics on Phelps and claimed no cuts had been made to clinical trials. “I don’t think that should happen to anybody,” he said.Later in the hearing, though, Kennedy said his office had looked into the case and claimed that Phelps was “medically ineligible” for the trial, so her case had nothing to do with staff reductions. “That was a canard,” he told the committee, and he told Murray: “You don’t care. You don’t care about Natalie.” The exchange became a Fox News headline.It was a “spurious statement” to say she was medically ineligible, Phelps said – she was waiting for one final scan to see if her tumor was one centimeter, but had met all other criteria. She had a scan the day after the hearing, which showed her tumor had now grown large enough to qualify.“It’s been so much extra stress. The night after the hearing, I threw up all night. I barely made it to my scan because I was so stressed out,” she said. “It’s been very intense emotionally and an extreme added stress that nobody needs. Cancer just shouldn’t be political.”In a Senate appropriations hearing the next week, Kennedy again argued with Murray, saying it was “untrue” that Phelps’ care was delayed. In statements after the second exchange, Murray said her staff has been in “constant touch” with career staff at the NIH and the FDA to get help on Phelps’ case.“I still have no answer about how many NIH clinical staff have been fired,” Murray’s 20 May statement says. “I still have no answer why Natalie was told by her NIH doctor that her care was being delayed due to staffing cuts. For weeks, my staff has been demanding answers about agency staffing cuts.”In a statement, a spokesperson for the Department of Health and Human Services (HHS) said cancer research is a “high priority” for the NIH and HHS.“Ongoing investments reflect our dedication to addressing both urgent and long-term health challenges,” the agency said. “There have been no cuts to clinical trials.”In another statement sent after publication, the agency said the claim that patients were seeing treatment delays because of reductions in force was “false”.“No clinical trials have been cut. No personnel involved in direct patient care were affected by the RIF,” the agency said.“Clinical trials continue to be conducted in accordance with established protocols and patient safety standards. NIH investigators are responsible for ensuring trials are appropriately staffed, that patient enrollment aligns with trial capacity, and that participants are fully informed of timelines and potential risks of experimental treatments. We do not comment on individual patient cases in accordance with the Privacy Act and to protect patient confidentiality.”But Rosenberg, the doctor leading the trial Phelps is in, confirmed to the Washington Post in April that two patients were delayed care because of staff cuts and “purchasing slowdowns”, and these delays were confirmed before big layoffs hit the agency.Rosenberg didn’t respond to requests for comment this week. He previously told the Cancer Letter, an oncology publication, that Phelps was, at the time of the hearing, not eligible because of her tumors’ size, but was scheduled for additional scans to see if they had grown. He confirmed that, if determined eligible, her case would be delayed by a month because of reductions in force.Phelps wasn’t alone, he told the publication – nearly all of the trial patients were seeing a delay of about a month, which he attributed to a “loss of technicians” as part of reductions in force done by the Trump administration. It isn’t just delays, either.“We’ve had to drop the number of pa­tients we treat by about half. We’re just having to turn away more patients,” Rosenberg said.Phelps is still waiting to hear when she can start treatment. As of last Thursday, she was told she had a spot in the queue and the agency was seeing if her treatment could be moved up. On Tuesday, she was told it would now be 21 July. The NIH told her the agency tried to hire back staff, but it hasn’t worked out.“I have nothing to lose at this point. I’m pleading for my life. I’m begging for help,” she said. More

