FIFA revoked U.S. President Donald Trump’s peace prize after board members launched an investigation into the award selection process.
Rating:
In December 2025, soon after FIFA awarded U.S. President Donald Trump the inaugural “FIFA Peace Prize,” rumors spread that the international soccer governing body was revoking the award.
Readers asked us to confirm whether the award had actually been rescinded. Several Facebook posts making the claim used identical language: “FIFA Orders Donald Trump’s Peace Prize Revoked and Returned After Board Members and Top Executives Launch Official Investigation Into Award Process, Claiming Award Was Unilaterally Approved by President Gianni Infantino Without Board Consent.”
(Facebook user “Taylor Swift and Travis Kelce fans”)
The decision follows an internal investigation that reportedly uncovered serious procedural violations in the approval process.
According to senior officials, the award was never reviewed or voted on by FIFA’s executive board.
Instead, investigators allege that FIFA President Gianni Infantino unilaterally approved and announced the prize, bypassing established governance protocols and blindsiding multiple top executives.
In a brief statement, FIFA confirmed that the prize had been officially rescinded pending the conclusion of the inquiry.
Sources inside the organization described the atmosphere as “tense” and “deeply fractured,” with several board members calling the situation an unprecedented breach of internal policy.
The text in the above posts and article was not a factual recounting of real-life events. While FIFA President Gianni Infantino did give Trump an award on Dec. 5, the organization has not announced it was rescinding the prize. As such, we rate this claim as false.
We previously reached out to FIFA to learn about the process behind creating the award, Trump’s selection, whether it was in line with FIFA’s code of ethics and whether Infantino’s conduct would result in his removal. We have not received a response as of this writing.
GPTZero, a tool for detecting text generated with artificial intelligence, rated the language in the above article as having a 100% likelihood of being AI-generated. (Research shows AI-detection software is imperfect, and readers should consider the tools’ results with skepticism.)
Regardless of whether the story was the product of AI, FIFA has made no announcement calling for the return of the award. We looked through FIFA’s social media and news releases and found no evidence the organization had rescinded the award.
As we’ve reported previously, Infantino has not faced censure from FIFA for his actions, although FairSquare, a nonprofit group, filed an official complaint against him with the soccer body, requesting an investigation into the selection process for the peace prize. At the time of this writing, FIFA had not confirmed that such an inquiry was taking place. FIFA’s code of ethics states that officials are expected to maintain political neutrality.
The above article appeared to repeat actual Associated Press reporting that other FIFA officials were surprised by the announcement and learned about it through the media. Three anonymous sources also told Politico that Infantino bypassed the FIFA Council to create and award the prize to Trump, with vice presidents who were given advance notice about the award reportedly saying they were told only after the decision was made.
FIFA told ESPN that its ethics committee does not comment on potential ongoing cases and could not confirm receiving the complaint.
Such posts that are likely AI-generated can be characterized as “AI slop,” or just “slop” — low-quality content that’s easy to create thanks to artificial intelligence tools. For further reading, Snopes wrote a detailed explanation of AI slop.
“Code of Ethics.” FIFA, 2023, https://digitalhub.fifa.com/m/4f048486c1f7293c/original/FIFA-Code-of-Ethics-2023.pdf. Accessed 12 Dec. 2025.
Crafton, Adam. “Gianni Infantino Accused of Breaching FIFA’s Ethics Codes in Relation to President Trump Comments.” The New York Times, 9 Dec. 2025. NYTimes.com, https://www.nytimes.com/athletic/6873068/2025/12/09/fifa-infantino-trump-peace-prize-complaint/. Accessed 12 Dec. 2025.
“FIFA President Infantino Accused of Rules Breach over Trump.” ESPN, 9 Dec. 2025, https://www.espn.in/football/story/_/id/47257745/fifa-president-gianni-infantino-ethics-rules-donald-trump. Accessed 12 Dec. 2025.
Ibrahim, Nur. “Could FIFA Remove Its President for Giving Trump the FIFA Peace Prize? What We Know.” Snopes, 9 Dec. 2025, https://www.snopes.com//news/2025/12/09/trump-fifa-peace-prize-president-removal/. Accessed 12 Dec. 2025.
Izzo, Jack. “Snopestionary: AI Slop, Explained.” Snopes, 22 Aug. 2025, https://www.snopes.com//articles/470975/ai-slop-media-literacy/. Accessed 12 Dec. 2025.
Kar, Sujita Kumar, et al. “How Sensitive Are the Free AI-Detector Tools in Detecting AI-Generated Texts? A Comparison of Popular AI-Detector Tools.” Indian Journal of Psychological Medicine, vol. 47, no. 3, May 2025, pp. 275–78. PubMed Central, https://doi.org/10.1177/02537176241247934. Accessed 12 Dec. 2025.
Lee, Jessica, and David Emery. “4 Tips for Spotting AI-Generated Pics.” Snopes, 16 Apr. 2023, https://www.snopes.com//articles/464595/artificial-intelligence-media-literacy/. Accessed 12 Dec. 2025.
Mirren, Janice. “BREAKING: FIFA Orders Donald Trump’s Peace Prize Revoked and Returned After Board Members and Top Executives Launch Official Investigation Into Award Process, Claiming Award Was Unilaterally Approved by President Gianni Infantino Without Board Consent.” USAboomin, 8 Dec. 2025, https://usaboomin.com/breaking-fifa-orders-donald-trumps-peace-prize-revoked-and-returned-after-board-members-and-top-executives-launch-official-investigation-into-award-process-claiming-award-was-unilaterally-a/. Accessed 12 Dec. 2025.
President Donald J. Trump Awarded “FIFA Peace Prize – Football Unites the World.” https://inside.fifa.com/campaigns/football-unites-the-world/news/origin1904-p.cxm.fifa.com/president-trump-peace-prize-football-unites-the-world. Accessed 12 Dec. 2025.
“What to Know about FIFA’s New Peace Prize and Who Might Receive It.” AP News, 6 Nov. 2025, https://apnews.com/article/fifa-peace-prize-infantino-trump-c339695d2cca0f8acd92ff0264ff5ea9. Accessed 12 Dec. 2025.
In December 2025, online users discussed a rumor that, on Dec. 8, U.S. President Donald Trump’s administration sent $45 million to the Taliban, the latest in an alleged weekly payment program. For example, Newsweek reported, “Trump admin sending Taliban $45M sparks Republican backlash.”
This claim, championed by U.S. Rep. Tim Burchett, R-Tenn., and others, referenced the fact that, since August 2021 — when the Taliban took control over Afghanistan and the final U.S. troops departed the war-torn nation during a chaotic and deadly withdrawal — the United Nations facilitated shipments of U.S. currency, with much of the money donated by the U.S., intended for Afghanistan’s humanitarian and development assistance.
The funding began during former President Joe Biden’s administration and continued into Trump’s second term, including for example $120 million provided in March 2025 alone — occurring at the same time the Trump administration oversaw its 90-day pause on foreign aid assistance.
Despite U.N. assurances of safeguards with the cash deliveries, reports published by the Special Inspector General for Afghanistan Reconstruction documented some cash from U.N. shipments ended up in the hands of the Taliban-controlled bank, that the Taliban has targeted and extorted money from some recipients of direct cash assistance, and that the U.S. currency shipments provide “indirect benefits” to the Taliban.
Snopes did not yet locate credible evidence to confirm the specific claim regarding a Dec. 8 shipment of $45 million in cash, nor any documentation regarding U.N.-facilitated flights occurring in the latter months of 2025.
A rumor circulating online in December 2025 claimed that throughout 2025, and specifically on Dec. 8, U.S. President Donald Trump’s administration sent $45 million in weekly cash payments to the Taliban — the political and religious faction ruling Afghanistan.
For example, on Dec. 9, Newsweek published an article (archived) with the headline “Trump admin sending Taliban $45M sparks Republican backlash.” The outlet posted (archived) the same story on Reddit’s popular r/politics subreddit, as well as on Facebook (archived) with an image displaying the headline.
(Newsweek/Facebook)
The Newsweek article cited U.S. Rep. Tim Burchett, R-Tenn., for his campaigning against various funding — including the cash payments — benefiting the Taliban. Burchett sponsored a bill called the “No Tax Dollars For Terrorists Act” that passed the House in June 2025. Newsweek also cited Amrullah Saleh, the former first vice president of Afghanistan and founder of the anti-Taliban Afghanistan Green Trend party.
On Dec. 8, Saleh posted on X (archived) that a chartered flight delivered $45 million in U.S. currency to the Taliban in Afghanistan’s capital, Kabul. He tagged Burchett, who then created content for his social media pages about the matter. (One of Burchett’s posts included a videothat is no longeravailable on his social media pages, in which he made specific allegations about why his bill had not yet passed the Senate. Saleh also commentedabout that clip.)
In short, this matter pertained to the fact that, since December 2021, the United Nations facilitated shipments of U.S. currency — with much of the money donated by the U.S., among other donors — intended for Afghanistan’s humanitarian and development assistance. The funding began during former President Joe Biden’s administration and continued into Trump’s second term, including for example $120 million provided in March 2025 alone. In separatereportsfiledduring Biden’s and Trump’s administrations, the Special Inspector General for Afghanistan Reconstruction noted that the Taliban benefited from the cash payments.
The Newsweek article briefly mentioned the Biden administration’s role in the matter — a detail not appearing in the vast majority of users’ comments under the outlet’s social media posts.
Snopes did not yet locate credible evidence to confirm the specific claim regarding a Dec. 8 shipment of $45 million in cash, nor any documentation regarding U.N.-facilitated flights occurring in the latter months of 2025. A dollar figure similar to the $45 million claim appeared in an August SIGAR report, documenting that in 2022 and 2023, the U.N. flew at least $3.6 billion in U.S. currency to Afghanistan — amounting “to roughly $40 million in cash per week.”
State Department statement, other outreach
We contacted the State Department via email to ask about the $45 million rumor and the U.N.’s history of facilitating payments of U.S. cash to Afghanistan. A spokesperson not identified in the response said:
The Biden administration sent billions of dollars to places where aid diversion to terrorist groups like the Taliban has been well documented. By contrast, President Trump directed the Department to suspend all direct assistance that could reach the hands of the Taliban. The Trump Administration will not allow U.S. taxpayer dollars to be used to enable the Taliban’s heinous behavior. We condemn the United Nations for failing to implement adequate safeguards and for allowing international aid flows that risk falling into the hands of terrorists.
We also emailed SIGAR, the White House, the U.N. and Burchett, and privately messaged Saleh, to ask questions about the cash payments to Afghanistan — a country torn by two decades of war following the Sept. 11 attacks.
In an email to Newsweek, we inquired about why its article failed to mention the U.N. as the facilitator of the payments, as well whether its reporter contacted Saleh, one of the primary sources, for comment. We will update this story if we receive any further information.
Below we outline the U.S. military’s August 2021 withdrawal from Afghanistan, the history of the U.N.’s cash payment flights and the ways the Taliban benefited from the funds:
After taking office in January 2021, Biden’s administration delayed the May 1 withdrawal date to Aug. 31. In mid-August, the Taliban gained control of nearly the entire country, including most major cities.
On Aug. 26, a suicide bomber killed 13 U.S. service members and 60 Afghans at the Kabul airport. As the last U.S. military plane departed the airport on Aug. 30, a video showed a chaotic scene as hundreds of people ran alongside the aircraft, including some clinging to the its side as it took off. The BBC cited local reports that at least two people fell to their deaths after the plane took off, and that officials later discovered human remains in the landing gear.
In April 2023, a U.S. government review of the Afghanistan withdrawal — which was not independent and included input from Biden’s administration — blamed Trump for the withdrawal. The Republican-led House Foreign Affairs Committee released a report in September 2024, largely blaming Biden’s administration for “the failures of the disastrous Afghanistan withdrawal.”
Post-withdrawal cash deliveries to Afghanistan
Between September 2021 and February 2022, the Office of Foreign Assets Control — an agency operating under the Treasury Department — published seven general licenses related to assisting post-withdrawal Afghanistan. The agency’s website, referencing four of the general licenses, confirmed humanitarian organizations can “ship cash into Afghanistan for use in delivering humanitarian assistance.”
A January 2024 SIGAR report cited the reasoning behind sending regular cash payments, as opposed to digital transactions, as follows:
The UN anticipates needing to purchase and transport cash into Afghanistan for the foreseeable future because humanitarian operations in Afghanistan will still rely on large amounts of cash until the country improves its banking sector, including implementing measures to counter and prevent money laundering and terrorist financing, complying with international banking laws, alleviating ongoing cash shortages, and developing sufficient internal controls and infrastructure to allow for digital transactions.
The U.N. website hosts a fact sheet (archived) about the cash payments, claiming “all cash brought in to Afghanistan is placed in designated U.N. accounts in a private bank for use by the United Nations” and that “none of the cash brought in to Afghanistan is deposited in the Central Bank of Afghanistan nor provided to the Taliban de facto authorities by the U.N.”
In April 2023, John Sopko, then serving as inspector general for Afghanistan, told House Committee on Oversight and Accountability members that “the Taliban is using various methods to divert U.S. aid dollars.” In Sopko’s testimony, he specifically cited his wanting to “ensure safe stewardship of tax dollars.” Days after Trump assumed office for his second term, Reuters reported, citing an anonymous source, that the administration had fired Sopko, among other firings of inspectors general. On LinkedIn, Sopko posted (archived) he had retired.
As ProPublica reported, the authors of the January 2024 SIGAR report found some cash from U.N. shipments ultimately ended up in the hands of a Taliban-controlled bank:
We found that multiple parties are required to secure and control the cash until it reaches its destination at a private bank in Afghanistan.
