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    Six former US surgeons general warn RFK Jr is ‘endangering nation’s health’

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    Six former US surgeons general – the top medical posting in Washington – warned in an opinion column published on Tuesday that policy changes enacted by the health and human services (HHS) secretary, Robert F Kennedy Jr, are “endangering the health of the nation”.The surgeons general – Jerome Adams, Richard Carmona, Joycelyn Elders, Vivek Murthy, Antonia Novello and David Satcher – who served under both Republican and Democrat administrations, identified changes in vaccine policy, medical research funding, a shift in priorities from rationality to ideology, plunging morale, and changes to staffing as areas of concern.Referring to their oaths of office, both Hippocratic as physicians and as public servants, the former officials wrote in the Washington Post that they felt “compelled to speak with one voice to say that the actions of Health and Human Services Secretary Robert F. Kennedy Jr. are endangering the health of the nation”.“Never before have we issued a joint public warning like this. But the profound, immediate and unprecedented threat that Kennedy’s policies and positions pose to the nation’s health cannot be ignored,” they said, adding that they could not ignore the “profound, immediate and unprecedented threat” of his policies.Under a “Make America Healthy Again” (Maha) agenda, Kennedy has accelerated vaccine policy changes despite opposition from scientists, including narrowing eligibility for Covid-19 vaccine shots and dismissing members of a vaccine advisory panel.He has cut federal funding for mRNA vaccine research for respiratory illnesses and instituted a review of vaccine recommendations. Kennedy also sought the dismissal of Dr Susan Monarez, former head of the US Centers for Disease Control and Prevention (CDC).Monarez testified before Congress last month that her firing by Donald Trump came after refusing a request from Kennedy to dismiss CDC vaccine experts “without cause”.Kennedy said in June that waning public trust in US healthcare and conflicts of interest between the medical establishment and the pharmaceutical industry are behind a mission to put “the restoration of public trust above any pro- or anti-vaccine agenda”.“The public must know that unbiased science guides the recommendations from our health agencies. This will ensure the American people receive the safest vaccines possible,” he said.The surgeons general pushed back on that characterization in their letter, noting that they had uniformly “watched with increasing alarm as the foundations of our nation’s public health system have been undermined.“Science and expertise have taken a back seat to ideology and misinformation. Morale has plummeted in our health agencies, and talent is fleeing at a time when we face rising threats – from resurgent infectious diseases to worsening chronic illnesses,” they said.They accused Kennedy of failing to ground public healthcare policy in science, pointing out that Kennedy “has spent decades advancing dangerous and discredited claims about vaccines” and referred to the recent measles outbreak in parts of the US.“Secretary Kennedy is entitled to his views,” the authors concluded. “But he is not entitled to put people’s health at risk. He has rejected science, misled the public and compromised the health of Americans.”Last week, two psychiatric organizations – the Southern California Psychiatric Society and a grassroots startup, the Committee to Protect Public Mental Health – called for Kennedy’s removal as health secretary in a statement, arguing that the HHS had “been damaged in ways that directly endanger lives, degrade scientific integrity, and obstruct effective treatment for mental health and substance use disorders”.The groups pointed to Kennedy’s restructuring of the agency including changes to the substance abuse and mental health services administration (Samhsa), which the secretary plans to place under the control of a new entity, titled the Administration for a Healthy America (AHA).Emily Hilliard, a spokesperson for the federal health department, said in a statement to NPR that “Secretary Kennedy remains firmly committed to delivering on President Trump’s promise to Make America Healthy Again by dismantling the failed status quo, restoring public trust in health institutions, and ensuring the transparency, accountability, and decision-making power the American people voted for.” More

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      Democrats are embracing the risky politics of a government shutdown to rein in president, activists say