    • 138 Shares139 Views

      in US Politics

      RFK Jr’s ‘Maha’ report found to contain citations to nonexistent studies

      by

      Robert F Kennedy Jr’s flagship health commission report contains citations to studies that do not exist, according to an investigation by the US publication Notus.The report exposes glaring scientific failures from a health secretary who earlier this week threatened to ban government scientists from publishing in leading medical journals.The 73-page “Make America healthy again” report – which was commissioned by the Trump administration to examine the causes of chronic illness, and which Kennedy promoted it as “gold-standard” science backed by more than 500 citations – includes references to seven studies that appear to be entirely invented, and others that the researchers say have been mischaracterized.Two supposed studies on ADHD medication advertising simply do not exist in the journals where they are claimed to be published. Virginia Commonwealth University confirmed to Notus that researcher Robert L Findling, listed as an author of one paper, never wrote such an article, while another citation leads only to the Kennedy report itself when searched online.Harold J Farber, a pediatric specialist supposedly behind research on asthma overprescribing, told Notus he never wrote the cited paper and had never worked with the other listed authors.The US Department of Health and Human Services has not immediately responded to a Guardian request for comment.The citation failures come as Kennedy, a noted skeptic of vaccines, criticized medical publishing this week, branding top journals the Lancet, New England Journal of Medicine and Jama as “corrupt” and alleging they were controlled by pharmaceutical companies. He outlined plans for creating government-run journals instead.Beyond the phantom studies in Kennedy’s report, Notus found it systematically misrepresented existing research.For example, one paper was claimed to show that talking therapy was as effective as psychiatric medication, but the statistician Joanne McKenzie said this was impossible, as “we did not include psychotherapy” in the review.The sleep researcher Mariana G Figueiro also said her study was mischaracterized, with the report incorrectly stating it involved children rather than college students, and citing the wrong journal entirely.The Trump administration asked Kennedy for the report in order to look at chronic illness causes, from pesticides to mobile phone radiation. Kennedy called it a “milestone” that provides “evidence-based foundation” for sweeping policy changes.A follow-up “Make our children healthy again strategy” report is due in August, raising concerns about the scientific credibility underpinning the administration’s health agenda. More

    • 163 Shares91 Views

      in US Politics

      RFK Jr drops Covid-19 boosters for kids and pregnant women from CDC list

      by

      The US health secretary, Robert F Kennedy Jr, announced that the federal Centers for Disease Control and Prevention (CDC) would remove Covid-19 booster shots from its recommended immunization schedule for healthy children and pregnant women.Legal experts said the Trump administration appointee’s decision, which Kennedy announced on social media, circumvented the CDC’s authority to recommend such changes – and that it is unprecedented for a health secretary to unilaterally make such a decision.