Lastly, we found some cash that the U.N. purchases and transfers to Afghanistan ultimately end up in the Taliban-controlled central bank, Da Afghanistan Bank (DAB), through the currency conversion process. Because private Afghan banks and money exchangers typically do not hold large amounts of afghanis (Afghanistan’s national currency), which are needed to purchase goods and services in some parts of the country, the banks and money exchangers often use U.N.-provided U.S. dollars to purchase afghanis from the Taliban-controlled DAB at currency auctions. Consequently, the Taliban have a large supply of U.S. dollars due to DAB exchanging cash for international aid organizations.
A World Bank Group report (archived) said that, in 2022 and 2023, the U.N. facilitated a total of more than $2.9 billion in U.S. currency payments to Afghanistan for the purpose of development and humanitarian assistance. SIGAR reported the U.S. provided roughly $2.6 billion of that total.
How the Taliban benefits from cash payments
A July 2024 SIGAR report highlighted benefits of the cash payments but also said the money — $3.8 billion in U.S. currency provided between December 2021 and January 2024 — aided the Taliban. Unlike the January report, the July report did not specify the amount specifically donated by the U.S.
The report said a reduction or cessation of the U.N.’s U.S. currency cash shipments “would exacerbate Afghanistan’s economic and humanitarian crises,” and listed several ways the Taliban stood to benefit from the shipments:
Taliban policies and attempts at interference complicate the deployment of direct cash assistance. For example, SIGAR found that Taliban attempts to misuse or divert direct cash assistance have led to the suspension of humanitarian activities, and Taliban polices often prevent the aid from reaching women and other vulnerable groups. In addition, under the guise of income taxation, the Taliban have targeted and extorted money from some recipients of direct cash assistance as a way of accessing international assistance.
However, SIGAR found that U.S. agencies and aid organizations have policies and procedures intended to prevent the Taliban from misusing and diverting direct cash assistance. For example, SIGAR has previously reported that the Department of State (State) and USAID maintain vetting processes intended to ensure that direct cash assistance is not provided to prohibited organizations, including the Taliban. Additionally, the UN addresses any purported attempts to misuse or divert direct cash assistance by suspending activities or engaging with the Taliban directly to discuss and investigate any misuse or diversion. Nonetheless, even with these controls in place, it is not possible to eliminate the benefits the Taliban garner from the cash transfers.
Finally, SIGAR found that U.S. currency shipments provide indirect benefits to the Taliban because the operating costs associated with humanitarian programming generate tax revenue and other fees. Additionally, the humanitarian assistance facilitated by the shipments provide indirect benefits to the Taliban by stabilizing and legitimizing them, because the funds allow the Taliban to focus on their priorities and policies instead of providing essential services to the Afghan people. For example, the Taliban take credit for the essential services provided by international donors, including the provision of food and healthcare, which can contribute to Afghans’ perception of the Taliban as a legitimate authority. U.S. currency shipments also risk legitimizing and stabilizing the Taliban by allowing them to reallocate financial resources to other priorities and policies, including to the security ministries responsible for enforcing Taliban policies and disciplining and policing the Afghan population. Moreover, because U.S. currency is difficult to trace and can be used internationally as a means of exchange, the Taliban now have a greater ability to circumvent the controls of the international banking system that are intended to limit the Taliban’s ability to conduct money laundering and fund terrorism.
In August 2025, SIGAR reported: “In 2022 and 2023, the U.N. flew at least $3.6 billion in cash into the country. This amounted to roughly $40 million in cash per week, money intended to fund the work of 19 U.N. entities, the World Bank, Asian Development Bank, and 49 NGOs.” A footnote said SIGAR had not been able to obtain the amount of money flown into the country for 2024.
The report also noted the U.S. government had ended most of its aid to Afghanistan by April 2025.
The final SIGAR report from December 2025 documented that, after August 2021, the U.S. alone — via U.N.-facilitated shipments — disbursed $3.83 billion in humanitarian and development assistance to Afghanistan, including for example $120 million in disbursements in March 2025. Those March 2025 cash disbursements fell during Trump’s 90-day pause on foreign aid, which began after he assumed office on Jan. 20.
For further reading, we previously reported about the time Trump said he planned to host Taliban leaders at Camp David.
Sources
“A Broken Aid System: Delivering U.S. Assistance to Taliban Controlled Afghanistan.” Special Inspector General for Afghanistan Reconstruction, Aug. 2025, https://www.sigar.mil/Portals/147/Files/Reports/lessons-learned/SIGAR-25-29-LL.pdf.
“Afghanistan Economic Monitor.” World Bank Group, The World Bank, 31 Aug. 2023, https://thedocs.worldbank.org/en/doc/8cd4001da4ac981a9d239f5536b173ea-0310012023/original/Afghanistan-Economic-Monitor-31-August-2023.pdf.
“Afghanistan Has Received Nearly $2 Billion in Cash Assistance since the Taliban Takeover.” KabulNow, 21 Feb. 2023, https://kabulnow.com/2023/02/afghanistan-has-received-nearly-2-billion-in-cash-assistance-since-the-taliban-takeover/.
“Afghanistan-Related Sanctions.” U.S. Office of Foreign Assets Control, https://ofac.treasury.gov/faqs/topic/8126.
“Agreement for Bringing Peace to Afghanistan between the Islamic Emirate of Afghanistan Which Is Not Recognized by the United States as a State and Is Known as the Taliban and the United States of America.” U.S. Department of State, 29 Feb. 2020.
“America’s Longest War: The State of Affairs in Afghanistan.” The Brookings Institution, 16 Dec. 2019, https://www.brookings.edu/events/americas-longest-war-the-state-of-affairs-in-afghanistan/.
Amiri, Farnoush, and Ellen Knickmeyer. “House Republicans Release Report Blaming Biden for Disastrous End to US War in Afghanistan.” The Associated Press, 8 Sept. 2024, https://apnews.com/article/house-republicans-afghanistan-withdrawal-kabul-abbey-gate-cdf9578d3fef6201ee44fafb5f5d5acd.
Bose, Nandita, and Ismail Shakil. “Trump’s Firing of Independent Watchdog Officials Draws Criticism.” Reuters, 25 Jan. 2025, https://www.reuters.com/world/us/trump-fires-least-12-independent-inspectors-general-washington-post-reports-2025-01-25/.
Burchett, Tim. “H.R.260 – No Tax Dollars for Terrorists Act.” Congress.gov, https://www.congress.gov/bill/119th-congress/house-bill/260/all-actions.
———. “REP. TIM BURCHETT: Your Tax Dollars Are Going To The Taliban | Representative Tim Burchett.” Congressman Tim Burchett, 13 Sept. 2024, http://burchett.house.gov/media/burchett-opinions/rep-tim-burchett-your-tax-dollars-are-going-taliban.
“Cash Shipments to the United Nations in Afghanistan.” United Nations Assistance Mission in Afghanistan, 9 Jan. 2023, https://unama.unmissions.org/sites/default/files/9_january_2023_-_cash_shipments_to_the_united_nations_in_afghanistan_english.pdf.
Cooper, Jonathan J., et al. “Families of Service Members Killed during Afghanistan Withdrawal Criticize Biden at GOP Convention.” The Associated Press, 18 July 2024, https://apnews.com/article/gold-star-families-rnc-gop-convention-b8d043475a5cb8cb7735c366ba75502d.
Duke, Alan. “Fact Check: The U.S. Did NOT Send $45 Million In Cash To The Taliban In Afghanistan On December 8, 2025 — Old Photo Used.” Lead Stories, 9 Dec. 2025, https://leadstories.com/hoax-alert/2025/12/fact-check-us-did-not-send-45-million-to-taliban-dec-2025.html.
“Forensic Audit — Final Report: Seventeen Years of Reconstruction Oversight.” Special Inspector General for Afghanistan Reconstruction, Dec. 2025, https://www.sigar.mil/Portals/147/Files/Reports/sigar-final-report.pdf.
Kiely, Eugene, and Robert Farley. “Timeline of U.S. Withdrawal from Afghanistan.” FactCheck.org, 17 Aug. 2021, https://www.factcheck.org/2021/08/timeline-of-u-s-withdrawal-from-afghanistan/.
Lee, Matthew. “Trump Suspends US Foreign Assistance for 90 Days Pending Reviews.” The Associated Press, 21 Jan. 2025, https://apnews.com/article/trump-foreign-aid-9f5336e84c45a6e782fa95f60a919f47.
Liles, Jordan. “Did the Trump Admin Agree to Free 5,000 Taliban Prisoners?” Snopes, 12 Dec. 2022, https://www.snopes.com/fact-check/trump-5000-taliban-prisoners/.
Miller, T. Christian. “U.N. Has Flown $2.9B in Cash to Afghanistan Since Taliban Seized Control.” ProPublica, 20 Mar. 2024, https://www.propublica.org/article/united-nations-cash-afghanistan-following-taliban-takeover.
Miller, Zeke, and Nomaan Merchant. “Biden Review of Chaotic Afghan Withdrawal Blames Trump.” The Associated Press, 6 Apr. 2023, https://apnews.com/article/joe-biden-afghanistan-withdrawal-congress-war-5ff87c14ffd4f7daaa6675e52d3bba1c.
“Selected General Licenses Issued by OFAC.” U.S. Office of Foreign Assets Control, https://ofac.treasury.gov/selected-general-licenses-issued-ofac.
“SIGAR 24-12 Evaluation Report: Cash Shipments to Afghanistan: The UN Has Purchased and Transported More than $2.9 Billion to Afghanistan to Implement Humanitarian Assistance.” Special Inspector General for Afghanistan Reconstruction, Jan. 2024, https://web.archive.org/web/20240201191332/https://www.sigar.mil/pdf/evaluations/SIGAR-24-12-IP.pdf.
“SIGAR 24-32 Evaluation Report: U.S. Currency Shipments to Afghanistan: UN Shipments Stabilized the Afghan Economy but Benefit the Taliban.” Special Inspector General for Afghanistan Reconstruction, July 2024, https://www.sigar.mil/Portals/147/Files/Reports/Audits-and-Inspections/Evaluation/SIGAR-24-32-IP.pdf.
Sopko, John. “Happy to Announce That I Retired Friday as the Special Inspector General for Afghanistan Reconstruction along With…” LinkedIn, Jan. 2025, https://www.linkedin.com/feed/update/urn:li:activity:7289400005222674432/.
“Testimony of John F. Sopko, Special Inspector General for Afghanistan Reconstruction.” U.S. House Committee on Oversight and Accountability, Special Inspector General for Afghanistan Reconstruction, 19 Apr. 2023, https://oversight.house.gov/wp-content/uploads/2023/04/SIGAR-Testimony-23-22-TY.pdf.
“Timeline of Events in Afghanistan since Taliban Takeover.” The Associated Press, 12 Aug. 2022, https://apnews.com/article/afghanistan-ayman-al-zawahri-poverty-kabul-taliban-bffb3714a1de529e2e305f229a2ab863.
“US Aircrew Cleared in Review of Deadly Incident during Flight from Kabul.” BBC News, 14 June 2022, https://www.bbc.com/news/world-us-canada-61799998.
“WILLFULL BLINDNESS: An Assessment of the Biden-Harris Administration’s Withdrawal from Afghanistan and the Chaos That Followed.” U.S. House Foreign Affairs Committee, 2024, https://foreignaffairs.house.gov/sites/evo-subsites/foreignaffairs.house.gov/files/migrated/uploads/2024/09/WILLFULL-BLINDNESS-An-Assessment-of-the-Biden-Harris_Administrations-Withdrawal-from-Afghanistan-and-the-Chaos-that-Followed.pdf.
In a campaign-style rally in Pennsylvania on Dec. 9, President Donald Trump honed a message of “lower prices, bigger paychecks” ahead of next year’s midterm elections. Some of his talking points on the economy missed the mark.
The president falsely claimed he had “inherited the worst inflation” in U.S. history and that it “stopped” since he returned to the White House. The worst inflation period occurred after World War I, and inflation was up 3% for the 12-month period ending in September.
Trump was right to say that oil prices had declined, but the data are mixed for “energy prices,” a phrase he also used.
The national average for a regular gallon of gasoline is $2.94. Trump claimed it was at $1.99 in three or four states, but no state average is that low. Some individual gas stations advertised such prices in four states.
He exaggerated when he said he had attracted about $18 trillion in new investments in the U.S. since January. A White House webpage says the total is $9.6 trillion as of Dec. 10, and experts say many of those “investments” are only promises that shouldn’t be counted yet.
Trump took credit for the creation of 4,000 new manufacturing jobs in Pennsylvania, but Bureau of Labor Statistics data show that in the U.S. overall, manufacturing jobs are down 49,000 since January.
The president repeated an old claim that “more Americans are working today” than ever before, but that’s largely due to population growth. The employment-population ratio is down slightly since January.
Inflation
Trump said during his remarks in Pennsylvania that his administration “inherited the highest prices ever and we’re bringing them down. We inherited the worst inflation in the history of our country.” He later claimed that “inflation is stopped.”
Trump on Dec. 9 in Mount Pocono, Pennsylvania. Photo by Alex Wong/Getty Images.
Trump did not inherit “the worst inflation” in American history. The worst inflation occurred after World War I, when the largest 12-month price increase was 23.7% from June 1919 to June 1920. Also, from March 1979 to March 1980, overall inflation rose 14.8%.
Inflation had climbed substantially during the first half of former President Joe Biden’s term, mainly due to the economic effects of the COVID-19 pandemic, as we’ve written before. For the 12-month period ending in June 2022, the Consumer Price Index increased 9.1%. That was “the largest 12-month increase since the period ending November 1981,” the Bureau of Labor Statistics said.
In the six months before Trump began his second term, however, the annual CPI was below 3%. For the 12 months ending in January, it was 3%.
Contrary to Trump’s claims, not all prices are now “down” and inflation hasn’t “stopped.”
Based on the CPI, the inflation rate ticked up 3% for the 12 months ending in September — the last month for which data are available because of the 43-day government shutdown — and was up 1.7% from January to September. Core inflation, which doesn’t include the categories of food and energy, also rose 3% from September 2024. From January to September, core inflation was up 1.8%.
