US healthcare

Subterms

    Latest story

    113 Shares14 Views

    Trump administration to cut billions in medical research funding

    by

    The Trump administration is cutting billions of dollars in medical research funding for universities, hospitals and other scientific institutions by reducing the amount they get in associated costs to support such research.The National Institutes of Health (NIH) said that it was reducing the amount of “indirect” medical research funding going to institutions, which will cut spending by $4bn a year.A limit of 15% of grants awarded to institutions will be allowed for associated costs such as buildings, equipment and support staff. This is a major reduction on what was previously allowed under the NIH grant system.“The United States should have the best medical research in the world,” the NIH said in a statement on Friday. “It is accordingly vital to ensure that as many funds as possible go towards direct scientific research costs rather than administrative overhead.”In the financial year of 2023, $9bn out of $35bn in awarded grants went to cover overheads, the NIH said, adding that the new rate will be more in line with requirements of private foundations.The move has been hailed by supporters of Trump’s attempts to slash government spending. The “department of government efficiency”, headed by billionaire Trump supporter Elon Musk, welcomed the funding cut, tweeting that it was an “amazing job” by the NIH.However, researchers warned that the cut will imperil vital medical research. “This is a surefire way to cripple lifesaving research and innovation,” said Matt Owens, president of the Council on Government Relations, which represents universities and academic medical centers. “Reimbursement of facilities and administrative expenditures are part and parcel of the total costs of conducting world-class research.“America’s competitors will relish this self-inflicted wound. We urge NIH leaders to rescind this dangerous policy before its harms are felt by Americans.”Democrats also criticized the decision, which follows a broader freeze on some research grants imposed by the Trump administration.skip past newsletter promotionafter newsletter promotionThe impact of the funding cut will “be nothing short of catastrophic for so much of the lifesaving research patients and families are counting on”, said Patty Murray, a Democratic senator.“Sick kids may not get the treatment they need. Clinical trials may be shut down abruptly with dangerous consequences. Just because Elon Musk doesn’t understand indirect costs doesn’t mean Americans should have to pay the price with their lives.” More