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      For months, as Donald Trump has used the levers of the US federal government to consolidate power, silence dissent and punish his political enemies, Democrats have been bombarded with a single demand: do something. Last week, they did.In a rare display of unity, out-of-power Democrats embraced the risky politics of a government shutdown – their boldest effort yet to rein in a president whom many Americans and constitutional scholars now view as a threat to US democracy.“It’s not a fight for fighting’s sake,” said Adam Green, co-founder of the Progressive Change Campaign Committee, one of the outside groups closely coordinating with Democratic leaders on Capitol Hill. “This is a battle about Donald Trump’s attacks on the constitution and him seizing the power over all spending from Congress – and whether Congress is going to let him get away with that.”Washington is bracing for what could be an extended government shutdown, which officially began at 12.01am on Wednesday. Last week, Senate Democrats repeatedly blocked a Republican funding measure to reopen the government, as the parties traded blame and each side insisted they would not bend to the other’s demands.Democrats are pressing for an array of healthcare-centered priorities, including the extension of tax credits for Affordable Care Act plans set to expire at the end of the year. The White House and Republicans, who control both chambers of Congress, have refused to include any healthcare concessions as part of a deal to reopen the government, though some GOP lawmakers are open to extending the ACA subsidies.Democrats, with little leverage and deep skepticism that Republicans will honor any future deal, view the shutdown as their only option to force the issue.But the Trump administration is working to make the closures as painful as possible for Democrats, who Republicans accuse of trying to “sabotage” the president’s agenda.Trump has called the shutdown an “unprecedented opportunity” to dismantle federal programs and what he called “Democrat agencies”. In a sharp break from precedent, the Trump administration is readying plans to permanently layoffs of federal workers while it takes punitive action against Democratic-led states. Several government departments have posted partisan and potentially illegal messages saying their operations are curtailed due to “the Radical Left Democrat shutdown”. In the Senate, the majority leader John Thune has said he plans to hold more votes on a plan to reopen the government this week.But Democrats say the stakes are too high – and the greater risk is capitulating to the president.“Remember, right now, our healthcare system is broken. Right now, we’re the only major country on Earth not to guarantee healthcare to all people,” the senator Bernie Sanders said in a video with progressive New York congresswoman Alexandria Ocasio-Cortez, explaining the Democrats’ opposition to the Republican funding bill. “And these guys want to make it even worse. We’re not going to let that happen.”Progressive activists who have been sharply critical of the party’s congressional leaders, Senate Democratic leader Chuck Schumer and House Democratic leader Hakeem Jeffries, are now praising them for continuing to “hold the line on healthcare”.“What our members see is Democrats willing to stand up and fight,” said Joel Payne, a spokesperson for MoveOn, which is part of a coalition of progressive groups flooding Democrats with calls to hold fast in shutdown negotiations.Payne said healthcare was Democrats’ “north star” – the party’s strongest issue with voters and one that has helped propel them to victory in the past. If Democrats are successful, he added, the showdown over healthcare could serve as a blueprint for safeguarding other rights under attack by the administration.House Republicans did not need Democrats to pass their short-term spending bill last month, which would fund the government mostly at current levels through 21 November. But in the Senate, where Republicans hold a 53-47 majority, they need Democratic support to clear the 60-vote threshold required to advance most legislation.So far, only three members of the Senate Democratic caucus have broken ranks: John Fetterman of Pennsylvania, Catherine Cortez Masto of Nevada and Angus King, an independent of Maine.In the House, Maine congressman Jared Golden, was only House Democrat to back the Republican funding bill when it passed the House last month. In a statement last week, Golden said the shutdown was the “result of hardball politics” driven by the demands of “far-left groups” eager to show their opposition to Trump.Early polling suggests voters are more inclined to blame Trump and Republicans than Democrats for the federal shutdown. A Washington Post poll released