While announcing the year’s third interest rate cut on Dec. 10, Federal Reserve Chair Jerome Powell also noted that “inflation remains somewhat elevated,” contradicting the president’s claim that “inflation is stopped.”
“Although important federal government data for the past couple of months have yet to be released, available public and private-sector data suggests that the outlook for employment and inflation has not changed as much since our meeting in October. Conditions in the labor market appear to be gradually cooling and inflation remains somewhat elevated,” Powell said.
Oil, Gasoline and Energy Prices
The president correctly said that oil prices had come down since he took office, but “energy prices” are mixed. He exaggerated in saying that the price of gasoline was at $1.99 in three or four states.
“Our oil prices are coming down very substantially, energy prices,” Trump said.
As for energy overall, the picture isn’t so clear. BLS’ measure for energy inflation shows a decrease of 0.5% from January to September, the latest data available. BLS’ measure for household energy, which considers the overall cost of services used for heating, cooling, lighting, cooking, and running appliances and household equipment, shows an increase of 4.3%.
The president attributed lower oil prices to more drilling, saying “the greatest amount of drilling, the greatest amount of fuel being produced right now in our country than ever before by far. It’s not even a contest.” Monthly production of crude oil in the U.S. in September was up 5.4% from January, according to EIA. The annual per day average is certain to be higher this year than last, when the U.S. hit a record of 13.2 million barrels on average per day. However, the EIA has said that a decrease in crude oil prices has been “driven by increasing global crude oil supply,” not only oil produced in the U.S.
Retail gasoline prices have remained low since January. The national average for a regular gallon of gasoline was $3.11 when Trump took office, and it was $2.94 as of Dec. 8, according to EIA. It dipped below $3 this month for the first time since May 2021.
But Trump exaggerated in saying that three or four states had it at “$1.99 a gallon.” No statewide average is that low, according to figures published by AAA. The lowest statewide average was Oklahoma, $2.37 per gallon. It is possible to find some individual gas stations in some states charging that amount. In looking at the 10 states with the lowest average price, we found gasstations in fourstates advertising a price of $1.99 or lower, using GasBuddy, a site that lists prices for more than 150,000 stations.
Investments in U.S.
Trump also told his audience in Pennsylvania, “In four years under Biden, Democrats secured less than $1 trillion in new investments in our country.” Trump said he had brought in “right around $18 trillion” in investments to the U.S. If Biden had been reelected, he said, “it would have been negative because companies were pouring out of our country.”
The president’s estimate of how much new investment he has attracted to the U.S. has grown dramatically over the course of the year and is exaggerated, according to experts and a White House webpage.
On the day after his inauguration, Trump said, “Before the end of my first full business day in Washington in the White House, we’ve already secured nearly $3 trillion of new investments in the United States.” The number grew by trillions in the months that followed, according to Trump, and by May he said, “I think we can say that we’ll be close to $10 trillion of investment” because of his policies on trade and tariffs. On Dec. 9, Trump’s estimate had grown to “around $18 trillion.”
Yet a webpage curated by the White House that keeps a running tab of “Total U.S. and Foreign Investments” shows a total of $9.6 trillion as of Dec. 10.
Even that number is questionable because it includes pledges and plans for investment that may not be realized, experts have said, as we reported in May.
“There’s no guarantee that any of the investments that are announced actually come to fruition,” Adam Hersh, a senior economist at the left-leaning Economic Policy Institute, said. Economists “wouldn’t count them until they’re actually in the ground,” Hersh said about the listed projects.
“[T]hey’re just promises — and often vague ones at that,” Scott Lincicome, vice president of general economics at the libertarian Cato Institute, said in an April analysis of Trump’s claims.
Trump’s claim that “companies were pouring out of our country” during Biden’s presidency also lacks evidence to support it.
Harry C. Moser, the founder and president of Reshoring Initiative, which works to bring manufacturing jobs back to the U.S., told us in an email that his nonprofit organization measures reshoring and foreign direct investment in the U.S. “‘Pouring out’ sounds like offshoring, which no one measures,” Moser said.
According to BLS data, the U.S. added 610,000 manufacturing jobs during Biden’s presidency, a 5% increase. (The total jobs added under Biden will be adjusted in February, when BLS completes its benchmarking process, as we’ve written.)
The Biden administration announced in November 2024 that “datapoints show” that private-sector investments in the U.S. during Biden’s term “now total over $1 trillion.”
Biden “‘bought’ most of the increase in his term via grants,” Moser said, referring to the Inflation Reduction Act and the CHIPS and Science Act, Biden’s initiatives aimed at creating jobs in clean energy and the manufacturing of semiconductors, among other incentives.
Trump “is using tariffs to motivate companies. So far 2025 is just slightly below 2024 [in reshoring jobs and foreign investment] due to delays in tariff agreements,” Moser said. Trump “claims about $20 trillion in [manufacturing] project announcements. Bloomberg reduced that to $7T. Much of that amount is still not firm, waiting for tariffs to become solid and long-term. When/if the tariffs are solidified, we expect a surge way above the level under” Biden, he said.
We reached out to the White House for data to support Trump’s claims regarding the amount of investment he has attracted to the U.S. so far and the loss of companies during Biden’s term, but we didn’t receive a response.
Manufacturing Jobs
Regarding manufacturing jobs, Trump also said, “Since my inauguration, we’ve created nearly 60,000 new Pennsylvania jobs, including 4,000 Pennsylvania manufacturing jobs that the Democrats gave up on.”
Since Trump took office in January, the number of new manufacturing jobs in Pennsylvania had grown by 4,000 jobs by August, according to BLS data.
But manufacturing jobs in the U.S. overall declined by 49,000 jobs, or 0.4%, from January to September, BLS data show.
Jobs
The president also said, “More Americans are working today than at any time in the history of our country.”
Trump has made such statements before. In 2018, he said the same thing at a rally in Elko, Nevada. It’s not wrong, but it doesn’t mean much.
According to the BLS, there were nearly 160 million total nonfarm employees as of September, the last month for which data are available, and the United States reached the highest total number of workers in history in that month. But the nation also has its largest population in history.
Considering population growth, the president’s claim doesn’t carry much weight.
“The labor force participation rate, at 62.4 percent, changed little … over the year,” the BLS reported on Nov. 20. It was 62.6% in January. (The labor force participation rate is the number of people age 16 and older who are working or seeking work, as a share of the working-age population.)
“The employment-population ratio, at 59.7 percent, also changed little in September,” the BLS reported. In fact, the employment-population ratio — the portion of the population that was employed — was “down by 0.4 percentage point over the year,” according to the BLS. It was 60.1% in January, when Trump took office.
Editor’s note: FactCheck.org does not accept advertising. We rely on grants and individual donations from people like you. Please consider a donation. Credit card donations may be made through our “Donate” page. If you prefer to give by check, send to: FactCheck.org, Annenberg Public Policy Center, P.O. Box 58100, Philadelphia, PA 19102.
Hochul says she will not raise personal income taxes in her next budget proposal, due in January, though she has not ruled out raising corporate taxes.
We checked Stefanik’s claim that Hochul has raised taxes.
Since Hochul’s swearing in as governor in August 2021, she has proposed and negotiated budgets in 2022, 2023, 2024 and 2025. She frequently talks about maintaining the lowest middle-class personal income tax rate in 70 years in the state, and while we have rated a similar claim Mostly True, PolitiFact has covered the problems with comparing tax rates across decades.
Going into her first budget, she benefitted from tax increases on high-income earners and businessesthat took effect in 2021, before she became governor. These increases led to strong tax collections in her first year in office.
There have been some tax increases during her tenure, and extensions of existing taxes, though many of these actions affect only certain tax filers, such as high income earners, some corporations, New York City businesses with large payrolls, and smokers. An extension of a tax dating back to the mid-1990s is broader, affecting people who purchase health insurance.
The budget enacted in April included one of the more significant tax increase extensions. A tax increase for the state’s highest earners that had been enacted as a temporary measure in 2021 was extended for five years. This affects married couples who file jointly with taxable incomes above $2.2 million. But this increase was paired with a counter measure for people in the lowest five tax brackets. Personal income tax rates went down for married couples earning $323,000 or less, according to an analysis from the Empire Center, a conservative think tank.
The 2023-24 budget also included an extension of an increase in the corporate franchise tax rate until 2027. Businesses with incomes of more than $5 million began paying 7.25% in 2021, and that rate was extended in the budget passed in 2023. The budget also increased the top rate of a tax that funds public transportation, known as the Metropolitan Commuter Transportation Mobility Tax.. This top rate increased for employers and self-employed workers in the five counties of New York City, and it was meant to fund operations for the Metropolitan Transit Authority, which saw steep declines in ridership during the pandemic. Employers and individuals in the seven other downstate counties contained in the Metropolitan Commuter Transportation District were not affected by the change.
In the budget passed in 2023, there was an extension of a tax on health insurance, known as Health Care Reform Act taxes. These taxes have been extended routinely since 1996, and add hundreds of dollars per year to the cost of health insurance for the average family, according to the Empire Center. This is the state’s third-largest revenue source after income and sales taxes.
In 2025, taxes that fund public transportation, known as the payroll mobility tax, went up by less than 1 percentage point on downstate companies with payrolls of more than $10 million, but went down for smaller employers and were eliminated for self-employed workers making $150,000 or less. Revenue was reinvested in the Metropolitan Transportation Authority.
There were much narrower tax changes too, such as a $1 increase in excise taxes on packs of cigarettes and little cigars in 2023, which only affect smokers.
We approached Stefanik’s campaign for evidence of her claim, which provided some of the examples mentioned above.
Representatives from Hochul’s office maintain extensions of existing taxes are not tax increases, and that it’s standard for changes in the tax code to be subject to renewal.
Hochul’s office said that it’s not correct to call the increased rates for high income earners enacted in 2021 under Gov. Andrew Cuomo “temporary.” However, in a review of the 2021-22 budget, the Office of the State Comptroller noted that the top rate will increase from 8.82% to as much as 10.9%: “The change will be in effect for tax years 2021 through 2027; in 2028 and thereafter, the rate will revert to 8.82 percent.” The 2027 expiration was also described in Cuomo’s budget materials at the time.
E.J. McMahon, adjunct fellow at the conservative Manhattan Institute for Policy Research, called Hochul’s pre-emptive extension (it was passed in 2025 instead of 2027) “a tax increase by any standard.”
“If she had done nothing, it would have ended two years from now,” McMahon said.
Hochul’s spokespeople also point to actions that reduced taxes on New Yorkers, including accelerating middle-class tax cuts to fully implement them in 2023 instead of 2025, and child tax credits for low- to moderate-income families. They also noted inflation refund checks for low- to moderate-income filers.
It’s a toll, not a tax, and therefore does not affect the rating of this claim, but we will note that perhaps the most controversial fee enacted during Hochul’s administration is congestion pricing, in which vehicles are charged for entering areas of Manhattan south of 60th Street. Hochul has praised the program, which took effect in January, for reducing congestion, increasing transit ridership and raising money for regional transit improvements.
Our ruling
Hochul, backed by the State Legislature, has extended existing taxes for wealthy corporations and individuals, as well as health insurance companies. She has also cut taxes for the middle class. Other new increases, such as transit taxes on large businesses, were paired with cuts for smaller businesses.
Stefanik claimed Hochul has raised taxes on New Yorkers. That claim could lead every New Yorker to believe their taxes have gone up because of Hochul. But the new tax increases did not affect every New Yorker, and income taxes on the middle class went down. Extensions mostly affected select groups. A broad tax on health insurance was extended, but that has been in place since 1996.
This claim has some truth to it, but it lacks important context. We rate this Half True.
Nearly eight years ago, President Donald Trump denied using the word “shitholes” to describe African countries during an Oval Office meeting on immigration.
But now he has fessed up.
In a speech Tuesday night in Pennsylvania, Trump boasted about pausing migration from what he called “Third World” countries, when he was interrupted by an audience member who yelled out “shithole.” That triggered Trump to recall a White House meeting during his first term that caused a stir over whether the president used a vulgar term to describe African countries.
Trump, Dec. 9: I’ve also announced a permanent pause on Third World migration, including from hellholes like Afghanistan, Haiti, Somalia and many other countries.
Audience member: Shithole.
Trump: I didn’t say shithole, you did. [Laughter.] Remember, I said that to the senators. They came in, the Democrats. They wanted to be bipartisan. So, they came in, and they said this is totally off the record. Nothing mentioned here. We wanted to be honest, because our country was going to hell, and we had a meeting and I say, “why is it we only take people from shithole countries,” right? Why can’t we have some people from Norway, Sweden — just a few — let us have a few, from Denmark. Do you mind sending us a few people? Send us some nice people, do you mind? But we always take people from Somalia, places that are a disaster, right? Filthy, dirty, disgusting, ridden with crime.
Trump’s new account of the Jan. 11, 2018, meeting confirms what Democratic Sen. Dick Durbin said at the time.
Trump delivers remarks on Dec. 9 in Mount Pocono, Pennsylvania. Photo by Alex Wong/Getty Images.
A day after the meeting, Durbin – who was at that meeting — said the president was commenting on immigration from Africa when he said, “‘Those shitholes send us the people that they don’t want.’” Durbin added, “He repeated that. He didn’t say that just one time.”
Durbin also quoted Trump as saying, “‘We don’t need more Haitians.’”
As we wrote at the time, Trump repeatedly denied Durbin’s account.
In social media posts on Jan. 12, 2018, Trump said his words at the meeting were “tough,” but “this was not the language used,” and he claimed that he “[n]ever said anything derogatory about Haitians.” Two days later, the president told reporters that the remarks attributed to him “weren’t made,” and he tweeted that Durbin “totally misrepresented what was said at the DACA meeting,” referring to the Obama-era Deferred Action for Childhood Arrivals program.