    More stories

    • 113 Shares23 Views

      in US Politics

      All the executive orders Trump has signed so far

      by

      Donald Trump has signed dozens of executive orders in his first weeks back in office, including ending birthright citizenship, curbing DEI and “gender radicalism” in the military, and pardoning January 6 rioters.The US president promised in his inaugural speech that these orders would amount to a “complete restoration of America”.Here’s what to know about the executive orders Trump has signed since retaking the White House.ICC sanctionsThe order: Trump signed an order authorizing economic sanctions on the international criminal court (ICC), accusing the body of “improperly targeting” the United States and its allies, such as Israel.What Trump said: Trump has been a vocal critic of the ICC and said the court had “abused its power” in issuing warrants for Benjamin Netanyahu and his former defense minister Yoav Gallant for alleged war crimes. “This malign conduct in turn threatens to infringe upon the sovereignty of the United States and undermines the critical national security and foreign policy work of the United States government and our allies, including Israel,” Trump said.What it means: The order grants Trump broad powers to impose asset freezes and travel bans against ICC staff and their family members if the US determines that they are involved in efforts to investigate or prosecute citizens of the US and certain allies.Read moreEnding ‘anti-Christian bias’The order: Trump signed an executive order attempting to eliminate “anti-Christian bias” in the US government. The president announced the formation of a taskforce, led by the attorney general, Pam Bondi, to end all forms of “anti-Christian targeting and discrimination” in the government.What Trump said: Trump said Bondi would work to “fully prosecute anti-Christian violence and vandalism in our society and to move heaven and earth to defend the rights of Christians and religious believers nationwide”.What it means: The order is meant to reverse alleged targeting of “peaceful Christians” under Biden. Critics say it changes the traditional understanding of religious liberty, with Americans United for Separation of Church and State saying in a statement that Trump’s taskforce would “misuse religious freedom to justify bigotry, discrimination and the subversion of our civil rights laws”.Read moreBanning trans athletes from women’s sportsThe order: Trump signed an executive order banning transgender athletes from participating in women’s sport. It directs federal agencies, including the Department of Justice, to interpret federal Title IX rules as the prohibition of trans girls and women from participating in any female sports categories.What Trump said: “With this executive order, the war on women’s sports is over.”What it means: The order is the latest in a slew of Trump actions aimed at rolling back the rights of trans people. Trump also signed orders defining sex as “only male or female” and banning gender transitions for people under the age of 19.Read moreEnding Unrwa fundingThe order: Trump signed an executive order stopping funding for Unrwa, the UN agency for Palestinian refugees, and withdrawing US from the UN human rights council.What Trump said: The president criticized the entire United Nations as “not being well run” and “not doing the job”.What it means: In his first term, Trump cut Unrwa funding and withdrew from the UN’s human rights council. The Biden administration restored Unrwa funding and rejoined the council.Read moreImplementing tariffs on imports from Mexico, China, and CanadaThe orders: Trump signed three executive orders on 1 February placing tariffs on Mexico, China and Canada, to begin on 4 February.What the orders say: the Mexico order says that drug traffickers and the country’s government “have an intolerable alliance” that endangers US security. The China order says the country’s government allows criminal organizations to “launder the revenues from the production, shipment, and sale of illicit synthetic opioids”. The Canada order says that Mexican cartels are operating in that country, claiming the amount of fentanyl imported could kill “9.5 million Americans”.What it means: All three countries announced retaliatory actions. On 3 February, Trump agreed to postpone tariffs against Mexico and Canada for one month after they committed to increasing border enforcement. China has announced retaliatory tariffs on some American imports and an antitrust investigation into Google on 4 February after Trump’s tariffs took effect.Read moreCreation of a sovereign wealth fundThe order: Trump ordered the US treasury and commerce department to create a sovereign wealth fund. Such a fund, which requires congressional approval, would act as an investment fund for the country, operating outside the Federal Reserve and the treasury department.Trump offered few details about the fund, including where the cash would come from. His treasury secretary and the nominee for commerce secretary would spearhead efforts to create the fund. Treasury secretary Scott Bessent told reporters the government would “stand this thing up within the next 12 months”.What Trump said: “We have tremendous potential,” Trump said. “I think in a short period of time, we’d have one of the biggest funds.”Trump also said that the fund could be used to facilitate the purchase of TikTok.What it means: More than 100 countries and 20 US states have sovereign wealth funds. Senior officials in the Biden administration had been quietly working on a sovereign wealth fund before the US election in November, according to multiple reports.Read moreMigrant detention center at Guantánamo BayThe order: Trump signed an executive order to prepare a huge detention facility at Guantánamo Bay that he said could be used to hold up to 30,000 immigrants deported from the US.What Trump said: Guantánamo could “detain the worst criminal illegal aliens threatening the American people”, Trump said during the signing of the Laken Riley Act, another of his administration’s hardline immigration policies.What it means: The order is part of a broader effort to fulfill Trump’s promise to remove millions of people from the country.Read moreGender-affirming careThe order: Trump signed an order that attempts to end gender transitions for people under 19.What Trump said: “It is the policy of the United States that it will not fund, sponsor, promote, assist, or support the so-called ‘transition’ of a child from one sex to another, and it will rigorously enforce all laws that prohibit or limit these destructive and life-altering procedures,” reads the order.What it means: The order directs that federally run insurance programs, including Tricare for military families and Medicaid, exclude coverage for such care. The order calls on the Department of Justice to vigorously pursue litigation and legislation to oppose the practice.Read moreReshaping the