on Thursday found that, by a 17-percentage-point margin, Americans blame Republicans for the shutdown. Independents overwhelmingly sided with Democrats, the survey found.Yet there were signs public opinion could shift as more Americans face the ripple effects of government-wide closures. In several polls, a significant share of voters said they held both parties equally responsible or were unsure of whom to blame.The call for Democrats to take a harder line against Trump has been building for months. Across the country, progressive activists, disaffected Republicans and voters outraged by the administration’s actions have packed town halls, marched in protests and launched campaigns of their own – sending a clear message to Democrats: step up, or step aside.“Everybody wants a fighter,” said Lanae Erickson, senior vice-president at the centrist thinktank Third Way that is often at odds with the party’s left flank.Erickson said the focus on healthcare – an issue that unifies the party’s diverse coalition and falls squarely in the “Venn diagram of things voters care about” – was both good politics and good policy.“The ACA subsidies are a real ask,” she said. “If Democrats got that, it would be a way to declare victory in this moment.”Democrats feel confident going to battle over healthcare. A Kaiser Family Foundation (KFF) poll showed that 78% of Americans support extending the credits, which disproportionately benefit Republican-held congressional districts.Without action, insurance premiums for millions of Americans could double next year, according to an analysis by KFF. Democrats have also sought to reverse Medicaid cuts included in Trump’s marquee tax-and-immigration package, which the nonpartisan congressional budget office projects will leave 10 million more Americans uninsured over the next decade.Republicans have countered by falsely claiming Democrats forced a shutdown to provide free health benefits to undocumented immigrants. The White House has taunted Democrats with a deepfake video of Schumer and Jeffries, wearing a sombrero and fake mustache that has been widely denounced as racist. Vance laughed off the criticism, calling the video “funny”.Democrats like Gavin Newsom, the governor of California, fired back with memes and taunts of their own. In one tweet, Newsom’s press team posted an AI generated image of Trump in a towering wig and an 18th-century gown: TRUMP “MARIE ANTOINETTE” SAYS, “NO HEALTH CARE FOR YOU PEASANTS, BUT A BALLROOM FOR THE QUEEN!”Democrats are betting that the shutdown strategy can help shift momentum heading into next year’s midterm elections. By wielding their most powerful legislative tool, party leaders aim to rebuild trust with their disillusioned base – a group whose frustration has dragged Democratic approval ratings to decade lows and hurt fundraising.Many Democrats argue that their best hope of restraining Trump is to regain the House in 2026, and that the most straightforward path to doing so is to focus on kitchen-table issues like healthcare.Some Democratic strategists warn that by focusing primarily on healthcare, the party risks downplaying what many view as Trump’s authoritarian lurch – reducing it to just another policy showdown in Washington’s partisan budget battles.Anat Shenker-Osorio, a Democratic strategist and communications researcher, believes a sharper message – such as “we will not fund fascism” or “no dollars for dictatorship” – would help cut through the noise and clarify the stakes.“In order for people to fight this regime, they have to understand it as a regime hellbent on taking our freedoms,” she said.As part of their demands, Democrats are also pushing for ways to curtail Trump’s ability to rescind funding already approved by Congress, as he has done with foreign aid programs and public broadcasting. An alternative short-term funding bill offered by Democrats included provisions that would make it harder for the president to undermine Congress’s funding power.Ezra Levin, co-founder of Indivisible and a leading voice on the left pushing Democrats to fight harder against what he calls the Trump “regime”, said he was encouraged to see the party’s leadership sharpen its tactics. Though Levin shares the view that the stakes are far bigger than a healthcare policy dispute, he believes Democrats’ demands, if met, could “constrain the regime in some meaningful ways”.Indivisible is helping to coordinate a second wave of No Kings rallies across the country to protest what organizers described as Trump’s “authoritarian power grab”. The day of action, planned for 18 October, will be another opportunity to mobilize Americans and, Levin hopes, to celebrate Democrats for their resolve.“I hope what we will not be doing is criticizing them for having surrendered again,” he said. “So the play is to win.” More