“I couldn’t be more pleased to announce that as of today, the Covid vaccine shot for healthy children and healthy pregnant women has been removed from the CDC’s recommended immunization schedule,” Kennedy said in the announcement.Kennedy claimed Joe Biden’s administration last year “urged healthy children to get yet another Covid shot despite the lack of any clinical data to support the repeat booster strategy in children”.The secretary was flanked by Food and Drug Administration (FDA) commissioner – Dr Marty Makary – and the head of the National Institutes of Health (NIH), Dr Jay Bhattacharya. Neither the head of the FDA nor of the NIH would typically be involved in making vaccine administration recommendations.Bhattacharya said the announcement was “common sense and good science”.Removing the booster shot from the recommended immunization schedule could make it more difficult to access – and it could affect private insurers’ willingness to cover the vaccine. About half of Americans receive healthcare through a private insurance company.Such a unilateral change is highly unusual if not unprecedented for a typical US Department of Health and Human Services (HHS) secretary. And it could leave the HHS department open to litigation, said one vaccine law expert.“The secretary has never been involved in making Covid-19 vaccine recommendations – any vaccine recommendations,” said Dorit Reiss, a law professor at the University of California San Francisco who has closely followed attempts to circumscribe access to Covid-19 vaccines.It is not clear whether the social media announcement was accompanied by formal documentation of the change. Annual Covid-19 booster shots were still recommended for children on the CDC’s website Tuesday morning. It is unclear how Tuesday’s announcement could affect federal programs, such as Vaccines for Children, which provides shots to uninsured and under-insured children.“I am surprised at the open contempt they are showing to the process and not even pretend to do it in a substantive and deliberative way,” Reiss said. “If only because I would think they want to make it as litigation-proof as they can.”The change further sends conflicting messages about the importance of Covid-19 vaccination during pregnancy. The CDC says people are at increased risk of severe illness if they contract Covid-19 during pregnancy, including heightened risk of hospitalization and the need for intensive care.That evidence was acknowledged by Makary in a similarly unprecedented article in the New England Journal of Medicine, which announced changes to the way the FDA would license Covid-19 vaccines. In that article, pregnancy and recent pregnancy were listed among “underlying medical conditions that can increase a person’s risk of severe Covid-19”.Further, there is evidence that mothers who are vaccinated pass protective immunity to infants. Infants younger than six months are at the highest risk of severe disease among children, with the risk to children younger than four years old on par with that of 50-64-year-old adults, according to the Journal article.Typically, changes to vaccine administration recommendations are first considered by the CDC’s advisory committee on vaccine practices (ACIP), a group of independent vaccine experts. ACIP meetings are public, meaning in a normal process Americans can watch experts debate the validity of different approaches in real time before a vote. Although the CDC does not always take the group’s advice, it often does. The CDC was without a permanent director as of Tuesday, a little more than four months into Donald Trump’s second presidency.ACIP recommendations are then counter balanced by recommendations from the FDA’s vaccine and related biologics products advisory committee, which has a similar structure and transparency measures. That group met five days earlier to recommend strains to include in this fall’s Covid-19 booster shot, settling on the JN.1 lineage.Kennedy’s announcement comes as the Trump administration has packed HHS with “Covid contrarians” – a colloquial term used by researchers to describe people, typically critics, who do not accept mainstream public health’s recommendations to prevent Covid-19.Congressional Republicans allied with Trump have also continued to flog the Biden administration’s response to the pandemic in hearings. Vaccine hesitancy has become much more common among Republican party voters than it once was, a Gallup poll has found. More