(DACA prevents the deportation of more than 500,000 U.S. residents who were illegally brought to the United States as children. At the 2018 meeting, Durbin and Republican Sen. Lindsey Graham met with Trump to discuss their bipartisan plan to save DACA, which Trump was trying to phase out.)
In our Jan. 16, 2018, article, we were unable to definitively state what was said at the immigration meeting. There was no recording of the private meeting. Instead, we provided firsthand accounts from some of those who attended.
There were at least seven members of Congress at the meeting and then-Homeland Security Secretary Kirstjen Nielsen. In addition to Durbin, four other members of Congress and Nielsen made public statements about the meeting, which we included in our 2018 article and summarize here:
Like Trump, Nielsen said there was an “impassioned conversation” on immigration at the meeting, but she did not hear “that specific phrase being used.”
Sen. Tom Cotton and then-Sen. David Perdue, both Republicans, initially also said in a joint statement that they “do not recall the President saying these comments specifically.” Perdue said days later that Trump “did not use that word,” calling Durbin’s account a “gross misrepresentation.” (The Washington Post reported, based on accounts from anonymous White House officials, that Perdue and Cotton told the White House that they heard “shithouse” rather than “shithole,” which the Post wrote allowed both men to deny Durbin’s account of the president’s comments.)
In a statement at the time, Graham initially did not confirm or deny the allegations about Trump’s language. But days later, he appeared to criticize Cotton and Perdue for their selective memories of the meeting. “My memory hasn’t evolved,” he told reporters in South Carolina on Jan. 15. “I know what was said and I know what I said.”
Rep. Mario Diaz-Balart, a Florida Republican, would neither confirm nor deny whether Trump used the obscenity at the meeting to describe African nations.
As fact-checkers, we must rely on irrefutable evidence, such as memos, emails and recordings, to render a judgment when trying to settle a dispute like this between two parties. All we can do – and what we did in this case – is lay out what we know and let readers draw their own views of what may have happened.
But now there is no disagreement. Trump admitted that he said, “why is it we only take people from shithole countries?”
Asked for comment, White House Deputy Press Secretary Abigail Jackson told us the controversy over Trump’s language at the 2018 meeting is “another Fake News narrative peddled by Democrats.”
“Instead of digging up another Fake News narrative peddled by Democrats almost 10 years ago, the media should focus on the substance of what President Trump correctly pointed out: Aliens who come to our country, complain about how much they hate America, fail to contribute to our economy, and refuse to assimilate into our society should not be here,” Jackson said in an email.
But based on Trump’s own account, this wasn’t “another Fake News narrative.” Instead, his denials at the time were false.
Editor’s note: FactCheck.org does not accept advertising. We rely on grants and individual donations from people like you. Please consider a donation. Credit card donations may be made through our “Donate” page. If you prefer to give by check, send to: FactCheck.org, Annenberg Public Policy Center, P.O. Box 58100, Philadelphia, PA 19102.
In a recent “Meet the Press” appearance, Sen. James Lankford (R-Okla.) joined a growing number of Republicans who are speaking out against Obamacare. One of his lines of attack: that the Affordable Care Act fueled health care consolidation.
“What Democrats did 15 years ago was they radically changed all health care in America. They moved all physicians under hospitals. They changed all the reimbursement programs. They shifted everything in,” Lankford said Nov. 9.
This is one of a collection of Republican talking points related to the ACA that’s been regularlyreprised, and there’s a reason for it.
Democrats have been promised a Senate vote this month on whether to extend the ACA’s enhanced subsidies, set to expire at year’s end. The debate, however, has given Republicans an opportunity to resurface old criticisms and reignite efforts to overhaul or even undo the ACA. One GOP argument is that the sweeping health law fueled industry consolidation, which has led to higher prices and pushed more doctors to sell their practices to hospitals or insurers.
But industry experts disagree about how much this market trend can be tied to the law known as Obamacare.
Like everything in health policy, it’s complicated.
“Most of us live in a different reality,” said Chip Kahn, president and CEO of the Federation of American Hospitals, which supports extending the enhanced tax credits. “Our health system has many challenges, and I can’t say the cost to individuals, to taxpayers, is not an issue. But to say having better coverage for more people made all these problems worse is really a stretch.”
What’s happened to doctors and hospitals?
First, some context. The ACA was passed by Congress in 2010, and most of its major provisions became effective in 2014.
Many health care mergers took place both before and after Obamacare became law, so it’s hard to quantify its effect.
From 1998 to 2017 — a nearly two-decade period that included the first three years of full ACA implementation — 1,573 hospital mergers took place. An additional 428 hospital and health system mergers were announced from 2018 to 2023, according to a 2024 brief by KFF, a health information nonprofit that includes KFF Health News.
“The consolidation trend was in place before the ACA and just continued” as hospitals and other entities sought to improve their negotiating power, said Glenn Melnick, who studies hospital economics and is a professor at the University of Southern California’s Price School of Public Policy.
The KFF brief did not directly address what role the ACA might have played in such mergers, although others have suggested its focus on coordinating care may have led to some of the activity.
Hospital groups contend that mergers are needed to bolster finances and counter increasing insurer consolidation, and that they can result in cost savings. Others disagree, arguing that many studies show price increases following mergers.
Even with that trend — and despite what Lankford said — not all doctors now work for hospitals.
The percentage of physicians who have sold their practices to hospitals or private equity groups continues to rise, with only 42% currently working in private practices, according to the American Medical Association. That’s down from about 60% in 2012, before the ACA’s main provisions took effect.
Those who sold practices during the past 10 years, according to the AMA, most often cited inadequate payment rates as the reason.
Others note that many doctors want to be part of a larger group, with more scheduling flexibility and fewer paperwork hassles. Other changes, including the 2009 law known as the HITECH Act, which required hospitals and doctors to boost their use of electronic medical records, added to physicians’ desire to sell, Kahn said.
“Physicians today, with their heavy debt load, are not looking to go into the old individual practice anymore,” Kahn said. “That didn’t happen because of the ACA.”
Another key dynamic driving this market trend is market leverage, which was happening anyway, say some policy experts.
Hospitals “got control of the physician groups for contracting purposes,” Melnick said.
When hospitals meet to negotiate with insurers, “they’ll say, ‘We’ll drop out of your network, and we control 30% of the doctors, so they’ll drop out, too.’ It was a leverage play, and it worked,” Melnick said.
How do insurers fit in?
Like hospitals, some insurers have been on a buying spree, snapping up doctor practices, for example. Optum, a division of UnitedHealth Group, owns or is affiliated with nearly 10% of the nation’s physicians.
The health law “triggered an arms race among insurers and hospitals to grow larger and more expensive, leaving patients and small businesses with rising premiums and shrinking options,” said Joel White, president of the Council for Affordable Health Coverage, in testimony before a Senate subcommittee in November. The council touts among its priorities right-leaning issues such as opposing government-run health care and supporting expanded market competition and health savings accounts.
Again, the insurance question is complex.
The number of insurers filing annual reports with the National Association of Insurance Commissioners has fluctuated: for example, 949 in 2015 and 1,155 last year.
But aggregate numbers are only one measure. Several big insurers control large market shares. In one recent analysis that looked across a variety of types of insurance — not just ACA plans — the American Medical Association concluded that most areas are highly concentrated, with about 47% of those markets having one insurer with a commercial market share of 50% or more.
The AMA says such market power leads to higher premiums and results in reduced payments to doctors.
As for the marketplaces that offer ACA coverage, the number of insurers has also fluctuated over time, usually because of variations in anticipated premiums and the regulatory landscape, with a national average of nearly eight at the law’s inception, falling to 5.4 in 2018, but rising to nearly 10 nationally in 2025, according to KFF. Because that’s an average, some states, such as Texas, have 15 insurers, while seven states — Alaska, Arkansas, Connecticut, Hawaii, Rhode Island, Vermont, West Virginia — and the District of Columbia have only two.
Premium increases aren’t new either, nor are they hitting only ACA plans.
In fact, premiums for people buying their own coverage and those for workers who get insurance through an employer have almost always risen yearly — often above inflation levels —a trend that predates the ACA.
Critics of the ACA note that premiums in the individual market were lower before the law kicked in. However, critics often don’t note how different pre-ACA coverage was for people in the individual market, which could make it less expensive. Before the law, for example, insurers could reject people with preexisting health conditions, charge women more than men, and set annual or lifetime dollar limits on coverage. After 2014, that wasn’t allowed in ACA plans.
Average premiums for the benchmark “silver” ACA plans have gone from $481 nationally in 2018 to $497 in 2025, according to KFF. The average monthly premium jumps to $625 next year, partly because of insurers’ expectations of higher costs and a decline in enrollment if Congress does not extend the more generous tax subsidies. Those are averages, and prices will vary across the country depending on such things as age, location, and household income.
The conservative Paragon Health Institute notes that rising premiums mean larger taxpayer-supported subsidies. Deductibles, too, have gone up, with people on “bronze” plans, which have the lowest premiums, facing an average $7,476 deductible next year, compared with $5,113 in 2014.
The cost-consolidation link
A 2025 Health and Human Services report, issued during the last days of the Biden administration, found the trend of highly concentrated hospital services in most metropolitan statistical areas had started before and continued after the ACA. Prices also rose. The report, which noted the role of private equity firms in consolidation efforts, also cited studies showing physicians increasingly merged — with one another, hospitals, or private equity-backed firms.
For Kahn, at the hospital federation, the real reason behind the mergers is financial: Many hospitals, he says, had to expand their reach or risk going under.
“Many health economists are my best friends,” Kahn said, “but they have tunnel vision when they look at the health system.” Hospitals must have sufficient revenue streams to cover the cost of patient care, he said, and consolidation is their way to respond “to all of the burdens and requirements and demands” they face.
While there is no question that health care consolidation has happened, much of it predated the ACA, Melnick said.
“At the end of the day, the ACA market never became that big to drive the overall restructuring of the industry,” he said. “A lot of what they are attributing to the ACA would have happened anyway.”
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.
Subscribe to KFF Health News’ free Morning Briefing.
As President Donald Trump announced a $12 billion farm aid package this week to help U.S. farmers hurt by tariffs, he placed responsibility for the U.S. agricultural trade deficit on former President Joe Biden.
But in casting blame elsewhere, he is ignoring other factors, including his own role. Currently, farmers — especially those that produce soybeans and sorghum — have had a hard time selling their crops while getting hit by increasing costs after Trump raised tariffs on China earlier this year as part of a broader trade war that has contributed to the deficit.
Experts say that it is a massive oversimplification to blame any one administration or policy.
Here’s a closer look at the facts.
CLAIM: There was an agricultural trade surplus during Trump’s first term that former Biden turned into an agricultural trade deficit.
THE FACTS: This is both misleading and missing context. It is true that there was an agricultural trade surplus when Trump entered the White House in 2017, which has since become a significant deficit. However, according to experts, this can be attributed to actions taken by both administrations, as well as factors outside their control such as the COVID-19 pandemic.
“I don’t want to let U.S. trade policy off the hook here, but it’s one element of a broader, more complicated kind of story,” said Cullen Hendrix, a senior fellow at the Peterson Institute for International Economics.
Still, Trump held Biden solely responsible for the agricultural trade deficit at a White House roundtable Monday where he announced the farm aid package.
“In my first term, we had an agricultural trade surplus by a lot,” the president said, misrepresenting the numbers. “We had a big surplus. We knew we were exporting American agricultural products all over the world, making a net profit and, in many cases, a very substantial profit. He came in and ruined it. Biden turned that surplus into a gaping agricultural deficit that continues to this day.”
What the numbers show
The yearly agricultural trade balance, which reflects the amount of those goods the U.S. has exported versus the amount it has imported, had been positive for nearly 60 years until 2019 during Trump’s first term.
According to data from the Department of Agriculture, it stood at a surplus of approximately $16.3 billion at the end of 2016 and fell the next year, Trump’s first as president, to one of about $13.66 billion. The balance further decreased over the next two years, ultimately turning into a deficit of about $481 million. It returned to a surplus in 2020 at about $3.39 billion, which further increased in 2021 — the year Biden entered the White House. In 2022, it transitioned back to a deficit that grew to approximately $36.45 billion by the end of 2024. As of August, the latest data available, there was an agricultural trade deficit of about $36.3 billion.
The yearslong trade war between the U.S. and China is partly to blame for the agricultural deficit, experts say. Trump fired the first shot in January 2018, with 30% tariffs on imported solar panels, which led to additional tariffs and import curbs from both sides that continued to a certain extent under Biden.
The countries signed a Phase One trade deal in January 2020 through which China committed to buying an additional $200 billion of U.S. goods and services over the next two years. However, the Peterson Institute later found China had bought essentially none of the goods promised.
What is the current situation?
Trump has instituted even more tariffs on Chinese imports since returning to the White House. In response, China has retaliated with tariffs and import curbs on U.S. goods, including key farm products.
The White House said in October, after Trump met with Chinese leader Xi Jinping in South Korea, that Beijing had promised to buy at least 12 million metric tons of U.S. soybeans by the end of the calendar year, plus 25 million metric tons a year in each of the next three years. China has purchased more than 2.8 million metric tons of soybeans since Trump announced the agreement, according to AP reporting. That’s only about one quarter of what administration officials said China had promised, but Treasury Secretary Scott Bessent has said China is on track to meet its goal by the end of February, which is two months later than the White House originally promised.
“China’s been refusing large U.S. purchases in favor of other trade partners,” said Hendrix. “This is a lamentable, but kind of predictable, consequence of the United States engaging in this trade war and weaponizing trade policy. Our trade partners are going to seek to diversify both for self-insurance — we’re talking about food, we’re talking about survival here — and to punish the U.S. for kind of changing the rules of the game so unilaterally.”
But there are myriad other factors that have contributed to the current deficit, experts say. For example, high purchasing power enabled by a strong U.S. dollar and a desire by U.S. consumers to buy high-value goods that aren’t produced domestically. A stronger dollar also decreases demand for U.S. exports, as this makes it more difficult for other countries to buy those products.