militaryThe order: Trump signed three executive orders on 27 January that would reshape the military: removing diversity, equity and inclusion efforts, eliminating “gender radicalism” from the military, and reinstating soldiers who were expelled for refusing Covid-19 vaccines.What Trump said: “To ensure we have the most lethal fighting force in the world, we will get transgender ideology the hell out of our military. It’s going to be gone,” Trump said in Florida, according to CBS.What it means: Trump’s order does not yet ban transgender soldiers from the military, but directs the Pentagon to create a policy for trans members of the military.Read moreStart a process to ‘develop an ‘American Iron Dome”’The order: Trump signed an executive order on 27 January that would begin the process of creating a “next-generation” missile defense shield, which the administration is referring to as the American Iron Dome.What Trump said: “The United States will provide for the common defense of its citizens and the Nation by deploying and maintaining a next-generation missile defense shield,” the order said.What it means: Creating a short-range missile defense system akin to Israel’s Iron Dome would take years to build. The order calls for a plan from the defense secretary, Pete Hegseth, within 60 days.Read moreReview of disaster agency FemaThe order: Trump ordered a review of Federal Emergency Management Agency (Fema), the disaster response agency, and suggested there is “political bias” in the agency. Trump previously criticized the agency’s response to Hurricane Helene.What Trump said: “Despite obligating nearly $30 billion in disaster aid each of the past three years, Fema has managed to leave vulnerable Americans without the resources or support they need when they need it most,” the order stated.What it means: A review council – which includes the secretaries of defense and homeland security, Pete Hegseth and Kristi Noem – will report to Trump within 180 days.Read moreDeclassifying MLK and JFK filesThe order: Trump ordered the release of thousands of classified documents on the assassinations of John F Kennedy, Robert F Kennedy and Martin Luther King Jr.What Trump said: “The federal government has not released to the public all of its records related to those events. Their families and the American people deserve transparency and truth. It is in the national interest to finally release all records related to these assassinations without delay,” the order said.What it means: Trump made this promise during the election campaign and made a similar pledge in his first term, but ultimately heeded appeals from the CIA and FBI to withhold some documents.Read moreRemoving ‘barriers’ to AI innovation and investing in digital financial assetsThe order: During his first week in office, Trump signed an executive order calling for a review of all Biden policies on AI, to remove policies that “act as barriers to American AI innovation”. A second order called for a working group to start work on crypto regulations.What Trump said: “We must develop AI systems that are free from ideological bias or engineered social agendas” to maintain the US’s dominant position in AI technology, the order states.What it means: Former PayPal executive David Sacks has been tasked with leading a group to develop an AI action plan. Meanwhile another working group will start work on crypto regulations.Ending birthright citizenshipThe order: On his first day in office, Trump targeted automatic citizenship for US-born children of both undocumented people and some legal immigrants.What Trump said: The order specifies that it would limit birthright citizenship if a person’s “mother was unlawfully present in the United States and the father was not a United States citizen or lawful permanent resident at the time of said person’s birth”, or “when that person’s mother’s presence in the United States at the time of said person’s birth was lawful but temporary”.What it means: Birthright citizenship, which guarantees citizenship to anyone born on US soil, is protected by the 14th amendment and any attempt to revoke it will bring immediate legal challenges. The order was temporarily blocked on 23 January, with the judge calling it “blatantly unconstitutional”.Read moreskip past newsletter promotionafter newsletter promotionPut a freeze on refugee admissionsThe order: Trump signed an order suspending the country’s refugee resettlement program starting on 27 January. Refugees maybe only be admitted on a case-by-case basis so long as their entry is in the “national interest”.What Trump said: The order cited “record levels of migration” to the US and said the country did not have the ability to “absorb large numbers of migrants, and in particular, refugees”.What it means: Advocates say the move put lives in danger and has left families devastated. Thousands of refugees now stranded around the globe.Read moreLeaving the World Health OrganizationThe order: Trump signed an order to have the US exit the World Health Organization (WHO).What Trump said: “World Health ripped us off, everybody rips off the United States. It’s not going to happen any more,” Trump said at the signing. He accused the WHO of mishandling the Covid-19 pandemic and other international health crises.What it means: The US will leave the WHO in 12 months’ time and stop all financial contributions to its work. The US is the biggest financial backer to the United Nations health agency.Read moreRenaming the Gulf of MexicoThe order: Trump ordered two name changes: the Gulf of Mexico and Alaska’s Mount Denali.What Trump said: “President Trump is bringing common sense to government and renewing the pillars of American Civilization,” the executive order said in part.What it means: Trump ordered the Gulf of Mexico to be renamed the “Gulf of America” and will rechristen Alaska’s Mount Denali as Mount McKinley.It will have no bearing on what names are used internationally.Read moreRevoking electric vehicle targetsThe order: Trump revoked a non-binding executive order signed by Joe Biden aimed at making half of all new vehicles sold in 2030 electric.What Trump said: “The United States will not sabotage our own industries while China pollutes with impunity,” Trump said.What it means: Part of an effort to repeal Biden’s environmental protections, Trump has also promised to roll back auto pollution standards finalized by Biden’s administration last spring.Read moreReclassifying federal employees, making them easier to fireThe order: Trump’s executive order reclassified thousands of federal employees as political hires, making it much easier for them to be fired.What Trump said: Aides to the president have long heralded mass government firings as part of an attack on the so-called “administrative” or “deep” state.What it means: Trump in effect reinstates “Schedule F”, an executive order he signed in the last year of his first term, seeking to reclassify tens of thousands of federal workers. (Biden