    • 163 Shares170 Views

      in US Politics

      This doctor calls LGBTQ+ rights ‘satanic’. He could now undo healthcare for millions

      by

      Steven Hotze, a Republican donor from Texas, has spent decades fighting against LGBTQ+ rights, with campaigns seeking to roll back protections for people he has deemed “termites”, “morally degenerate” and “satanic”.The Houston-area physician is not well-known in mainstream politics, and his efforts targeting queer and trans people have generally been local, with limited impact.His latest cause could be different. Hotze, 74, has sued the federal government to roll back healthcare coverage for pre-exposure prophylaxis (PrEP), the HIV prevention medication. The case is now before the US supreme court, which is expected to rule in the coming weeks. A decision in his favor could upend healthcare access for LGBTQ+ people across the country – and derail a wide array of preventive treatments for tens of millions in the process.“People will die,” said Kae Greenberg, staff attorney with the Center for HIV Law and Policy, which filed a brief in the case. “Preventive healthcare saves lives, and this case is about whose lives we consider worth protecting. It’s about cutting off people’s care based on them being gay or substance users or living their lives in a way the plaintiffs do not approve of. It’s using the law to legitimize bigotry.”The case, Kennedy v Braidwood, originated with Hotze’s Christian healthcare firm, Braidwood Management, which filed a lawsuit in 2020 objecting to the federal requirement that his company’s insurance plan cover PrEP. Braidwood, another Christian business and two individuals argued the daily PrEP medications “facilitate and encourage homosexual behavior”, saying the government violated their religious beliefs by making them support “sexual promiscuity”.Braidwood challenged the requirement under the Affordable Care Act, also known as Obamacare, that insurers and group health plans cover preventive services, a provision that includes diabetes and cancer screenings, medications to reduce heart disease risks, contraception and vaccinations. Along with opposing PrEP, Hotze explicitly objected to STI screenings, counseling for alcohol use and childhood obesity interventions.A Texas district court sided with Braidwood, saying the US violated the firm’s religious freedom. The ruling also found that a taskforce of medical experts that recommended the preventive services covered by the ACA was unconstitutional because the experts hadn’t been confirmed by the Senate, and therefore health plans should not be required to cover the care.The US government appealed the ruling on the taskforce, which is the issue now before the supreme court. The coverage mandates have remained in effect as the case has progressed, though the individual plaintiffs have been shielded from covering the services. The Trump administration has continued to defend the taskforce’s constitutionality, and the supreme court is not weighing religious objections.If the supreme court sides with Braidwood, it could lead to widespread loss of access to free preventive healthcare, with one study finding 39 million people received the threatened services. A 2023 Yale study estimated the loss of free PrEP could result in more than 2,000 preventable HIV infections within one year.The outcome of the case could threaten coverage for every service recommended by the taskforce, not just the provisions opposed by the right. “We’re talking about people who cannot afford this care, who will have to choose between a mammogram and rent,” added Susan Polan, associate executive director of the American Public Health Association.A decades-long missionThe high-stakes case, and Hotze’s role in it, have flown under the radar. But research from the progressive watchdog organization Accountable.US, which shared its findings with the Guardian, reveal the rightwing activist’s long history of pushing fringe ideologies before getting a signature cause before the supreme court.Hotze and his lawyers did not respond to requests for comment.In 1982, 31-year-old Hotze launched a petition in the city of Austin to legalize housing discrimination against gay people, the AP reported at the time. Heading a group called Austin Citizens for Decency, Hotze called gay residents “criminals” and “sodomites”, saying: “The issue is not housing. The issue is whether we allow our city council to grant public sanction to homosexual activity.” He said protecting LGBTQ+ people from discrimination is “like thieves or murderers trying to gain political power”. Hotze said in one interview he was less concerned about “property rights” and more worried about the “deviant, perverted lifestyle”. Voters overwhelmingly rejected his referendum.In 1985, Hotze backed a group of eight “anti-homosexual” Houston city council candidates identified as the “straight slate”. On ABC News, he stated, “We’re intolerant of those who participate in homosexual activity.” All eight candidates lost.Hotze runs the Hotze Health & Wellness Center, which has been in operation since 1989; Braidwood is his management firm that employs the center’s staff. He has marketed hormone therapies to treat a wide range of conditions and sold a vitamin product called Skinny Pak, the New York Times reported. Over the years, he has donated extensively to the Republican party and Texas politicians, including Senator Ted Cruz.Hotze’s public anti-LGBTQ+ activism picked up after the supreme court legalized gay marriage nationwide in 2015, with Hotze launching