In addition, Brazil and Argentina have begun exporting soy, corn and beef, competing directly with U.S. exports and lowering prices for such goods. Major world events of which the U.S. government has little or indirect control, such as the COVID-19 pandemic, climate variability and the Russia-Ukraine war, have also contributed.
“The tariffs can exacerbate the situation, but generally the fact that you may have a deficit or a surplus is really more dependent on global prices,” said Joseph Glauber, a senior fellow at the American Enterprise Institute who served as the Department of Agriculture’s chief economist from 2008 to 2014 under Presidents George W. Bush and Barack Obama.
Asked whether Trump blames solely Biden for the agricultural trade deficit, White House spokeswoman Anna Kelly said that “farmers suffered for years under Joe Biden,” but that Trump is committed to “helping our agriculture industry by negotiating new trade deals to open new export markets for our farmers and boosting the farm safety net for the first time in a decade.”
DETROIT (AP) — President Donald Trump this week announced plans to weaken rules for how far automakers’ new vehicles need to travel on a gallon of gasoline, set under former President Joe Biden.
The Trump administration said the rules, known formally as Corporate Average Fuel Economy, or CAFE, standards, are why new vehicles are too expensive, and that cutting them will drive down costs and make driving safer for Americans.
The new standards would drop the industry fleetwide average for light-duty vehicles to roughly 34.5 mpg (55.5 kpg) in the 2031 model year, down from the goal of about 50.4 mpg (81.1 kpg) that year under the Biden-era rule.
Here are the facts.
Affordability
TRUMP: EV-friendly policies “forced automakers to build cars using expensive technologies that drove up costs, drove up prices and made the car much worse.”
THE FACTS: It’s true that gas mileage standards have played a role in rising vehicle prices in recent years, but experts say plenty of other factors have contributed, and some much more.
President Donald Trump speaks during an event on fuel economy standards in the Oval Office of the White House, Wednesday, Dec. 3, 2025, in Washington. (AP Photo/Evan Vucci)
President Donald Trump speaks during an event on fuel economy standards in the Oval Office of the White House, Wednesday, Dec. 3, 2025, in Washington. (AP Photo/Evan Vucci)
The average transaction price of a new vehicle hit $49,105 in October, according to car shopping guide Edmunds.
A Consumer Reports analysis of vehicles for model years 2003 to 2021 — a period in which average fuel economy improved 30% — found no significant increase in inflation-adjusted vehicle prices caused by the requirements. At the same time, it found an average of $7,000 in lifetime fuel savings per vehicle for 2021 model year vehicles compared with 2003. That analysis, done primarily before the coronavirus pandemic, attributed much of the average sticker price increase to the shift toward bigger and more expensive vehicles.
Cutting the fuel economy standards is unlikely to provide any fast relief on sticker prices, said Jessica Caldwell, Edmunds’ head of insights. And while looser standards may eventually mean lower car prices, their lower efficiency means that those savings could be eaten up by higher fuel costs, she said.
Ending the gas car?
TRUMP: Biden’s policies were “a quest to end the gasoline-powered car.”
THE FACTS: The Biden administration did enact several policies to increase electric vehicle adoption, including setting a target for half of new vehicle sales in the U.S. to be electric by 2030.
While those moves sought to help build the EV market, there was no requirement that automakers sell EVs or consumers buy them. And gasoline cars still make up the vast majority of the U.S. market.
EV charging
TRUMP: “We had to have an electric car within a very short period of time, even though there was no way of charging them.”
THE FACTS: While many potential EV buyers still worry about charging them, the availability of public charging has significantly improved in recent years.
Biden-era funding and private investment have increased charging across the nation. There are now more than 232,000 individual Level 2 and fast charging ports in the U.S. As of this year, enough fast charging ports have been installed to average one for every mile (1.6 kilometers) of National Highway System roads in the U.S., according to an AP analysis of data from the Department of Energy.
However, those fast charging stations aren’t evenly dispersed. Many are concentrated in the far West and the Northeast, where sales of EVs are highest.
Experts note that most EV charging can be done at home.
Safety
TRANSPORTATION SECRETARY SEAN DUFFY: The reduced requirements will make drivers “safer on the roads because of all the great new technology we have that save lives.”
THE FACTS: Newer vehicles — gas and electric — are full of advanced safety features, including automatic emergency braking, lane-keeping, collision warnings and more.
Duffy suggested that consumers will be more likely to buy new vehicles if they are more affordable — meaning fewer old cars on the streets without the safety technology. This assumes vehicle prices will actually go down with eased requirements, which experts say might not be the case. Besides, high tech adds to a vehicle’s cost.
“If Americans purchased more new vehicles equipped with the latest safety technologies, we would expect overall on-road safety to improve,” Edmunds’ Caldwell said. “However, it’s unclear whether easing fuel-economy standards will meaningfully increase new-vehicle sales.”
The Insurance Institute for Highway Safety, an independent automotive research nonprofit, also says electric or hybrid vehicles are as safe as or safer than gasoline-powered cars.
Another part of safety is public health. Efficiency requirements put into place to address the 1970s oil crisis were also a way to reduce pollution that is harmful to humans and the environment.
“This rollback would move the auto industry backwards, keeping polluting cars on our roads for years to come and threatening the health of millions of Americans,” said Katherine García, director of the Sierra Club’s Clean Transportation for All campaign. “This dangerous proposal adds to the long list of ways the Trump administration is dismantling our clean air and public health protections.”
___
Associated Press data journalist M.K. Wildeman contributed from Hartford, Connecticut.
The Associated Press’ climate and environmental coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
Johnston, Fiona McKenzie. “All That Glitters: Why You Should Be Decorating with Gold.” House & Garden, 29 Nov. 2023, https://www.houseandgarden.co.uk/article/decorating-with-gold. Accessed 10 Dec. 2025.
Collman, Ashley. “New Photos from Court Go inside the Historic Manhattan Townhouse and Nude-Art-Filled Palm Beach Mansion Where Ghislaine Maxwell and Jeffrey Epstein Allegedly Sexually Abused Girls.” Business Insider, https://www.businessinsider.com/court-photos-show-jeffrey-epsteins-homes-around-the-world-2021-12. Accessed 10 Dec. 2025.
Deng, Rae. “Newly Released Epstein Island Photos Include Image Showing Old Man Masks on Walls.” Snopes, 3 Dec. 2025, https://www.snopes.com//fact-check/epstein-island-masks-photo/. Accessed 10 Dec. 2025.
Enrich , David, et al. “A Look Inside Jeffrey Epstein’s Manhattan Lair.” The New York Times, 5 Aug. 2025, https://www.nytimes.com/2025/08/05/us/jeffrey-epstein-mansion-photos.html. Accessed 10 Dec. 2025.
“Ghislaine Maxwell Convicted in Epstein Sex Abuse Case.” AP News, 30 Dec. 2021, https://apnews.com/article/ghislaine-maxwell-convicted-jeffrey-epstein-trial-verdict-63a71a2825eab41184a79e37bb967e90. Accessed 10 Dec. 2025.
‘Ghislaine Maxwell Trial Transcript, 12.6.21’. UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK, 12 June 2021, https://www.justfacts.com/document/ghislaine_maxwell_trial_transcript_12.6.21.pdf. Accessed 10 Dec. 2025.
‘How Trump Is Remaking the White House in His Own Image – BBC News’. News, https://www.bbc.co.uk/news/resources/idt-2db64cf0-41c6-42cd-a33b-92ab31593fe2. Accessed 10 Dec. 2025.
“Letter – #523 in United States v. Maxwell (S.D.N.Y., 1:20-Cr-00330) – CourtListener.Com.” CourtListener, https://www.courtlistener.com/docket/17318376/523/united-states-v-maxwell/. Accessed 10 Dec. 2025.
‘New Jeffrey Epstein Accuser: He Raped Me When I Was 15’. NBC News, 10 July 2019, https://www.nbcnews.com/news/us-news/new-jeffrey-epstein-accuser-he-raped-me-when-i-was-n1028011. Accessed 10 Dec. 2025.
Shan, Cindy. ‘Image Shows Trump’s Golden Oval Office Makeover?’ Snopes, 18 July 2025, https://www.snopes.com//fact-check/trump-oval-office-makeover/.
Southern District of New York | Ghislaine Maxwell Sentenced To 20 Years In Prison For Conspiring With Jeffrey Epstein To Sexually Abuse Minors | United States Department of Justice. 28 June 2022, https://www.justice.gov/usao-sdny/pr/ghislaine-maxwell-sentenced-20-years-prison-conspiring-jeffrey-epstein-sexually-abuse.
Southern District of New York | Statement Of U.S. Attorney Damian Williams On The Verdict In U.S. V. Ghislaine Maxwell | United States Department of Justice. 29 Dec. 2021, https://www.justice.gov/usao-sdny/pr/statement-us-attorney-damian-williams-verdict-us-v-ghislaine-maxwell.
“The White House Building.” The White House, https://www.whitehouse.gov/about-the-white-house/the-white-house/. Accessed 10 Dec. 2025.
Yerushalmy, Jonathan. “Before and after: Trump’s Extreme Goldening of the Oval Office.” The Guardian, 1 Sept. 2025. https://www.theguardian.com/us-news/2025/sep/01/trump-oval-office-gold-before-after-decor-white-house-makeover. Accessed 10 Dec. 2025.
‘Woman Sues Epstein Estate, Says She Was Abused at Age 14’. NBC New York, 18 Sept. 2019, https://www.nbcnewyork.com/news/local/woman-sues-epstein-estate-says-she-was-abused-at-age-14/1991468/.
For the first time in months, President Donald Trump held a campaign-style rally, traveling to a Mount Pocono, Pennsylvania, casino to talk about the economy amid growing consumer concerns about affordability that Trump has tried to paint as a hoax and a Democratic issue.
In his roughly 100-minute speech, he talked about his love of the word “tariff” and zeroed in on the “fake news” reporters covering the event. At times, supporters chanted “four more years,” although experts have told PolitiFact another Trump candidacy would violate the 22nd Amendment’s clear intent.
Trump’s Dec. 9 comments touched on other high-profile recent topics. As Minnesota is in the news for a fraud scandal involving Somalis, he attacked Rep. Ilhan Omar, D-Minn., who is Somali, saying she “does nothing but bitch. She’s always complaining.” The crowd responded, “Send her back.” Omar is a U.S. citizen, as are the majority of Somalis in Minnesota.
And amid his recent focus on former President Joe Biden’s use of an autopen, Trump mused about whether Federal Reserve Board members appointed by his predecessor were serving illegally. There’s no way to nullify presidential actions signed by autopens, legal experts say.
Trump also repeated his Pants on Fire claim that every strike on a “narcoterrorist” boat in the Caribbean saves 25,000 American lives.
We fact-checked several of Trump’s statements about the economy.
Trump: The U.S. is “right around $18 trillion” in promises of new investment. “We could hit $20 trillion in the first year” of my presidency.
Trump has said that since he took office in January, the U.S. has attracted between $18 trillion and $22 trillion in new investment. But the White House website documents a smaller number — $9.6 trillion — and the investments listed on the website include aspirational, multi-year goals that may not come to fruition and future purchases or sales of products, rather than only capital investments.
In Pennsylvania, Trump also said, “I went to Saudi Arabia, Qatar and (the United Arab Emirates). I brought back $4 trillion.” These commitments are among the highest-dollar commitments on the White House list, but the list cites $3.2 trillion, lower than what Trump said, and that number still requires a major caveat. The Qatar and the UAE commitments are multiple times larger than their countries’ annual gross domestic product, which calls the pledges’ feasibility into question.
Trump: “It was just reported that four states had $1.99 a gallon” for gasoline.
This cherry-picks a small number of gas stations in three states.
The current national average gasoline price is $3.07 per gallon, according to the federal government’s Energy Information Administration. The American Automobile Association said the states with the lowest average statewide gasoline prices are Oklahoma at $2.38, Texas at $2.49, Arkansas at $2.52 and Colorado at $2.53.
According to Patrick De Haan of the gasoline price comparison site Gas Buddy, Oklahoma, Colorado and Texas have a few dozen stations with prices below $1.99 a gallon. These are a fraction of all U.S. stations, which number well over 100,000.
Trump: “Our prices are coming down tremendously from the highest prices in the history of our country.”
This is misleading.
Overall inflation on Trump’s watch is right where it started. According to the Bureau of Labor Statistics’ consumer price index, year-over-year inflation in January 2025, when he took office, was 3%, and in the most recent month available, September, it was also 3%. (The government shutdown delayed more recent inflation data.)
When using the inflation rate minus food and energy, the rate has declined modestly. This rate was 3% year over year in September, lower than the 3.3% rate in January 2025. Economists sometimes prefer this measurement because it smooths out the price volatility in the food and energy sectors.
Trump’s statement about the highest prices in U.S. history is inaccurate in two ways.
The highest year-over-year inflation rate under Biden was around 9% in summer 2022. That was the highest in about 40 years, but the record-high U.S. inflation rates were recorded in the 1970s and early 1980s, when the inflation rate often hovered between 12% and 15%.
In addition, Trump ignores that during the final two-plus years of Biden’s tenure, inflation fell significantly. By Biden’s final full month in office, December 2024, the year over year inflation rate was 2.9%, meaning it fell by about two-thirds from its Biden-era peak and was slightly lower than the most recent rate recorded under Trump.
Trump: The One Big Beautiful Bill Act in 2025 enacted the “biggest tax cuts ever.”
We examined the tax revenue decreases from major laws passed since 1980. (Most tax laws prior to 1980 either raised taxes or cut them modestly.) We looked at tax cuts as a percentage of gross domestic product, which evens out differences over time.
President Ronald Reagan signed the 1981 law with the biggest tax savings. That law cut taxes by 3.5% of the nation’s cumulative five-year GDP.