rescinded the order.)Key aides to Trump have called for mass government firings. Project 2025 made attacks on the deep or administrative state a core part of Trump’s second term. The rightwing playbook called for civil servants deemed politically unreliable to be fired and replaced by conservatives.Read moreDeclaring a national energy emergency and ‘unleash’ oil production in AlaskaThe order: Trump declared a national energy emergency as part of a barrage of pro-fossil fuel actions and efforts to “unleash” already booming US energy production that included also rolling back restrictions in drilling in Alaska and undoing a pause on gas exports.What Trump said: The order means “you can do whatever you have to do to get out of that problem and we do have that kind of emergency,” Trump said. The order also says it is US policy for the country to “fully avail itself of Alaska’s vast lands and resources”.What it means: The declaration would allow his administration to fast-track permits for new fossil fuel infrastructure. It is likely that the order, part of a broader effort to roll back climate policy, will face legal challenges.Read moreCreating a policy recognizing only two gendersThe order: Trump signed an order to remove “gender ideology guidance” from federal government communication, policies and forms. The order makes it official policy that there are “only two genders, male and female”.What Trump said: “Agencies will cease pretending that men can be women and women can be men when enforcing laws that protect against sex discrimination,” the order states.What it means: The order reverses a Biden-era executive action on the acceptance of gender identity.Read morePausing the TikTok banThe order: Trump signed an executive order temporarily delaying the enforcement of a federal ban on TikTok for at least 75 days.What Trump said: “I guess I have a warm spot for TikTok that I didn’t have originally,” Trump said at the White House, as he signed executive orders, according to the New York Times.What it means: Trump ordered his attorney general to not enforce the law requiring TikTok’s sale. Trump says the pause allows for time to chart an “appropriate course forward” to protect national security and not abruptly shut down the popular app. In his first term, Trump favored a TikTok ban, but has since changed his position due to factors including his own popularity on the app.Read moreRescinding 78 Biden-era executive actionsThe order: Trump ordered 78 Biden-era executive actions to be rescinded, including at least a dozen measures supporting racial equity and combating discrimination against gay and transgender people.What Trump said: “I’ll revoke nearly 80 destructive and radical executive actions of the previous administration,” Trump told a crowd in Washington after his inaugural speech. He also said he would end policy “trying to socially engineer race and gender into every aspect of public and private life” and push for a “color blind and merit-based” society.What it means: The orders signal a reversal of Biden-era policy that prioritized implementing diversity measures across the federal government. Trump repealed orders signed by Biden advancing racial equity for underserved communities and the aforementioned order combating discrimination based on gender identity or sexual orientation.Declaring a national border emergencyThe order: Trump signed an order at the White House declaring an emergency at the southern US border, along with several other immigration-related policies.What Trump said: “All illegal entry will immediately be halted, and we will begin the process of returning millions and millions of criminal aliens back to the places from which they came,” Trump said in his inauguration speech.What it means: The executive action paves the way to send US troops to the southern border and makes good on campaign promises to implement hardline immigration policies. There are limited details about how the administration plans to execute its sprawling set of immigration actions that were all but certain to face legal and logistical challenges.Immigrant communities across the country are bracing for Trump’s promise to carry out the “largest deportation program in American history”, beginning as early as Tuesday morning.Read moreIssuing pardons for January 6 defendantsThe order: Trump issued pardons for offenders and commutations related to the January 6 attack on the Capitol. He will direct the Department of Justice to dismiss cases currently in progress.What Trump said: “I’m going to be signing on the J6 hostages, pardons, to get them out,” Trump said during his rally speech. “We’ll be signing pardons for a lot of people, a lot of people.” Trump said he has pardoned about 1,500 defendants charged in the January 6 attack on the US Capitol and issued six commutations.What it means: Trump made his pledge to issue pardons for those with convictions related to the January 6 Capitol attack a core part of his re-election campaign. On the campaign trail, Trump often featured the national anthem sung by prisoners in a Washington DC jail. There are more than 1,500 people federally charged with associated charges.With Trump back in the White House, justice department investigations into January 6 crimes are expected to cease.Read moreWithdrawing from the Paris climate agreementThe order: Trump issued an executive action withdrawing the US from the 2015 Paris agreement, along with a letter informing the United Nations of the decision.What Trump said: “I am immediately withdrawing from the unfair, one-sided Paris Climate Accord rip-off” Trump said during a rally at the Capital One Arena. In his inaugural speech, Trump said he would use executive action to “end the Green New Deal”.What it means: In 2017, Trump exited the Paris agreement. Upon taking office in 2021, Biden rejoined. Monday’s order makes good on a Trump election promise to withdraw from the 2015 global treaty seeking to avoid the worst impacts of the climate crisis.Exiting the Paris agreement is part of Trump’s broader efforts to roll back climate protections and policy. Trump has described Biden’s efforts to grow the US’s clean energy sector as “the green new scam”.Read more This explainer was first published on 29 January 2025 and is being regularly updated to ensure that it reflects latest news developments. The date of the most recent update can be found in the timestamp at the top of the page. Any significant corrections made to this or previous versions of the article will continue to be footnoted in line with Guardian editorial policy. This article was amended on 30 January 2025. A previous version said the birthright citizenship executive order affected children of immigrants in the country illegally. It applies to children both of undocumented people and some legal immigrants. The subheading of this article was amended on 6 February 2025. An earlier version incorrectly said Donald Trump had abolished the Department of Education. More