a “Faith Family Freedom Tour” and using the same homophobic language from his activism decades prior. Hotze said he was fighting a “wicked, evil movement” that celebrates anal sex, telling the Houston Chronicle: “Kids will be encouraged to practice sodomy in kindergarten.”View image in fullscreenDuring the tour, he said “satanic cults” were behind gay rights, brandished a sword during a speech, and likened his fight to battling Nazis, the Texas Observer reported. That year, he and other rightwing activists successfully campaigned to repeal an equal rights Houston ordinance.At a 2016 evangelical conference, Hotze was filmed describing the LGBTQ+ rights movement as “termites [that] get into the wood of the house and … eat away at the moral fabric”. In 2017, Hotze rallied for Roy Moore, the failed Alabama senate candidate accused of sexually coercing teenagers in the 1970s.Hotze has also recently promoted anti-trans causes, testifying in 2023 in favor of a school district policy requiring staff to notify parents if students change their names or pronouns. Trans people, he said, “have a reprobate, perverted and morally degenerate mind”.His ACA case was not his first effort to undo federal civil rights protections. In a case that began in 2018, Braidwood sued the Equal Employment Opportunity Commission (EEOC), challenging a ban on anti-LGBTQ+ discrimination in the workforce. Braidwood said it enforces a “sex-specific dress code that disallows gender-non-conforming behavior”, the courts summarized, prohibiting women from wearing ties and men from wearing nail polish. Hotze said he would not employ candidates engaged in “sexually immoral” behaviors.In 2023, an appeals court ruled that a religious freedom law protected Hotze’s rights to enforce dress codes and refuse to hire LGBTQ+ people.In that case, and in the one now before the supreme court, Hotze has been represented by America First Legal, the rightwing legal group co-founded by Stephen Miller, Donald Trump’s influential adviser. The organization has brought a string of lawsuits, including efforts to undo trans rights and complaints accusing companies of discriminating against white men.Hotze has also been represented by Jonathan Mitchell, an anti-abortion lawyer behind Texas’s so-called “bounty hunter law” that allows private citizens to sue providers or people who “aid or abet” the procedure.America First Legal and Mitchell did not respond to inquiries.Gabbi Shilcusky, Accountable.US senior investigative specialist, noted that Hotze’s supreme court case was founded on hypotheticals: “He’s not hiring men who wear nail polish or are asking for PrEP. This is manufactured to build upon his most fringe beliefs and not about actual issues he’s being confronted with in his company.”Hotze has in recent years made headlines outside of anti-LGBTQ+ advocacy. In 2020, during George Floyd protests, he left a voicemail for the Texas governor urging that he “kill the son of a bitches”, referring to demonstrators. Later that year, the Food and Drug Administration sent his company a warning advising it was promoting “unapproved and misbranded products” for Covid.In 2022, Hotze was charged with unlawful restraint and aggravated assault with a deadly weapon in an elections dispute. Hotze hired a contractor who claimed a local air conditioner repairman was holding fraudulent ballots in his truck. The contractor ran his vehicle into the man’s car and held him at gunpoint, according to prosecutors, who said the voter fraud claims were false. Hotze was later charged with aggravated robbery and organized criminal activity from the incident.View image in fullscreenHotze pleaded not guilty, and this week, a newly elected DA dropped the charges, accusing his predecessor of bringing a politically motivated case. The criminal case did not stop his attacks on voting rights; in October, just before the election, he filed a lawsuit against the local registrar seeking to invalidate tens of thousands of voters.It’s unclear if Hotze will succeed at the supreme court. In oral arguments last month, some justices, including conservatives, appeared skeptical of the arguments by Hotze’s lawyers. The case hinges on whether the taskforce members who make ACA recommendations are akin to department heads requiring Senate approval or are “inferior” officers. Brett Kavanaugh and Amy Coney Barrett at times appeared sympathetic to the notion that the experts are not sufficiently independent so as to merit a congressional vote.The case is part of longstanding attacks against the ACA, with legal strategies focused on religious claims as well as objections to how the law was crafted. Hotze previously challenged the ACA in a failed lawsuit that began in 2013, an effort he promoted with a bizarre original song called God Fearing Texans Stop Obamacare.Even if Hotze fails, the threats to PrEP and LGBTQ+ healthcare will continue, said Jeremiah Johnson, executive director of advocacy group PrEP4All, noting the Trump administration’s continued funding cuts and dismantling of HIV prevention, and ongoing rightwing efforts to attack civil rights under the guise of religious liberty.The case also comes as the FDA is considering a new injectable PrEP considered a major prevention breakthrough, he said. “We’re at the precipice of science delivering real pathways to ending this epidemic, but if we turn our backs now on all these protections, including private insurance through the ACA, we’re not just going to backtrack on progress, we’re going to lose out on that promise for the future.” More