A 2012 bill passed by the Republican Congress and signed by President Barack Obama ranked second. That bill, which cut taxes by 1.7% of GDP, extended the tax cuts passed in 2003 under President George W. Bush.
Based on initial projections, Trump’s 2025 law ranks third at 1.4% of GDP. Trump’s 2017 law ranks fourth at 1%, tied with a 2010 law Obama signed that extended Bush’s 2001 tax cuts.
However, the bottom-line impact on Americans’ tax liabilities beginning in 2026 might not be dramatic as these rankings suggest, because the 2025 bill extended the cuts from Trump’s 2017 bill, which would have expired otherwise. So people are already paying the lower tax rates and won’t necessarily see additional tax cuts.
The 2025 law adds some new tax breaks, such as for income from tips and overtime and for Americans 65 and older.
If considering only the new tax cuts and not the renewal of the 2017 tax cuts, then Trump’s 2025 law would tie for sixth biggest cut ever at 0.5% of GDP.
Trump: The Big Beautiful BIll Act included a provision for “no tax on Social Security for our great seniors.”
Because of a procedural quirk, Republican lawmakers were unable to include a complete elimination of taxes on Social Security benefits when crafting the legislation. Instead, the House and Senate agreed to workarounds that produced significant, but not full, overlap between people who would benefit from the tax break and people who receive Social Security payments.
A representative from the Joint Committee on Taxation, the bipartisan body of Congress that analyzes proposed tax legislation, estimated that 24 million Americans could still pay some amount of tax on their Social Security benefits.
Trump: Under Biden, “migrant workers and illegal aliens got 100%” of new jobs, “but since I took office, 100% of all net job creation has gone to American citizens.”
The number of native-born Americans working since he took office in January has risen by 2.58 million, a 2% increase. During that same period, the number of foreign-born workers has decreased by 1 million, a 3.1% decline. (A caveat: The data for these two statistics tends to be what economists call “noisy,” because unlike other employment statistics, these metrics are not seasonally adjusted.)
The problem with Trump’s statement is attributing the foreign-born employment data only to “migrant workers and illegal aliens.” There is no statistical category for “migrant” or “illegal alien” employment. The available statistics for “foreign born” includes large numbers of naturalized U.S. citizens, permanent residents and other immigrants legally in the U.S.
President Donald Trump has long praised tariffs as key to increasing wealth in the United States, idealizing Gilded Age policies that preceded the implementation of a modern federal income tax.
Among the potential benefits, Trump claims, is the ability to replace revenue from federal income taxes with money the U.S. is taking in from tariffs — a concept he has touted since his 2024 presidential campaign, most recently at a Cabinet meeting Tuesday.
But tariff revenue doesn’t even come close to where it would need to be if federal income taxes were eliminated, and experts say such a plan isn’t at all feasible.
Here’s a closer look at the facts.
CLAIM: The U.S. is earning enough revenue from tariffs to eventually eliminate federal income taxes.
THE FACTS: This is false. Individual income taxes brought in trillions more dollars than tariffs did in the last fiscal year, accounting for more than 50% of total U.S. revenue, according to Treasury Department data. Tariffs made up only 3.7% of the total. In the first month of the current fiscal year, which began Oct. 1, individual income taxes accounted for 54% of total revenue. Tariffs made up 7.75%.
Trump’s proposal wouldn’t work regardless, according to experts, given the unreliability of tariff revenue as well as the harmful effects of tariffs on economic growth and their outsize impact on lower earners.
“It’s not possible. It’s not feasible mathematically or economically,” said Brandon DeBot, senior attorney adviser and policy director at New York University’s Tax Law Center. “And analysts from a range of different perspectives agree with that conclusion. Even the very substantial tariffs imposed this year, which are at the highest levels in the postwar era, raise nowhere near the revenue that income tax does.”
Steve Wamhoff, federal policy director at the Institute on Taxation and Economic Policy, called the idea “nonsensical.”
But Trump has floated it twice in the last week — first during remarks on Thanksgiving at Mar-a-Lago and then again at Tuesday’s Cabinet meeting.
“And I believe that at some point in the not too distant future, you won’t even have income tax to pay. Because the money we’re taking in is so great, it’s so enormous, that you’re not going to have income tax to pay,” he said at the meeting, which lasted more than two hours.
The numbers don’t add up
In the last fiscal year, Treasury Department data shows that revenue from individual income taxes was approximately $2.66 trillion out of about $5.23 trillion in total revenue. Corporation income taxes added approximately $452 billion. Customs duties earned nearly $195 billion. That’s a difference of around $2.8 trillion.
The current fiscal year is shaping up in a similar fashion. Individual income taxes took in about $217 billion out of approximately $404 billion in total revenue the first month, with about $15 billion in additional funds from corporation taxes. Tariffs, meanwhile, earned around $31 billion.
Trump has boasted of additional income from investments in the U.S. by other countries and international companies. But the precise terms of these investments have yet to be fully codified and released to the public, and some numbers are under dispute or involve potentially fuzzy math.
The modern federal income tax was created with the ratification of 16th Amendment in 1913, ending the 43-year era when Trump says the country was wealthiest. He has not expressly detailed plans to end a national income tax since retaking the White House, and he can’t do so without an act of Congress and upending the federal budget.
“President Trump is set to raise trillions in revenue for the federal government in the coming years with his tariffs — whose costs will ultimately be paid by the foreign exporters who rely on the American economy, the world’s biggest and best consumer market,” said White House spokesman Kush Desai. He also cited “trillions in historic investment commitments to make and hire in America” that have been fueled by tariffs.
It is actually importers — American companies — that pay tariffs. Those companies typically pass their higher costs on to their customers in the form of higher prices. Still, tariffs can hurt foreign countries by making their products pricier and harder to sell abroad. Foreign companies might have to cut prices — and sacrifice profits — to offset the tariffs and try to maintain their market share in the United States.
A burden on lower-income households
Even if the numbers were made to add up, replacing revenue from federal income taxes with that of tariffs — a Republican talking point since the 1990s — poses many risks. Tariffs, especially at rates needed to make up for a loss in federal income taxes, could lead to retaliation from other countries and a lack of imports. In fact, revenue could start going down the more tariffs go up. There is also a lot of uncertainty about how much revenue tariffs will actually take in, given periodic changes to Trump’s policies.
“We would be talking about living in a completely different world than the one we live in now,” said Wamhoff. “There was a time when the government’s finances were provided through tariffs. But I believe people were getting around with a horse and buggy back then and not cars. I mean, that was a completely different time.”
Another reality is currently playing out. Trump’s tariffs are the subject of a Supreme Court case and could be struck down if the justices decide he does not have the authority to implement them. However, the president will still have plenty of options to keep taxing imports aggressively even if the courts rule against him. For example, he can reuse tariff powers he deployed in his first term and can reach for others, including one that dates back to the Great Depression. Many companies — including Costco — aren’t waiting for a decision from the Supreme Court. Instead, they’re filing suits against the Trump administration demanding refunds on the tariffs they’ve paid.
Experts say there is also an issue of fairness, noting that tariffs would shift the tax burden to lower-income households given their propensity to increase costs on consumer goods. Plus, they lack the flexibility of income taxes, which can be set at any desired rate, and they wouldn’t allow for incentives such as charitable donations or child tax credits.
“Inequality is very highly skewed toward the top,” said Michael Graetz, a professor of tax law at Yale University. “We’ve got more billionaires than we’ve ever had. We’ve got more millionaires than we’ve ever had. So it’s a strange time to be reducing the tax burden on the top and increasing it on the middle. It’s a proposal that is very effective for fundraising for Republicans and it always has been.”
The White House did not immediately respond to a request for comment.
X Fined €120M by EU Under DSA, Cuts Off Commission’s Ad Account
The European Commission fined X (formerly Twitter) €120 million for violating the Digital Services Act, citing deceptive blue checkmark design, lack of ad transparency, and restricted data access for researchers. CEO Elon Musk dismissed the ruling as “Bullshit,” and the company blocked the Commission’s dormant ad account in retaliation. X must pay the fine and outline compliance measures within 60 days or face further penalties. (Read More) (MediaPost Rating)
EU Probes Google Over AI Use of Online Content
EU regulators launched an antitrust investigation into Google’s use of online and YouTube content for AI features like AI Overviews, alleging unfair advantages and lack of compensation for creators (this is highly damaging to MBFC). The probe aims to assess whether Google’s practices harm competition and could lead to major fines. Google denies wrongdoing, saying the move risks stifling innovation. (Read More) (Yahoo News Rating)
Rahm Emanuel Backs U.S. Ban on Social Media for Kids Under 16
Rahm Emanuel is urging the U.S. to adopt an under-16 social media ban similar to Australia’s new law, citing risks like addiction, anxiety, and online exploitation. He argues parents need help from regulators to protect children and calls for decisive action over continued debate. (Read More) (The Hill Rating)
Media Bias Fact Check selects and publishes fact checks from around the world. We only utilize fact-checkers that are either a signatory of the International Fact-Checking Network (IFCN) or have been verified as credible by MBFC. Further, we review each fact check for accuracy before publishing. We fact-check the fact-checkers and let you know their bias. When appropriate, we explain the rating and/or offer our own rating if we disagree with the fact-checker. (D. Van Zandt)
Claim Codes: Red= Fact Check on a Right Claim, Blue = Fact Check on a Left Claim, Black = Not Political/Conspiracy/Pseudoscience/Other
Fact Checker bias rating Codes: Red = Right-Leaning, Green = Least Biased, Blue = Left-Leaning, Black = Unrated by MBFC
MOSTLY FALSE
Claim by JD Vance (R):Under Donald Trump, housing price growth slowed to about 1–2% mainly because of “negative net migration” and the administration’s efforts to remove undocumented immigrants.
FactCheck.org rating: Mostly False (The Case-Shiller index shows home price growth has slowed to around 1.6% since Trump took office, but that deceleration began in March 2024, 10 months before his term. Economists primarily attribute the slowdown to high prices, elevated mortgage rates, demographic shifts, and buyer hesitation, not immigration trends.)
Claim via Social Media: In early December 2025, U.S President Donald Trump wrote on Truth Social: “STOP SAYING MY FIFA PEACE PRIZE AWARD IS A PARTICIPATION TROPHY!! I earned it by working 26 hours a day, 8 days a week, to bring peace to the warring people on the isle of Fifa!
Claim by FDA official Vinay Prasad: Proposed major changes to FDA vaccine approval — including eliminating immunobridging, overhauling flu vaccine evaluation, and rejecting concurrent-vaccine safety methods — are necessary due to the alleged child deaths.
FactCheck.org rating: Misleading (Twelve former FDA commissioners wrote in NEJM that the changes would suppress innovation, block timely vaccine updates, increase costs, and harm public health. Immunobridging is a long-established, evidence-based method for updating vaccines, especially for evolving pathogens.)
Claim via Social Media: During a 2025 speech in Detroit, U.S. Rep. Rashida Tlaib publicly called for Hamas supporters to mobilize and take over America.
Disclaimer: We are providing links to fact-checks by third-party fact-checkers. If you do not agree with a fact check, please directly contact the source of that fact check.
Do you appreciate our work? Please consider one of the following ways to sustain us.
President Donald Trump has often said that since he took office in January, the U.S. has received trillions of dollars in promises of investments, and the dollar amount he cites changes.
On his second day in office, Jan. 21, Trump said the U.S. had “already secured nearly $3 trillion of new investments.”
By May 8, that figure rose to “close to $10 trillion.” It eventually peaked Oct. 29 during a meeting with South Korean Prime Minister Kim Min-seok: “I think by the end of my first term, we should have $21 or $22 trillion dollars invested in the United States from other people and countries,” Trump said.
Since then, Trump has reported varied investment figures:
Sometimes Trump has phrased the commitments as approaching a dollar figure; other times, he’s said they’ve already hit that number.
In May, when Trump said, “We have now close to $10 trillion” in investments, we rated that False. The White House had documented at least $4.9 trillion less than what Trump claimed.
That $10 trillion number has about doubled in the seven months since, according to Trump, but it’s unsubstantiated. On the higher end, $22 trillion would be equal to about three-quarters of the United States’ entire 2024 annual gross domestic product, an extraordinary total for the richest country in the history of the world.
The White House website documents $9.6 trillion, and not everything cited on the website was newly pledged during Trump’s second term. Experts say there’s no guarantee the full amounts promised will come to fruition, and some of this investment would have occurred regardless of who was president.
The White House did not respond to PolitiFact’s questions about Trump’s statements.
Trump’s remarks vs. the White House website
One way to benchmark Trump’s investment figure is to look at what the White House officially documented.
The White House launched a web page in April that includes a list of countries and companies it said have announced investments during Trump’s second term.
Using the internet archive Wayback Machine, we tracked the amount of investment the White House website cited over time. The figures Trump has used were usually at least double the amount listed on the website.
In recent weeks, as Trump cited figures from $18 trillion to $22 trillion, the White House website reported $9.6 trillion.
Is Trump accurately framing the foreign and corporate investments?
The White House website’s figure includes aspirational goals over multiple years and counts future purchases of products rather than capital investments. For some of the biggest line items — such as commitments by the governments of the United Arab Emirates and Qatar — the pledges are multiple times those countries’ annual gross domestic product, which calls their feasibility into question.
A Bloomberg Economics’ analysis found that of the $9.6 trillion the White House listed on its website in late November, $7 trillion could be considered “real investment pledges.” The remaining $2.6 trillion included countries’ agreements to purchase items such as natural gas or to expand future trade. The analysis characterized some of the investment pledges by other countries as “amorphous.”
More than 80% of the investments from private companies stemmed from artificial intelligence-related spending.
“Many of the pledges cited by the White House are part of overlapping multi-company projects, making it difficult to determine how much may be counted more than once,” Bloomberg said.
Ten items on the White House’s website accounted for the vast majority of the $9.6 trillion the White House detailed. Some of the White House’s documentation includes details such as specific companies getting involved and the types of facilities or infrastructure envisioned; other examples are more vague. Some involve conventional investments, while others have to do with projected trade increases.