    • 150 Shares189 Views

      in US Politics

      Republicans take aim at subsidies that help tens of millions of women

      by

      As they prepare to take control of the White House and Congress next month, conservatives are eyeing cutbacks to federal programs that help tens of millions of women pay for healthcare, food, housing and transportation.Slashing or overhauling social support programs, long a goal of Republican lawmakers, could be catastrophic for women experiencing poverty. Supporters contend the social safety-net programs are already grossly underfunded.“With this new administration that is coming in … I really am concerned about the lives of women. We are seeing so many policies, so many budget cuts,” said Christian Nunes, president of the National Organization for Women.Republicans say they want to keep campaign promises to cut government spending, and three major programs make easy targets: Medicaid, the joint state/federal health insurance program for people with lower incomes; Temporary Assistance for Needy Families (TANF), a cash-allowance program that replaced welfare; and the Supplemental Nutrition Assistance Program (Snap), widely known as food stamps.While conservatives frame cuts as making government more efficient and even restoring freedom, advocates for and experts on families with little or no income say reducing these programs will throw more people – especially women and children – further into poverty.“It is going to fall heavily on women,” said Elaine Waxman, a senior fellow in the Income and Benefits Policy Center at the Urban Institute, a non-profit research organization.Predicting precisely what Republicans in Congress and the Trump administration will do is difficult. Congressional leaders are close-mouthed about negotiations, and the president-elect has not finished putting together his advisory team. None of the spokespeople contacted for this story returned calls or e-mails.But organizations known to advise top leaders in Congress and the previous Trump administration have laid out fairly detailed roadmaps.Project 2025, the conservative Heritage Foundation’s blueprint for the incoming administration, denies its proposed changes will harm women, saying instead that marriage and “family values” will improve their economic situations. “Marriage, healthy family formation, and delaying sex to prevent pregnancy are virtually ignored in terms of priorities, yet these goals can reverse the cycle of poverty in meaningful ways,” reads the section on proposed changes to TANF and Snap.Numerous other groups that have studied the problem say forcing or even encouraging marriage will not make poverty disappear. And a recent study by a team at the University of South Carolina found that when state laws make it harder for pregnant women to get divorced, they’re more likely to be killed by their partners.Trump has promised not to attack the two most expensive and popular government programs: social security and Medicare. But he and Congress are up against a deadline to extend his 2017 tax reforms, which raised the federal deficit. They’ll have to cut something, and social spending programs, especially the $805bn Medicaid program, are low-hanging fruit for conservatives.Trump repeatedly tried to slash Snap during his last tenure in office: his 2021 budget proposal would have cut the program by more than $180bn – nearly 30% – over 10 years. Conservatives in Congress have continued these efforts and, with majorities in the House and Senate, they may be able to get them through next year.The Republican Study Committee, whose members include about three-quarters of the House Republican caucus, recommends more work requirements for Snap and TANF.“SNAP and our welfare system should embrace that work conveys dignity and self-sustainment and encourage individuals to find gainful employment, not reward them for staying at home,” their plan, released in March, reads.A large body of research questions whether widening work requirements does anything other than force people off benefits without helping them find employment. “I think there is a misperception that people in need of help are not working,” said Mei Powers, chief development and communications officer at Martha’s Table, a non-profit aid organization in Washington DC. “People are a paycheck, a crisis, a broken-down car away from needing services.”Snap currently helps 41 million people buy groceries and other necessities every month. Women accounted for more than 55% of people under 65 receiving Snap benefits in 2022, according to the National Women’s Law Center, a gender justice advocacy group. About one-third of them were women of color, the NWLC said.Among other things, cutting these programs will trap women in dangerous situations, the NWLC said: “SNAP helps survivors of domestic violence and sexual assault establish basic economic security.”TANF, which provides cash assistance, overwhelmingly benefits women. In 2022, 370,000 TANF adult recipients were female and 69,000 were male, according to the Department of Health and Human Services.Perhaps Medicaid is the most tempting target for conservatives because they can use it to undermine the Affordable Care Act, also known as Obamacare. The GOP has been gunning for the ACA since it was signed into law without a single Republican vote in 2010.The federal government shares the cost of Medicaid with states. The ACA aimed to make Medicaid cover more people by offering to pay for virtually all the extra costs. Many Republican-led states resisted for years, but as of November, all but 10 states had expanded coverage to an extra 21 million people, or about a quarter of all Medicaid recipients.Medicaid pays for more than 40% of births in the US, plus it covers new mothers for post-pregnancy-related issues for 60 days. It also pays for medical care for 60% of all nursing home residents, more than 70% of whom are women.According to the health research organization KFF, expanding Medicaid helped improve care for women before and during pregnancy and after they gave birth.But most Republicans in Congress have never approved of this federal spending. Proposed cuts to Medicaid funding, which would save hundreds of billions of dollars, are laid out by the Paragon Health Institute, a conservative health thinktank headed by Brian Blase, a top health adviser to the first Trump administration.Experts predict states would be unable or unwilling to make up the difference. “Facing such drastic reductions in federal Medicaid funding, states will have no choice but to institute truly draconian cuts to eligibility, benefits and provider reimbursement rates,” Edwin Park, research professor at Georgetown University, wrote in an analysis.That would mean women, children, older adults and people with disabilities would lose coverage as facilities closed and providers stopped seeing patients.The effects, says the National Organization for Women, “will be widespread, devastating, and long-lasting”.This story is published in partnership with the Fuller Project, a non-profit newsroom dedicated to the coverage of women’s issues around the world. Sign up for the Fuller Project’s newsletter. More