    • 138 Shares179 Views

      in US Politics

      Key takeaways: RFK Jr’s ‘Maha’ report on chronic disease in children

      by

      Donald Trump’s health secretary and long-time vaccine skeptic, Robert F Kennedy Jr, presented a highly anticipated report on children’s health this week.The “Maha commission” report, referring to the “Make America healthy again” movement, was required by a presidential executive order in February. The report focuses on chronic disease among children.The 68-page report broadly summarizes five areas affecting children’s health, with a focus on ultra-processed foods, environmental chemical exposure, lack of physical activity, “overmedicalization”, and “capture” of regulatory agencies.It notably omits some of the most common causes of chronic disease and death in children, insinuates there could be harms where there is lack of evidence, and avoids discussing how Republicans have already changed the health system in ways researchers believe are harmful.Art Caplan, a professor of bioethics at New York University’s Grossman School of Medicine, told the Guardian that the report has “interesting ideas about health and children’s health and crackpot fringe tin-hat-wearing nonsense – it’s got it all”.Here are five of the key takeaways from the report.1. The report ignores some common dangers to childrenThe most common causes of death among children are car crashes and firearm accidents. The report ignores these issues, as well as behaviors that often start in adolescence and lead to chronic disease in adulthood, such as smoking and alcohol use. It also criticizes water fluoridation, without mentioning its protective effects against cavities.Also, absent from the report is a discussion of how the administration has already changed the health department in ways that advocates argue will benefit industry and could exacerbate chronic disease.For instance, Kennedy eliminated two smoking prevention offices at the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) in what one former regulator told Stat was “the greatest gift to the tobacco industry in the last half century”. He also eliminated a world-leading sexually transmitted infection laboratory.In another example, one of the nation’s leading researchers of ultra-processed foods quit his “dream job” after facing what he described as censorship from the administration (the health department reportedly asked him to return). In a similar vein, the Trump administration cut a program that delivered local whole foods to schools soon after taking office, in spite of Kennedy calling for healthier school meals.2. The report focuses on issues key to Kennedy’s view of healthThe report is roughly broken up into five sections focusing on ultra-processed foods, environmental chemical exposures, children’s mental health, “overmedicalization” and “corporate capture” of regulators by the industries they are supposed to oversee.Kennedy has harped on many of the issues listed in the report for months in public appearances and even though his defunct presidential campaign – especially including ultra-processed foods and obesity. Although some of these concerns may find bipartisan support – such as the focus on “forever chemicals” such as Pfas – it also pushes into areas where the science is unsettled.For instance, the report mentions that high levels of fluoride are potentially associated with reduced IQ, but does not mention its well-established protective effects against cavities – the most common chronic condition in children, according to the National Institute of Dental and Craniofacial Research.Similarly, the report argues that the childhood vaccine schedule is causing concern among parents for,“their possible role in the growing childhood chronic disease crisis” – without citing evidence that vaccines are linked to any specific chronic disease.3. It’s likely to face diverse pushback – and create new alliancesEven before the report was published, congressional lawmakers were being bombarded by calls from agricultural and chemical lobbyists wary of how the report would criticize their products – and indeed it did.One of the report’s sections questions whether “crop protection tools” including “pesticides, herbicides and insecticides” could harm human health. It then specifically name-drops glyphosate, the key ingredient in Roundup, and atrazine, a common herbicide. That is sure to make for strange political bedfellows and consternation within the Republican party. Similarly, the report cites synthetic dyes and ultra-processed foods are potentially harmful.Chemicals and food additives have been issues of concern for decades on the left. However, the Maha movement has also catalyzed opposition to them on the right.4. The report’s authors are not namedThe commission’s members are made up of the heads of intersecting agencies, including Kennedy at the Department of Health and Human Services, and the heads of the departments of agriculture, housing, education, veterans affairs and the Environmental Protection Agency, among others.However, the exact authors of the report are unknown. This contrasts with Kennedy’s repeated promise at his confirmation hearing that his health department would practice “radical transparency”.The work of the “Maha” commission was reportedly spearheaded by senior Kennedy adviser Calley Means, a former food lobbyist and healthcare entrepreneur who rose to prominence as a Maha truth-teller. Means co-wrote a bestselling book with his sister, current US surgeon general nominee Casey Means, which blames many of America’s ills on sedentary lifestyle and poor diet.5. Changing any of the issues identified is likely to be toughOne of the key issues the report identifies is the influence of food, pharmaceutical and chemical companies on American policy. They are monied and powerful.As a result, getting real change through Congress is certain to be tough – especially in an administration devoted to reducing regulations. More