1. United Arab Emirates: $1.4 trillion. The White House says this investment focuses on AI infrastructure, semiconductors, energy, quantum computing, biotechnology and manufacturing. Companies cited in a White House news release include Boeing, GE Aerospace, Emirates Global Aluminum, ExxonMobil, Occidental Petroleum, Qualcomm and Amazon Web Services. It’s unclear how much of this investment would come from new investments.
The UAE’s 2024 gross domestic product was $537 billion, making the pledge equal to three years of the country’s entire economic output.
2. Qatar: $1.2 trillion. The White House press release described this as an “economic exchange,” rather than one-way investment. It cited the involvement of companies including Boeing, GE Aerospace, Raytheon, General Atomics, ExxonMobil and Chevron Phillips. The announcement described a mixture of trade deals, purchase agreements and investment intentions — items that analysts say often include future-looking efforts rather than capital injections.
In 2024, Qatar’s gross domestic product was $218 billion, making this pledge equivalent to nearly six years of the country’s entire economy.
3. Japan: $1 trillion. The White House has said Japan is moving toward $1 trillion, following an initial agreement to invest $550 billion in sectors such as semiconductors, shipbuilding, energy, pharmaceuticals, metals and minerals by the end of Trump’s term. Japan also disputes that this will be a one-way flow of cash into the U.S. Bloomberg News quoted Japanese trade negotiator Ryosei Akazawa saying, “It’s not that $550 billion in cash will be sent to the U.S.” but rather a combination of investments, loans and loan guarantees provided by financial institutions backed by the Japanese government.
4. Meta: $600 billion. The White House and the social media company said $600 billion is tied to Meta’s U.S. AI infrastructure and workforce expansion plans through 2028.
5. Apple: $600 billion. Apple’s long history of multi-year domestic investment pledges means the $600 billion figure incorporates prior commitments plus recent accelerations. Apple’s news release described a new $100 billion boost to bring its total U.S. commitment to $600 billion over several years. The release cites a new American Manufacturing Program, supplier investments and training programs.
6. Saudi Arabia: $600 billion. The administration said $600 billion from Saudi Arabia would involve the energy, critical minerals and defense sectors. (The most recent White House news release says this figure has increased to $1 billion, but this is not yet reflected on the White House investment web page.)
The amount cited would be equal to about half of Saudi Arabia’s 2024 gross domestic product.
7. European Union companies: $600 billion. The EU said in August that “European companies are expected to invest an additional $600 billion across strategic sectors in the United States through 2028.” However, the statement frames this as aspirational, not as a commitment.
8. Stargate: $500 billion. This consortium between SoftBank, OpenAI and Oracle was unveiled during a Jan. 21 White House event. Stargate said $100 billion will be invested “immediately” and that the consortium “intends to invest” a total of $500 billion over the next four years. OpenAI among others published blog posts describing its plans for five new sites that would bring the project to “over $400 billion” in near-term investment, positioning it on a path to the $500 billion target.
9. NVIDIA: $500 billion. The White House said NVIDIA has pledged to build $500 billion worth of AI infrastructure in the U.S. over the next four years. NVIDIA has said it is pursuing “ambitious” manufacturing and server production in the U.S., but the $500 billion figure remains a goal.
10. India: $500 billion. What is being called “Mission 500” aims to reach $500 billion in annual bilateral trade by 2030. But it is a trade goal, not an investment pledge, and its end date would come after the end of Trump’s term. Further, the framework seems to allow U.S. purchases of Indian goods to count toward the goal, which does not foster U.S. investment and production.
Importantly, experts said, some of these pledges won’t materialize.
“Historically, large-scale investment announcements often overpromise and underdeliver,” Roman V. Yampolskiy, an AI specialist at the University of Louisville told PolitiFact in May. “There is a performative element to them, especially in politically charged contexts. They function as political theater as much as economic commitment.”
Trump isn’t the first to overstate new investments. President Joe Biden said in 2024 that his bipartisan CHIPS and Science Act had attracted $640 billion in private investments; economists told PolitiFact that Biden’s numbers were based on what companies had announced, which is not the same as dollars already spent.
Our ruling
Trump says the U.S. has received investment commitments totaling $18 trillion to $22 trillion since he took office in January.
The number Trump cites is about double what the White House’s website lists. And experts say the website’s current figure, $9.6 trillion, should be viewed with caution.
It includes aspirational, multi-year goals that might or might not come to fruition, and some items are future purchases or sales of products, rather than capital investments.
For the two biggest line items — commitments from the United Arab Emirates and Qatar — the amounts are multiple times those countries’ annual gross domestic product.
In a disparaging attack on Somalia in which he said he didn’t want people of Somali descent in the United States, President Donald Trump said Somalis “ripped off” Minnesota “every year” for “billions of dollars,” an apparent reference to a fraud investigation, and suggested that “like 88%” of Somalis receive “welfare” benefits. But the White House didn’t provide us with evidence for either of those figures.
Trump was at least partly referring to a recent news report that said the vast majority of people federal prosecutors have charged since 2022 with committing three fraud schemes targeting social service programs in Minnesota are members of the state’s Somali community.
Joseph H. Thompson, then the acting U.S. attorney for the District of Minnesota, told a local Minnesota news station in July that the amount of fraud could total over $1 billion when government investigations are complete. He then told another local outlet in September that the amount is “in the billions of dollars,” when counting fraud in other state programs that are under investigation.
However, when we asked that U.S. Attorney’s Office how Thompson came up with his figures, we didn’t receive a response.
The Minnesota Star Tribune reported in a Dec. 7 story that its review of court documents “shows the alleged fraud uncovered to date is closer to $152 million,” although the newspaper said that figure “is expected to grow” as federal and state investigations continue.
In this story, we’ll explain what happened in the fraud cases and what we know about Somalis and welfare.
Fraud Cases
Trump went on a rant against people of Somali heritage at the end of a Dec. 2 Cabinet meeting at the White House, calling them “garbage” and accusing them of stealing large sums of money from Minnesota taxpayers.
“I hear they ripped off, Somalians ripped off that state for billions of dollars, billions,” Trump said. “Every year, billions of dollars. And they contribute nothing. The welfare is like 88%.”
“I don’t want them in our country,” the president said, adding that he didn’t care that some people would call his remarks “not politically correct.”
Trump speaks at a Cabinet meeting at the White House on Dec. 2. Photo by Chip Somodevilla/Getty Images.
There are at least three separate fraud cases in Minnesota that are being investigated by federal and state authorities, and there is a connection to the state’s Somali population.
In a Nov. 29 story, the New York Times reported that 78 of the 86 people charged so far for defrauding Minnesota programs are of Somali descent.
First, the Department of Justice began charging dozens of people in 2022 for their roles in a plot exploiting a federally funded nutrition program for children during the COVID-19 pandemic. According to a DOJ press release about the charges, employees of Feeding Our Future, a Minneapolis-based nonprofit organization, enlisted individuals and entities in the scheme to defraud the Department of Agriculture’s Federal Child Nutrition Program, which was administered in the state by the Minnesota Department of Education.
Federal prosecutors said Feeding Our Future was a sponsor participating in the nutrition program when it recruited others to open shell companies to act as program sites feeding children throughout the state. Those fake food sites allegedly produced fabricated paperwork, including invoices and attendance logs, showing millions of meals provided to kids, and Feeding Our Future submitted bogus claims for reimbursement through the federal program.
The Justice Department said that Feeding Our Future opened more than 250 sites statewide and “fraudulently obtained and disbursed more than $240 million” in program funds, some of which officials said was used for personal purchases, such as cars, jewelry and property. (The Star Tribune said that prosecutors “have not produced evidence indicating all of that money was fraudulent.”)
As of November, prosecutors said that 78 individuals had been charged in the scheme, including Feeding Our Future’s founder, Aimee Bock, who denied any wrongdoing but was convicted on wire fraud and bribery charges by a federal jury in March.
Then, in September, federal prosecutors brought wire fraud charges against eight individuals for a scheme to defraud Minnesota’s federally funded Housing Stabilization Services Program, which began in 2020 to help seniors and other people with disabilities find and maintain housing. State officials ended the program in October because of fraud concerns.
Prosecutors said the perpetrators enrolled in the program, which was financed through Medicaid, as providers of various housing services. “Rather than provide such help, the defendants obtained and misappropriated millions of dollars in program funds that were intended as reimbursements for services provided to those people,” prosecutors said in a press release about the charges.
The program’s cost, initially expected to be about $2.6 million annually, ballooned from $21 million in 2021 to $104 million in 2024 — much of it attributed to fraud, according to a federal investigation. Prosecutors said the program’s “low barriers to entry and minimal records requirements for reimbursement” made it “susceptible to fraud.”
Also in September, one person, Asha Farhan Hassan, who is reportedly of Somali ancestry, was federally charged for her alleged participation in a five-year scheme that cheated a Minnesota health care program out of at least $14 million, prosecutors said. That program, the Early Intensive Developmental and Behavioral Intervention Benefit, is also funded through Medicaid, and provides medically necessary services to children and some young adults with autism spectrum disorder or related conditions.
Prosecutors said that through that program a company formed by Hassan, Smart Therapy, filed claims for Medicaid reimbursement that “were fraudulently inflated, were billed without providers’ knowledge, and were for services that were not actually provided.” Hassan allegedly then split the money her company received with her partners, including payments to parents who received kickbacks of up to $1,500 per month for each child they allowed to be enrolled in Smart Therapy for services as part of the scheme.
Hassan, who was also charged in the Feeding Our Future fraud plot, recruited Somali parents and their children for participation, prosecutors said.
Somalis and Welfare
As we said, in addition to not providing support for the claim that Somali people stole “billions” from Minnesota “every year,” the White House also did not provide evidence that “like 88%” of Somalis receive “welfare,” as Trump suggested.
Instead, a White House spokeswoman, Abigail Jackson, said: “President Trump is absolutely right to highlight the problems caused by the radical Somali migrants that the Democrats let invade our country and steal from American taxpayers. For example, Tim Walz has allowed Somali refugees to turn Minnesota into a hub of fraudulent money laundering activity to fund lavish lifestyles overseas at the expense of American taxpayers. While the media feigns outrage, Americans who have suffered at the hands of these schemes will celebrate the President’s comments and strong support for AMERICAN citizens.”
We were not able to find information showing the percentage of Somali residents in Minnesota, or the U.S., who benefit from social programs that might be considered “welfare,” which has no universal definition. In 2024, there were nearly 260,000 people of Somali descent living in the U.S. and more than 108,000 of them resided in Minnesota, according to the Census Bureau’s latest American Community Survey estimates.
Susan Brower, Minnesota’s state demographer, told us in an email that, while not representative of all types of welfare, from 2019 to 2023, an estimated 8% of people with Somali ancestry living in Minnesota reported receiving certain forms of “public assistance income,” according to the 2019-2023 American Community Survey conducted by the U.S. Census Bureau.
She said the public assistance category specifically includes payments from state and federal programs like the Minnesota Family Investment Program, formerly known as Aid to Families with Dependent Children; General Assistance, for low-income individuals and married couples without children; and Supplemental Security Income, which is paid to elderly, blind or disabled persons with low incomes.
Benefits from other programs, such as the Supplemental Nutrition Assistance Program, formerly known as food stamps, were not included.
Due to sampling error, Brower said, the actual percentage of Somali people receiving those forms of income assistance could range from 6.3% to 10.1%.
But she said because Somalis do have a higher poverty rate than other groups, “it would make sense that they are eligible for more public programs.” She noted that an upcoming report from the Minnesota State Demographic Center estimates that 38% of Somalis in the state live in poverty. A 2023 state report showed that the median income of Somali households in Minnesota was $28,500, in 2020 dollars, the lowest of any cultural group.
Trump suggested last month that, in general, most immigrants in the U.S. rely on public assistance, writing in a Nov. 27 Truth Social post, “The official United States Foreign population stands at 53 million people (Census), most of which are on welfare, from failed nations, or from prisons, mental institutions, gangs, or drug cartels.”
A 2023 report from the Center for Immigration Studies, an organization that favors low immigration levels, did find that, in 2022, 54% of households headed by immigrants — including naturalized citizens, legal permanent residents and people without legal status — “used one or more major welfare program.”
CIS said it counted the following “means-tested anti-poverty programs” as welfare: the Earned Income Tax Credit; Supplemental Security Income; Temporary Assistance to Needy Families; free or reduced-price school meals; the Women, Infants, and Children nutrition program; the Supplemental Nutrition Assistance Program; Medicaid; and subsidized and public housing.
Meanwhile, a February report from the libertarian Cato Institute, using a different methodology, found that “immigrants consumed 21 percent less welfare and entitlement benefits than native-born Americans on a per capita basis in 2022.” That report looked at the percentage of the total dollar amount of spending on benefits for immigrants and U.S.-born residents, and it counted fewer means-tested programs as welfare and also included Social Security and Medicare, which are considered entitlement programs.
But it’s worth noting, Brower said, that 95% of Somalis in Minnesota are citizens of the U.S. and 58% of them were born in the U.S.
Correction, Dec. 9: We originally referred to the Minnesota Star Tribune as the Minneapolis Star Tribune.
Editor’s note: FactCheck.org does not accept advertising. We rely on grants and individual donations from people like you. Please consider a donation. Credit card donations may be made through our “Donate” page. If you prefer to give by check, send to: FactCheck.org, Annenberg Public Policy Center, P.O. Box 58100, Philadelphia, PA 19102.
Vice President JD Vance has exaggerated the increase in home prices during President Joe Biden’s time in office and has misleadingly pointed to illegal immigration as a primary cause of a rise in prices.
In a Fox News interview on Nov. 13, Vance said that “the price of a new home literally doubled” under Biden. But home sales price measures show at most a 37% increase. Vance appears to be referring to an increase in the monthly cost of new homes, an increase that factors in a rise in mortgage rates.