    • 125 Shares99 Views

      in US Politics

      Luigi Mangione is the median American voter | Peter Rothpletz

      by

      The vast majority of the US population rarely – if ever – lapses into murderous fantasies wherein they gun down an unsuspecting father of two. One need not possess the telepathic powers of Professor Charles Xavier to consider this a fact. That said, the heterodox, ostensibly incoherent potpourri of political views expressed by the alleged UnitedHealthcare CEO assassin, Luigi Mangione, is more representative of the average American than many elites would care to admit.Mangione’s Twitter/X account is a kaleidoscopic fever dream with no clear ideological rudder. It seems he has a genuine interest in health and wellness. “Wokeness” and masculinity are occasionally discussed; so too are climate change, psychedelics and the potential risks and rewards of artificial intelligence. Pornography, in Mangione’s mind, “should be regulated no less than alcohol, cigarettes, and travel” – and certain sex toys should be banned. He likes Joe Rogan but disdains Jordan Peterson. He also appears to be particularly fond of Pokémon, baby elephants, gorillas and Japan’s Indigenous religion, Shintoism.More interesting than Mangione’s posts themselves are the personalities he follows. They run the political gamut. The right-leaning “manosphere” is well-represented by folks such as Rogan, Patrick Bet-David and Andrew Huberman. The only member of Congress on the list is Representative Alexandria-Ocasio Cortez, a democratic socialist. RFK Jr serves as a conduit for both the environmental and Maga movements. Even center-left, wonkish liberalism makes a cameo with Ezra Klein.Some have voiced befuddlement as to where the connective tissue lies between all these figures. They’re confused because they still believe the dominant divide in US politics is liberalism v conservatism. It’s not, and it hasn’t been for some time. Increasingly, even if they lack the exact language to explain it, voters do not identify foremost as Democrats or Republicans, progressives or traditionalists, or even left or right. They identify as pro-system or anti-system. As put by Jeet Heer in The Nation: “Pro-system politics is the bipartisan consensus of establishment Democrats and Republicans: It’s the politics of Nato and other military alliances, of trade agreements, and of deference to economists (as when they say that price gouging isn’t the cause of inflation).” Anti-system politics, he continues, is “a general thumbing of the nose at this consensus”.Rogan, Bet-David and Huberman’s anti-system bona fides are manifest; one can argue AOC’s are too given her status as Bernie Sanders’ heir apparent. RFK Jr is the scion of a Democratic dynasty, but his musings about vaccines, chemtrails, and tap water turning children gay are miles outside the Overton window. Yes, the New York Times’s Ezra Klein feels like a pro-system figure, but one must not forget his February audio essay calling on Joe Biden to pass the torch. Not only did his call land like a bomb, it arguably provided the initial momentum for Democrats to finally force the president out of the election following his disastrous debate performance in late June. Klein was the first man in mainstream media to observe that the emperor has no clothes. Such courage earns one anti-system credibility.Considering all this, Mangione’s digital media diet is arguably quite coherent – and in line with what most non-elites consume. As explained by Rachel Kleinfeld, average Americans are far less ideologically polarized than they think they are – and misconceptions around polarization are greatest among the most politically engaged people. Unfortunately, if you’re reading this essay, you’re likely very, very out of touch.Before November’s election, Blueprint Polling conducted a number of surveys in an effort to define the views of swing voters of swing states. They found these Americans, predictably, defy conventional political categorization. They believe immigration should be decreased, abortion should be legal, the criminal justice system is not tough enough, the government should crack down on price-gouging, and same-sex marriage is just dandy. They practice hodgepodge politics, and they aren’t bothered by what elites would call ideological inconsistency.Mangione is cast in the same mold. Insofar as Mangione can even be called an “ideologue”, he merely believed the American system was fundamentally flawed. He isn’t some pinko, dolled up in Che Guevera revolutionary regalia; nor is he an SS leather fetishist. He’s a highly educated, heterodox, politically homeless moderate – and that fact should terrify us all. Unlike the political violence of old, committed by dyed in the wool radicals, the assassination of Brian Thompson was carried out by a young man with no movement encouraging his extremism. He, on his own, came to the conclusion that the US is so broken and corrupt that murder is the only solution.

      Peter Rothpletz is a freelance writer More

    • 175 Shares139 Views

      in US Politics

      Ro Khanna: Brian Thompson killing was ‘horrific’ but people ‘aren’t getting care they need’