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      Why healthcare spending was at the center of the US government shutdown battle

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      The federal government shut down on Wednesday in part, due to a battle between Democrats and Republicans over healthcare spending.Democrats had said that they would not vote for legislation to keep the government open unless Donald Trump and Republicans, who hold the majority in Congress, agreed to reverse cuts to Medicaid and extend subsidies for Affordable Care Act plans. That did not respire in either of the votes in the Senate on Tuesday.In June, the US president approved legislation he calls his “big, beautiful bill”, which the Congressional Budget Office estimated would reduce federal Medicaid spending by $793bn and increase the number of uninsured people by 7.8 million.The savings in federal Medicaid spending will largely come from the implementation of the new requirements, which include completing 80 hours of work or community service activities per month, or meeting exemption criteria.The law also means that the premium tax credits implemented during the Covid-19 pandemic for insurance purchased through the Health Insurance Marketplace will expire at the end of 2025. That would make coverage more expensive and lead to 3.1 million more people without health insurance, according to the CBO.skip past newsletter promotionafter newsletter promotion“We are not going to support a partisan Republican spending bill that continues to gut the healthcare of everyday Americans,” Jeffries said following a negotiation with Trump and Republican leaders on Monday.Meanwhile, Trump doubled down during an Oval Office press conference on Tuesday that if the parties can’t reach an agreement, “we can do things during the shutdown that are irreversible, that are bad for them,” Trump said while speaking to reporters in the Oval Office on Tuesday afternoon. “Like cutting vast numbers of people out, cutting things that they like, cutting programs that they like.”He did not mention Medicaid or the Affordable Care Act but said: “We can do things medically and other ways, including benefits.”Still, there could be an opening for negotiation in coming weeks. The Senate majority leader, John Thune, said on the Senate floor on Tuesday that the Democrats should vote to keep the government open until 21 November and that he would be happy to fix the “ACA credit issue” before the credits expire at the end of the year. More

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      Tensions expected as Trump meets with top Democrats and Republicans in effort to avoid shutdown

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      Democrats and Republicans are gearing up for a crunch White House meeting with Donald Trump in an 11th-hour bid to avert a potentially damaging federal government shutdown.Monday’s gathering is aimed at reaching an agreement over funding the government and largely hinges on Democrat demands for an extension of funding subsidies for health insurance under the Affordable Care Act, also known as Obamacare, beyond the end of the year, when they are due to expire.Hakeem Jeffries, the Democrat leader in the House of Representatives, and Chuck Schumer, the party’s leader in the Senate, will meet Trump along with their Republican counterparts, Mike Johnson, the House speaker, and John Thune, the Senate majority leader, for talks that are expected to be tense if not confrontational.It will be Trump’s first meeting with the two Democrats since his return to the White House in January. Jeffries and Trump have never previously met in person.Expectations for the encounter are low, with failure likely to result in large swathes of the federal government shutting down from 1 October.Trump and the Republicans have signaled that they are unfazed at that prospect, calculating that the public will blame Democrat intransigence.The White House office of management and budget (OMB) has also indicated that it will exploit a shutdown to carry out more mass firings as part of its crusade to slash government bureaucracy.An OMB memorandum said government agencies have been instructed “use this opportunity to consider reduction in force (RIF) notices for all employees in programs, projects, or activities”, The Hill reported.Republicans have also warned that Trump could make a shutdown politically costly by targeting spending programmes that are disproportionately used by Democrat-run states and cities.CBS, citing a source close to Trump, reported that he privately welcomes the prospect of a shutdown because it would “enable him to wield executive power to slash some government programs and salaries”.“I just don’t know how we are going to solve this issue,” Trump told the network in a telephone interview. “They [the Democrats] are not interested in waste, fraud and abuse.”skip past newsletter promotionafter newsletter promotionSome Democrats have acknowledged that they have “no good options” in trying to end the standoff.“It’s doubly made no good because it’s very clear that Republicans want [a shutdown]. Trump wants it. He’s fine with that, happy to have it,” The Hill quoted a Democratic Senate aide as saying.. “I don’t really know what your good option here is when they want one.”However, Schumer is under pressure to be seen taking a more actively confrontational stance after being fiercely criticized by fellow Democrats for backing a Republican funding packing in March to avert an earlier government shutdown.With Rand Paul, the Kentucky Republican senator, likely to vote against the funding package, it would need the support of eight Democrats to overcome a Senate filibuster. More

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      Trump to meet with US congressional leaders in last-ditch effort to avoid shutdown

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      Donald Trump has reversed course and is purportedly planning to host a bipartisan gathering of the top four US congressional leaders at the White House on Monday afternoon in a last-ditch effort to avoid a looming government shutdown, the House speaker and the US president’s fellow Republican Mike Johnson said on Sunday.Trump’s climbdown comes days after he scrapped a planned meeting to discuss the crisis with Hakeem Jeffries and Chuck Schumer, the respective Democratic minority leaders in the House and Senate.The president accused the pair of making “unserious and ridiculous demands” in return for Democratic votes to support a Republican funding agreement to keep the government open beyond Tuesday night – but left the door open for a meeting “if they get serious about the future of our nation”.Johnson, appearing on CNN, said he spoke with Trump at length on Saturday, and that the two Democrats had agreed to join him and John Thune, the Republican Senate majority leader, for an Oval Office discussion Monday.He did not say if Trump would be negotiating directly with the Democrats – but portrayed Trump as keen to “try to convince them to follow common sense and do what’s right by the American people”.Schumer, talking to NBC’s Meet the Press, said he was “hopeful we can get something real done” – but was uncertain of the mood they would find Trump in when they sat down for the 2pm ET discourse.“If the president at this meeting is going to rant, and just yell at Democrats, and talk about all his alleged grievances, and say this, that, and the other thing, we won’t get anything done,” Schumer said.“We don’t want a shutdown. We hope that they sit down and have a serious negotiation with us.”According to CBS News on Sunday, meanwhile, Trump is not hopeful the meeting will lead to an agreement.The network’s chief national correspondent, Robert Costa, told Face the Nation he spoke with Trump by phone Sunday morning and that a government shutdown “looks likely at this point based on my conversation … He says both sides are at a stalemate.”Costa said: “Inside the White House, sources are saying president Trump actually welcomes a shutdown in the sense that he believes he can wield executive power to get rid of what he calls waste, fraud and abuse.”If no deal is reached, chunks of the federal government are set to shut down as early as Wednesday morning, with the White House telling agencies to prepare to furlough or fire scores of workers.Republican and Democratic leaders have been pointing fingers of blame at each other for days as Tuesday’s deadline for a funding agreement approaches.The narrow House Republican majority passed a short-term spending bill known as a continuing resolution earlier in September that would keep the government funded for seven weeks – but it faces opposition in the Senate, where it needs the support of at least eight Democrats to pass.Democrats have made the extension of expiring healthcare protections a condition of their support, warning that planned Republican spending cuts would affect millions of people.“If we don’t extend the Affordable Care Act tax credits, more than 20 million Americans are going to experience dramatically increased premiums, copays, deductibles, in an environment where the cost of living in America is already too high,” Jeffries told CNN on Sunday.“We’ve made clear that we’re ready, willing and able to sit down with anyone, at any time and at any place, in order to make sure that we can actually fund the government, avoid a painful Republican caused shutdown, and address the healthcare crisis that Republicans have caused that’s [affecting] everyday Americans.”skip past newsletter promotionafter newsletter promotionBut Trump and Republicans have repeatedly accused their political opponents of exploiting the issue to force a shutdown while there was still plenty of time to fix healthcare before the subsidies expire on 31 December.“The Obamacare subsidies is a policy debate that has to be determined by the end of the year, not right now, while we’re simply trying to keep the government open so we can have all these debates,” Johnson said.“There is nothing partisan about this continuing resolution, nothing. We didn’t add a single partisan priority or policy rider at all. We’re operating completely in good faith to get more time.”Thune, on Meet the Press, also attempted to blame Democrats for the potential shutdown and said “the ball is in their court” as to the next development.“There is a bill sitting at the desk in the Senate right now, we could pick it up today and pass it, that has been passed by the House that will be signed into law by the president to keep the government open,” he said.“What the Democrats have done is take the federal government as a hostage, and by extension the American people, to try [to] get a whole laundry list of things that they want.”But US senator Chris Van Hollen, a Maryland Democrat who has previously urged his party leadership to be stronger in standing up to the Trump administration, said the problem was Republicans handing “a complete blank check” to the president to spend money on his own political interests, and not those of the nation.“Until now the president has said he’d rather shut down the government than prevent those healthcare costs from spiking,” he told CNN.“Democrats are united right now on this question. I’m glad we’re finally talking. We’ll see what happens.” More

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      Why is the Trump administration obsessed with autism? – podcast