      by

      Progressive congressperson Ro Khanna has sympathy for murdered UnitedHealthcare CEO Brian Thompson – yet at the same time is not surprised that the killing reignited a national dialogue about inequities in the US healthcare system, he said in an interview Sunday.“It was horrific,” the California Democrat said on ABC This Week with respect to the slaying of Thompson, whose survivors include his widow and two sons ages 16 and 19. “I mean, this is a father we’re talking about – of two children, and … there is no justification for violence.“But the outpouring afterwards has not surprised me.”Khanna told the show’s host, Martha Raddatz, that he agreed with fellow liberal and US senator Bernie Sanders when he wrote recently on social media: “We waste hundreds of billions a year on health care administrative expenses that make insurance CEOs and wealthy stockholders incredibly rich while 85 million Americans go uninsured or underinsured. Health care is a human right. We need Medicare for all.”“After years, Sanders is winning this debate,” Khanna said, referring to the Vermont senator’s support for a single-payer national health insurance system seen in other wealthy democracies.While police have stopped short of offering a possible motive behind Thompson’s 4 December shooting death, the apparent targeted nature of the attack – as well as shell casings found at the scene of the killing displaying the words “delay”, “deny” and possibly “depose” have suggested it was maybe linked to the largely privatized US healthcare industry’s routine denial of payments to many Americans.Healthcare debt has emerged as a leading cause of bankruptcy in the US while for-profit health insurers such as UnitedHealthcare are among the country’s richest companies. Thompson, 50, who lived near UnitedHealthcare’s headquarters in Minnesota, commanded a salary of $10m annually before a gunman wearing a mask shot him dead outside a hotel in Manhattan as he prepared to attend a meeting with investors of his company.Many greeted news of Thompson’s death not with sympathy but with mockery. A widely shared example of the sentiment was a social media post from Columbia School of Social Work’s Anthony Zenkus, which read: “Today, we mourn the death of United Healthcare CEO Brian Thompson, gunned down…. wait, I’m sorry – today we mourn the deaths of the 68,000 Americans who die needlessly each year so that insurance company execs like Brian Thompson can become multimillionaires.”Khanna on Sunday said his status as a member of the US House has not immunized him from absurd insurance battles.skip past newsletter promotionafter newsletter promotionThough he acknowledged it paled in comparison to people with cancer, heart disease and diabetes being denied coverage while they battle for their lives, Khanna said: “I, as a congressperson had UnitedHealthcare deny a prescription for a nasal – a $100 pump spray, and I couldn’t get them to reverse this. So imagine what ordinary people are dealing with.”Khanna said some modest steps that the US could take to begin addressing healthcare inequities in the country is to cap out-of-pocket costs while also requiring the private insurers relied on by many Americans “to cover anything” that Medicare would.Medicare is the public US health insurance program for those older than 65 and people who are disabled.“We have to understand people with cancer, with heart disease, with diabetes, with insurance aren’t getting the care that they need. They’re getting stuck with huge medical bills.” More

    • 188 Shares169 Views

      in US Politics

      Trump surgeon general pick involved in gun accident that killed her father at age 13

      by

      Donald Trump’s nominee for US surgeon general – Dr Janette Nesheiwat – accidentally knocked over a gun when she was 13 years old, causing it to fire and fatally shoot her father in the head.The death of Nesheiwat’s father occurred in February 1990 at her family home in Umatilla, Florida, as reported on Friday by the New York Times.“I was in Father’s bedroom at about 7.15am getting some scissors” out of a fishing tackle box on a shelf above her dad’s bed, she said, according to a police report reviewed by the New York Times. “I opened the … box and the whole thing tipped over”, causing a handgun to fall from inside, discharge and strike her father in the head as he slept in the bed.Nesheiwat’s father, who immigrated from Jordan, died in a hospital the following day.While avoiding discussing her role in the case, she has said her father’s death inspired her to become a doctor. Nesheiwat has spent the past 15 years as an urgent care doctor for CityMD, a for-profit chain of clinics around New York City.At the start of the Covid-19 pandemic, she began appearing regularly on Fox News as a medical contributor.Nesheiwat would replace Dr Vivek Murthy if her nomination is confirmed after Trump begins his second presidency.Murthy was the first US surgeon general to declare gun violence as a public health crisis. In an advisory, he cited that firearms are now the leading cause of death in the US among children and adolescents.A graphic accompanying the advisory explained how many of those deaths were unintentional, resulting from firearms that were stored loaded as well as unlocked.To address the crisis, Murthy called on the US to ban automatic rifles, introduce universal background checks for purchasing guns, regulate the industry, pass laws that would restrict use in public spaces and penalize individuals who fail to safely store their weapons.Republicans have opposed efforts to treat gun violence as a public health issue, with House Republicans voting in 2023 to ban the Center for Disease Control from researching gun violence. Republicans have also pushed to prevent public health agencies from citing public health emergencies to pass gun control measures and has attempted to defund programs aimed at gun violence reduction.Murthy was dismissed from his role as US surgeon general by Trump during his first presidency in 2017 before outgoing Joe Biden appointed him to the position again in 2021.The New York Times reported that a Nesheiwat memoir being published later in December mentions her father’s death in the first sentence.“When I was 13 years old, I helplessly watched my dear father dying from an accident as blood was spurting everywhere,” she writes in Beyond the Stethoscope: Miracles in Medicine. “I couldn’t save his life.“This was the start of my personal journey in life to become a physician and enter the world of healing arts.”But, according to the New York Times, nowhere in the next 260 pages of the book does she detail how her father died or say that he was shot.The Orlando Sentinel provided more detail in 1990, describing in a news item how a bullet hit Ziad “Ben” Nesheiwat in the head and killed him after his 13-year-old daughter knocked over a tackle box, causing a gun to fall out and fire.“As she says in her book, she became a physician because of her dad’s tragic accidental death,” a spokesman for Trump’s transition team, Brian Hughes, said in a statement to the New York Times after Nesheiwat did not respond for comment. “She became a physician to save lives, and that dedication to the lives of her fellow Americans is why president Trump nominated Dr Nesheiwat to be our next surgeon general.“She and her family miss their father, and hope he’s proud of them.” More