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      Archive: Good Morning America, NPR, NBC News, WHAS11, BBC News, CBS News, Jimmy Kimmel Live, LiveNowFox
      Listen to Science Weekly’s episode factchecking Trump’s claims about paracetamol
      Buy Carter Sherman’s book, The Second Coming: Sex and the Next Generation’s Fight Over its Future, here
      Buy Jonathan Freedland’s new book, The Traitor’s Circle, here
      Buy John Harris’ book, Maybe I’m Amazed, about connecting with his son James, diagnosed with autism as a child, through music
      Send your questions and feedback to politicsweeklyamerica@theguardian.com
      Support the Guardian. Go to theguardian.com/politicspodus More

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      Trump says US will impose new tariffs on heavy trucks, drugs and kitchen cabinets

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      Donald Trump on Thursday announced a new round of punishing tariffs, saying the United States will impose a 100% tariffs on imported branded drugs, 25% tariff on imports of all heavy-duty trucks and 50% tariffs on kitchen cabinets.The US president also said he would start charging a 50% tariff on bathroom vanities and a 30% tariff on upholstered furniture next week, with all the new duties to take effect from 1 October.Drug companies warned earlier this year that Americans would suffer the most if Trump decided to impose tariffs on pharmaceuticals.In 2024, the US imported nearly $233bn in pharmaceutical and medicinal products, according to the Census Bureau. The prospect of prices doubling for some medicines could send shock waves to voters as healthcare expenses, as well as the costs of Medicare and Medicaid, potentially increase.Pascal Chan, vice-president for strategic policy and supply chains at the Canadian Chamber of Commerce, warned that the tariffs could harm Americans’ health with “immediate price hikes, strained insurance systems, hospital shortages, and the real risk of patients rationing or foregoing essential medicines”.“We are already being crushed by the highest prescription drug costs in the world and this will cause them to skyrocket further,” 314 Action, a US advocacy group that tries to elect scientists to office, said in a statement. “If [Trump] goes through with these tariffs, people across the country will die.”Trump had previously suggested that pharmaceutical tariffs would be phased in over time so that companies had time to build factories and relocate production, making the sudden announcement of a 100% tariff more of a shock. On CNBC in August, Trump said he would start by charging a “small tariff” on pharmaceuticals and raise the rate over a year or more to 150% and even 250%.Trump said on Truth Social that the pharmaceutical tariffs would not apply to companies that are building manufacturing plants in the United States, which he defined as either “breaking ground” or being “under construction”. It was unclear how the tariffs would apply to companies that already have factories in the US.Several major pharmaceutical companies, including AstraZeneca, Roche, Novartis, Eli Lilly, and Johnson & Johnson, had already announced plans to invest in or increase manufacturing of their drugs in the US in an attempt to prepare for potential tariffs. Trump’s White House has touted these changes as a win.Markets dropped following the news, as concerns about the impact of Trump’s tariffs mounted. All three main indexes on Wall Street were down, having already fallen every day since Monday.Tokyo, Hong Kong, Shanghai, Sydney, Seoul, Wellington, Taipei and Manila retreated on Friday, with some pharmaceutical companies in Japan and South Korea leading the way.While Trump did not provide a legal justification for the tariffs, he appeared to stretch the bounds of his role as commander-in-chief by stating on Truth Social that the taxes on imported kitchen cabinets and sofas were needed “for National Security and other reasons”.He said the new heavy-duty truck tariffs were to protect manufacturers from “unfair outside competition” and said the move would benefit companies such as Paccar-owned Peterbilt and Kenworth and Daimler Truck-owned Freightliner.“We need our Truckers to be financially healthy and strong, for many reasons, but above all else, for National Security purposes!” Trump added.The new tariffs are another dose of uncertainty for the US economy with a solid stock market but a weakening outlook for jobs and elevated inflation. These new taxes on imports could pass through to consumers in the form of higher prices and dampen hiring, a process that economic data suggests is already underway.“We have begun to see goods prices showing through into higher inflation,” Federal Reserve chair, Jerome Powell, warned in a recent news conference, adding that higher costs for goods account for “most” or potentially “all” of the increase in inflation levels this year.Trump has pressured Powell to resign, arguing that the Fed should cut its benchmark interest rates more aggressively because inflation is no longer a concern.The US Chamber of Commerce urged the department not to impose new tariffs, noting the top five import sources are Mexico, Canada, Japan, Germany, and Finland “all of which are allies or close partners of the United States posing no threat to U.S. national security”.Trump has launched numerous national security inquiries into potential new tariffs on a wide variety of products. He said the new tariffs on kitchen, bathroom and some furniture were because of huge levels of imports which were hurting local manufacturers.skip past newsletter promotionafter newsletter promotion“The reason for this is the large scale ‘FLOODING’ of these products into the United States by other outside Countries,” Trump said.Mexico is the largest exporter of medium- and heavy-duty trucks to the United States. A study released in January said imports of those larger vehicles from Mexico have tripled since 2019.Higher tariffs on commercial vehicles could put pressure on transportation costs just as Trump has vowed to reduce inflation, especially on consumer goods such as groceries.Tariffs could also affect Chrysler-parent Stellantis which produces heavy-duty Ram trucks and commercial vans in Mexico. Sweden’s Volvo Group is building a $700m heavy-truck factory in Monterrey, Mexico, due to start operations in 2026.Mexico is home to 14 manufacturers and assemblers of buses, trucks, and tractor trucks, and two manufacturers of engines, according to the US International Trade Administration.The country is also the leading global exporter of tractor trucks, 95% of which are destined for the United States.Mexico opposed new tariffs, telling the commerce department in May that all Mexican trucks exported to the United States have on average 50% US content, including diesel engines.Last year, the United States imported almost $128bn in heavy vehicle parts from Mexico, accounting for approximately 28% of total US imports, Mexico said.The Japanese Automobile Manufacturers Association also opposed new tariffs, saying Japanese companies have cut exports to the United States as they have boosted US production of medium- and heavy-duty trucks.Reuters and the Associated Press contributed reporting More

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      Trump’s absurd Tylenol claims heighten the suffering of pregnant women in the US | Moira Donegan

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      Robert F Kennedy Jr continued his futile search for a single pharmaceutical cause of autism on Monday, when the Trump administration claimed that distorted recent studies and misstated scientific evidence to allege a link between women’s Tylenol use during pregnancy and the development of autism in children. Kennedy has long spoken with disturbing disgust about autistic people, claiming at one press conference that autistic children “destroy families” and “will never pay taxes. They’ll never hold a job. They’ll never play baseball. They’ll never write a poem. They’ll never go out on a date.” He had previously pledged to find the cause of autism by this month.As part of his apparent quest to eliminate this vast and varied group of people – who do, in fact, pay taxes, hold jobs, play baseball, write poems, go on dates, and function as beloved and caring members of functional families – Kennedy has already sought to restrict access to common vaccines. In June, he fired every member of the advisory committee on immunization practices, an influential group of vaccine experts whose recommendations had long shaped policy for the Centers for Disease Control and Prevention. In place of the experts, he reconstituted the panel with a number of vaccine critics and cranks, whose incompetence has led to chaotic meetings and bizarrely changing vaccine recommendations. Donald Trump has recently joined his health secretary in casting aspersions on childhood vaccines – safe and effective treatments that have saved countless lives and are among the more wonderful miracles of human innovation. “It’s too much liquid,” the president said of the early childhood immunizations on Monday. “Too many different things are going into that baby at too big a number. The size of this thing, when you look at it.”Trump’s remarks came at what was supposed to be the debut for Kennedy’s new tactic: discouraging pregnant women from taking a common over-the-counter medication to ease pain or reduce fevers. At a rambling and shambolic press conference issued from the White House, Trump was unambivalent in his unproven assertions of the drug’s dangers. “Taking Tylenol is, uh, not good,” Trump said, flanked by Kennedy and Dr Mehmet Oz. “I’ll say it. It’s not good.” The president also offered his opinion that the weight-loss drug Ozempic doesn’t work, offering that his friends who take the drug are still fat. Kennedy, his face an uncanny color, stood awkwardly behind Trump, wearing a suit jacket that was visibly too small and with his head hanging slightly to the side; he looked a bit like a bored child at a prep school assembly. “Don’t. Take. Tylenol,” Trump continued, addressing pregnant women. “And don’t give it to the baby after the baby is born.”There is no evidence suggesting that Tylenol causes autism. A small number of studies have shown a correlation – not a cause – between acetaminophen use and incidents of neurological development disorders in early childhood. But these studies, aside from being inconclusive in their results, are also flawed in their methodologies: because pregnant women cannot be easily or ethically sorted into control groups, it is impossible for researchers to isolate Tylenol as a causal factor in the ensuing health of their children. There is as much evidence to suggest that those women whose children later developed autism got it from the Tylenol they took as there is to suggest that they got it because of a gust of wind, or because their mothers wore the color green. Fevers, however – which Tylenol is used to treat – pose proven risks to a fetus, and have been linked to cleft lip and palate, spina bifida, and congenital heart defects. “The conditions that people use acetaminophen to treat during pregnancy are far more dangerous than any theoretical risks and can create severe morbidity and mortality for the pregnant person and the fetus,” Dr Steven Fleischman, the president of the American College of Obstetricians and Gynecologists, said in a statement.Pregnant women do not lack for judgmental, frightening