    • 163 Shares169 Views

      in US Politics

      How did transgender children in the US become so politicized? | Moira Donegan

      by

      The politicization of transgender children in the US is one of the most astounding coups of propaganda and organized animus in recent history. Rarely has so much attention and rage been directed at such a minuscule number of people, and more rarely, still, have those people been the most vulnerable and blameless among us: kids and teens.The first state to pass a ban on transition-related care for minors was Arkansas, in April 2021; less than four years later, more than half of states have such a ban on the books. In 2016, North Carolina lost an estimated $3.76bn in revenue following boycotts after they passed a law banning trans people, including transgender students, from using appropriate restrooms in public facilities; now, 14 states have such bathroom bans on the books, and the boycotts have receded.These changes in public attitudes towards trans youth – from a broad if imperfect sentiment of tolerance to a widespread and politically weaponized attitude of hostility toward a small minority of kids – did not emerge by accident. It was the product of a deliberate, conscious effort to radicalize large swaths of the United States, and significant chunks of state policy, into a hostility towards a few children.That effort seems set to bear fruit now, at the US supreme court, in US v Skrmetti, a lawsuit brought by the ACLU and the Biden Department of Justice challenging Tennessee’s HB1, a sweeping ban on transition-related care for minors that was passed in 2023. The law prohibits any puberty blockers or hormones from being prescribed for the purposes of gender transition, but it does not prohibit these medications from being prescribed for any non-transition-related purpose. A minor can be prescribed puberty blockers, for instance, if their doctor believes they are experiencing early onset, or “precocious”, puberty; they cannot be prescribed puberty blockers to delay the onset of a puberty that may change their bodies in ways they do not desire for gender identity-related reasons.That means, too, that a child assigned male at birth could access, say, testosterone treatment, but a child assigned female at birth could not. In oral arguments on Wednesday, solicitor general Elizabeth Prelogar and Chase Strangio of the ACLU – the first trans attorney to argue before the supreme court – explained that this was a straightforward case of sex discrimination, and hence needed to be subjected to a heightened standard of judicial review under the 14th amendment’s equal protection clause.It will not be. A majority of the court’s conservatives seemed poised to uphold the ban on transgender healthcare, though for a variety of different reasons. Brett Kavanaugh made his usual mealy-mouthed paean to states’ rights, an argument he always makes in questions of federally guaranteed equality provisions, but not before extolling the hypothetical suffering of teenagers who may access gender-affirming care but then later come to regret it. (One wonders if there are any choices from his own adolescence that Brett Kavanaugh has come to regret.) Clarence Thomas and chief justice John Roberts, meanwhile, both advanced the idea that the physiological differences between male and female bodies could moot the equal protection clause’s reach, giving states broad leeway to regulate medicine in ways that would uphold gender hierarchy.For his part, Samuel Alito also seemed interested in the idea that states might have a right to effect gender discrimination via their regulation of medicine. He repeatedly cited the 1974 case Geduldig v Aiello, in which the supreme court ruled that states could discriminate on the basis of pregnancy, and that pregnancy discrimination was not sex discrimination – because even though only female people become pregnant, not all of them are pregnant all of the time. (At the time, Congress found the outcome in Geduldig so egregious that it passed a law clarifying that pregnancy discrimination does count as sex discrimination for the purposes of federal civil rights law, and the precedent was largely mooted, but Alito’s controlling opinion in Dobbs has revived it.)But Alito, true to form, did not confine his opining to the notion that discrimination against trans people does not count as sex-based discrimination: he went on to suggest that trans people are not quite real, peppering Strangio, in a scene that seemed intended to humiliate the trans attorney, with questions about whether trans identity was truly an “immutable” characteristic. For his part, Strangio responded with a dignity and respect that Alito’s line of questioning did not merit.It was not the only low moment. James Matthew Rice, the Tennessee solicitor general who defended the ban in court, repeatedly compared gender affirming care with suicide, as well as to lobotomies and eugenics. During his time, justices Ketanji Brown Jackson and Sonia Sotomayor, with occasional assists from Elena Kagan, tried to chase Rice down on the inconsistencies in his own argument.Tennessee claimed, after all, that the law did not discriminate on the basis of patients’ sex, but rather on the basis of the purpose of their treatment; when the liberal justices pointed out that this was a distinction without a difference, because the purpose of the treatment was dependent on the patients’ sex, Rice simply repeated his assertion that there was a difference, there, somewhere. Jackson, in particular, worked to get Rice to explain his position for some time. He declined to.To call the Tennessee ban sex-neutral is laughable, almost insulting. The statute itself makes gender conformity its explicit justification in its text, saying that it aims to prohibit “sex inconsistent treatment”, or anything that “might encourage minors to become disdainful of their sex”. The law has long included sex role stereotyping within the purview of sex discrimination; Tennessee has sought to enforce sex roles, and sexed embodiment, with the force of the state. There is no good faith reading of the law that would allow it to withstand the scrutiny that the 14th amendment requires. But luckily for Tennessee, this is not a good faith court.

      Moira Donegan is a Guardian US columnist More