and dubiously factual instructions about their health. Everywhere, they are told that they risk the health of their fetus by partaking in a series of banal everyday activities – be it jogging or having coffee or eating a certain cheese – that they are told will lead, by obscure mechanisms that are never quite explained, to impossible and devastating health outcomes for their children-to-be. The admonishments are multiple and often contradictory, but they all tend to agree on one thing: that it is always good for women to deprive themselves of joy and relief – and to suffer more – for the sake of their fetuses.Health misinformation has thrived on the ignorance in which most women are kept about their bodies, particularly during pregnancy, and it feeds on the cruel combination of neglect and lack of interest with which many women have been treated by the medical system and the maximally judgmental and punitive treatment that they receive from others while pregnant. Frightened women, scared both for the health of their pregnancies and for the ways they will be blamed if something goes awry, seek out a way to secure a good outcome, and are met by charlatans, grifters and quacks who are happy to tell them lies in exchange for their attention and money. It is this very dynamic, fed like a sourdough starter in the damp and fecund social media environment of the pandemic, that Kennedy used to revive his own career after decades of scandal and disgrace.Now, this cynical exploitation of pregnant women’s fears, deployed to them at a time when they are most vulnerable, is coming from no less a place of authority than the White House itself.At the press conference, Trump advised pregnant women to simply endure their suffering. “A mother will have to tough it out,” he told them. Readers will forgive me if I posit that perhaps pregnant women in the US are already suffering enough. Six justices of the supreme court, three of them appointed by Trump himself, ruled in 2022 that they no longer have the federally protected right to terminate their pregnancies. The laws that have gone into effect since have cost several pregnant women their lives, as laws prohibit the medical interventions that could easily save them and allow them to die painful, premature and needless deaths. Other women have had their corpses desecrated for the sake of Trump’s anti-choice agenda, as hospitals and lawmakers use them as incubators against their will. Others are being forced to wait for care while they bleed and develop sepsis, risking their organs and their lives. The Trump administration has cut off Medicaid funding to some of the largest providers of sexual and reproductive healthcare, meaning many of the clinics that pregnant women rely on will now have to close. With doctors who provide gynecological and obstetric care fleeing states with strict abortion bans, many pregnant women in the US do not have access to competent medical care at all. As a result, more babies are being born sick, and more of them are dying. Women from states such as Florida report being forced to carry fetuses that have no chance of surviving, and then being forced to watch those infants suffer and die in the moments after birth. As Kennedy continues with his search for the causes of autism, his eugenic project will inevitably extract more and more coercion and violence on the bodies of pregnant women. Today’s fearmongering about Tylenol is only the beginning.It can seem darkly comedic at times how laughably incompetent Trump and his administration are. Kennedy’s ill-fitting suit; the president’s ramblings about his fat friends; the brazen indifference to truth in the absurd claim that Tylenol, perhaps the paradigmatic over-the-counter drug, is somehow this lurking danger. Trump’s idiocy and vulgarity give the lie to the pomp and dignity of his office; his now near-total capture of American political life mocks the promise of democracy. But pregnant women are not a punchline. Their hopes for their families, their fears for their bodies, their health, their comfort and their dignity – all of these are things Trump is willing to sacrifice at the altar of his own ego. Tylenol isn’t dangerous, but he is.

      Moira Donegan is a Guardian US columnist More