In that interview and in a Dec. 2 Cabinet meeting, Vance pointed to illegal immigration as a primary cause. “Why did homes get so unaffordable?” he said in the Cabinet meeting. “Because we had 20 million illegal aliens in this country taking homes that ought by right to go to American citizens,” he said, using an exaggerated figure.
While immigration overall does affect housing costs by increasing demand, economists say the primary drivers in recent years were low mortgage interest rates that sparked demand, a subsequent rise in interest rates and a problem with low housing supply that dates back to the Great Recession in 2007 to 2009. Immigrants in the country illegally are also more likely to rent, not buy, experts say.
Jacob Vigdor, a University of Washington public policy and governance professor who has written about immigration and housing, told us that “there is a link but I would not say that immigration, illegal or otherwise, has been a ‘driving factor’ in escalating housing costs.” He estimated a less than 1% impact on the current median sales price.
Vance correctly noted the low housing supply in his Nov. 13 interview. He said, “And at the same time, we weren’t building enough new houses to begin with, even for the population that we had.”
He further said the Trump administration was “trying to make it easier to build houses” and “getting all of those illegal aliens out of our country,” measures that were starting “to pay some dividends” with the housing price growth slowing to about 1% to 2% under President Donald Trump. One housing metric supports those figures, but the slowdown began well before Trump took office in January.
Vance made similar claims in an Aug. 28 Fox News interview, saying there was a “100% housing price increase in four years under Joe Biden.” He said the increase was due to high interest rates and illegal immigration, and that the “main driver” of housing prices flattening was “negative net migration.”
But housing experts cite other factors for the slowdown in rising prices.
Home Prices Under Biden
According to federal data, home prices increased during the Biden administration, but not nearly as much as Vance claimed. The Census Bureau and Department of Housing and Urban Development data show there was a 21.1% increase in the median sales price of new homes, rising from $354,800 in January 2021 to $429,600 in January 2025.
The National Association of Realtors’ seasonally adjusted annual sales figures show a similar trend for existing single-family homes. In 2024, the national median price was $412,500, a 37.4% increase from 2020, the year before Biden took office.
Photo by seanlockephotography / stock.adobe.com.
Another commonly used metric, the S&P Cotality Case-Shiller national home price index, which tracks monthly price changes in existing single-family homes, increased about 36.9% during the Biden administration, as measured from January 2021 to January 2025.
Vance’s claim about housing price growth slowing is supported by the Case-Shiller Index, which has risen 1.62% since Trump took office in January.
But Vigdor told us that this slowdown “started in March 2024, 10 months before the current administration took office.”
The Case-Shiller Index rose by 2.1% over those 10 months.
“There are a couple of things going on,” Vigdor said. “Demographically, birth rates are falling and the population is aging, which will naturally reduce the number of young families looking to purchase a home. That softens the demand side.” He added that “buyers may also be waiting for interest rates to come down, or for macroeconomic uncertainty associated with tariffs and other Trump administration initiatives to resolve.”
The other home price measures show conflicting changes since Trump took office in January. The Census Bureau and HUD data on the median price of new homes show a 3.7% decrease from January to August, the most recent month available. NAR’s figures for the median existing single-family home price show a 7.5% increase over the same time period. The monthly data isn’t seasonally adjusted.
Rising Mortgage Rates
Although the Vance press office declined to provide us an on-the-record response, when Vance cited a similar statistic in March, Vance’s staff pointed PolitiFact to a May 2024 Heritage Foundation report that said in Biden’s first three years, “the cost of a median price home has more than doubled, increasing 114.5%.” But that statistic was referring to the monthly carrying costs of a new home purchase, not the purchase price. The very next line in the Heritage report stated that “average prices paid by consumers have risen 19.3%.”
Mortgage rates, and consequently the monthly mortgage costs of a newly purchased home, went up substantially under the Biden administration. The 30-year fixed rate mortgage average rose from 2.77% in the week he took office in 2021 to 6.96% in the week he left office this year. Since the Trump administration took over, the average rate dropped to 6.19% as of Dec. 4.
We asked the Heritage Foundation about its 114.5% calculation, but we didn’t get a response. Our own calculations using the Census and HUD price data and the 30-year fixed mortgage rates (assuming a 20% down payment) show that the monthly mortgage payment for a median-priced new home was about $1,162 in January 2021. At the peak of prices in October 2022, that monthly payment rose to $2,470. By the end of Biden’s term in January, it had declined slightly to $2,277. So, the increase in the monthly mortgage payment for a median-priced new home was about 96% over Biden’s presidency.
Contrary to Vance’s statements, the May 2024 Heritage Foundation piece didn’t blame the higher prices or mortgage rates on illegal immigration. Instead, it faulted federal deficits and borrowing; the Federal Reserve lowering interest rates, “which then amplified the increase in home prices as would-be buyers bid up sales prices”; and the Fed then increasing interest rates to combat inflation, “which caused borrowing costs to skyrocket.”
Illegal Immigration Not Primary Driver of Prices
Vance attributes the increase in home prices to “20 million” or “30 million,” as he said on Nov. 13, “illegal immigrants who were taking houses that ought by right go to American citizens.” Those figures are exaggerations.
During the 2024 campaign, Trump repeatedly claimed that about 18 million or 20 million immigrants had entered the country illegally during Biden’s time in office. We calculated in June 2024 that the figure would be about a third of that, including an estimated 2 million “gotaways” who evaded capture by Border Patrol and about 3 million people released with notices to appear in immigration court or report to Immigration and Customs Enforcement in the future, or other classifications, such as parole.
The Pew Research Center estimates that as of 2023 there were 14 million “unauthorized immigrants” residing in the U.S. in total, which includes those with some protection from deportation, such as parole or having applied for asylum. That’s nearly 4 million more than the 10.2 million estimate from the Pew Research Center for 2019.
Their impact on housing is much smaller than Vance suggests, according to experts.
“I reported that every immigrant entering a local housing market, which I defined as a county, raises home values by about 11.6 cents,” Vigdor, who released a study in 2013 examining the link between immigration and housing prices, explained in an email. Using the Pew Research Center estimate for the unauthorized population, Vigdor estimated “32,000 unauthorized immigrants in the ‘typical’ American housing market, which suggests a boost to home values of under $4,000, or less than 1% of the current median sales price in the US.”
Steven A. Camarota, director of research for the Center for Immigration Studies, a think tank that supports lower levels of immigration, said in September 2024 testimony to Congress that immigration was driving an increase in demand for rental housing. His analysis, he said, “indicates that a 5-percentage point increase in the recent immigrant share of a metro area’s population is associated with a 12 percent increase in the average U.S.-born household’s rent, relative to their income.” He noted that this was “only a simple correlation and does not include homeowners. Much more detailed analysis would be necessary to confirm this relationship.”
Other experts acknowledge that immigration overall plays a role in the supply and demand of housing, but they also point to larger factors driving home prices in recent years.
Neel Kashkari, president and CEO of the Federal Reserve Bank of Minneapolis, wrote in May 2024 that “there appears to be a significant shortage of housing that will take a long time to close,” due to supply not keeping up with demand since the Great Recession. “In addition, responses to COVID have led to an increase in people working from home, and that has led to increased demand for housing.” As for immigration, he said, “While the long-run effect of increased immigration on inflation is unclear, immigrants nonetheless need a place to live, and their arrival in the U.S. has likely also increased demand for housing.”
Chris Herbert, the managing director of the Joint Center for Housing Studies of Harvard University, told us via email that “[v]ery low interest rates during the pandemic were a significant factor in rapidly rising prices. And the slowdown in price growth has been heavily influenced by the sharp rise in rates as the Federal Reserve moved aggressively to slow inflation.”
Similar to Kashkari’s remarks, an October 2024 article by the Joint Center for Housing Studies said that the low interest rates during the pandemic “motivated a spike in housing demand among those wanting to take advantage of the lower rates and the greater purchasing power they provided. The heightened demand from these factors quickly clashed with the country’s constrained housing supply, which remained at insufficient levels after years of underproduction following the Great Recession. These forces combined to put enormous pressure on home prices as well as rents, as the growing number of renter households competed for limited rental stock.”
The article, by the center’s senior research analyst, Riordan Frost, looked at the role of immigration in housing costs and found that “the recent surge in immigration … does not line up with the high growth in both rents and home prices that happened at the start of the pandemic.” The largest increases in prices occurred in 2020 and 2021 before immigration rose in 2022 and 2023, Frost wrote, noting that the growth rate in prices slowed in those latter years.
“Immigrants play a role in household growth, sometimes to a substantial degree, but housing demand during the pandemic has been primarily shaped by native-born household growth in a time of constrained housing supply,” Frost wrote. One-quarter of household growth from 2019-2023 was due to foreign-born householders, while the rest was native-born household growth, he said, citing Census Bureau data.
Mark Zandi, chief economist of Moody’s Analytics, also pushed back against Vance’s assertions. “It is misplaced to blame immigration for the runup in house prices since the pandemic,” he told us in an email, noting that “[m]ost new immigrants rent” and the construction industry is “more dependent” than any other “on immigrant workers.”
Frost’s analysis also said that immigrants are strong contributors to the housing supply side as they accounted for 34% of construction trade jobs in 2023, based on Census data.
“The recent flat house prices are unrelated to less immigration, as immigrants generally don’t own homes,” said Zandi, whose work was frequently referenced by the Biden administration. “However, affordability remains a problem given high mortgage rates and the previous runup in house prices, rising homeowner insurance rates, and property taxes.”
Editor’s note: FactCheck.org does not accept advertising. We rely on grants and individual donations from people like you. Please consider a donation. Credit card donations may be made through our “Donate” page. If you prefer to give by check, send to: FactCheck.org, Annenberg Public Policy Center, P.O. Box 58100, Philadelphia, PA 19102.
With the tax-free money in a health savings account, a person can pay for eyeglasses or medical exams, as well as a $1,700 baby bassinet or a $300 online parenting workshop.
Those same dollars can’t be used, though, to pay for most baby formulas, toothbrushes — or insurance premiums.
President Donald Trump and some Republicans are pitching the accounts as an alternative to expiring enhanced federal subsidies that have lowered insurance premium payments for most Americans with Affordable Care Act coverage. But legal limits on how HSAs can and can’t be used are prompting doubts that expanding their use would benefit the predominantly low-income people who rely on ACA plans.
The Republican proposals come on the heels of a White House-led change to extend HSA eligibility to more ACA enrollees. One group that would almost certainly benefit: a slew of companies selling expensive wellness items that can be purchased with tax-free dollars from the accounts.
There is also deep skepticism, even among conservatives who support the proposals, that the federal government can pull off such a major policy shift in just a few weeks. The enhanced ACA subsidies expire at the end of the year, and Republicans are still debating among themselves whether to simply extend them.
“The plans have been designed. The premiums have been set. Many people have already enrolled and made their selections,” Douglas Holtz-Eakin, the president of the American Action Forum, a conservative think tank, warned senators on Nov. 19. “There’s very little that this Congress can do to change the outlook.”
What is Bill Cassidy’s proposal?
With health savings accounts, people who pay high out-of-pocket costs for health insurance are able to set aside money, without paying taxes, for medical expenses.
For decades, Republicans have promoted these accounts as a way for people to save money for major or emergent medical expenses without spending more federal tax dollars on health care.
The latest GOP proposals would build on a change included in Republicans’ One Big Beautiful Bill Act, which makes millions more ACA enrollees eligible for health savings accounts. Starting Jan. 1, those enrolled in Obamacare’s cheapest coverage may open and contribute to HSAs.
Now Republicans are making the case that, in lieu of the pandemic-era enhanced ACA subsidies, patients would be better off being given money to cover some health costs — specifically through deposits to HSAs.
The White House has yet to release a formal proposal, though early reports suggested it could include HSA contributions as well as temporary, more restrictive premium subsidies.
Sen. Bill Cassidy — a Louisiana Republican who chairs the Senate Health, Education, Labor, and Pensions Committee and is facing a potentially tough reelection fight next year — has proposed loading HSAs with federal dollars sent directly to some ACA enrollees.
“The American people want something to pass, so let’s find something to pass,” Cassidy said on Dec. 3, pitching his plan for HSAs again. “Let’s give power to the patient, not profit to the insurance company.”
He has promised a deal can be struck in time for 2026 coverage.
Democrats, whose support Republicans will likely need to pass any health care measure, have widely panned the GOP’s ideas. They are calling instead for an extension of the enhanced subsidies to control premium costs for most of the nearly 24 million Americans enrolled in the ACA marketplace, a larger pool than the 7.3 million people the Trump administration estimates soon will be eligible for HSAs.
HSAs “can be a useful tool for very wealthy people,” said Sen. Ron Wyden of Oregon, the top Democrat on the Senate Finance Committee. “But I don’t see it as a comprehensive health insurance opportunity.”
Who can use HSAs?
The IRS sets restrictions on the use of HSAs, which are typically managed by banks or health insurance companies. For starters, on the ACA marketplace, they are available only to those with the highest-deductible health insurance plans — the bronze and catastrophic plans.
There are limits on how much can be deposited into an account each year. In 2026 it will be $4,400 for a single person and $8,750 for a family.
Flexible spending accounts, or FSAs — which are typically offered through employer coverage — work similarly but have lower savings limits and cannot be rolled over from year to year.
The law that established HSAs prohibits the accounts from being used to pay insurance premiums, meaning that without an overhaul, the GOP’s proposals are unlikely to alleviate the problem at hand: skyrocketing premium payments. Obamacare enrollees who receive subsidies are projected to pay 114% more out-of-pocket for their premiums next year on average, absent congressional action.
Even with the promise of the government depositing cash into an HSA, people may still opt to go without coverage next year once they see those premium costs, said Tom Buchmueller, an economics professor at the University of Michigan who worked in the Biden administration.
“For people who stay in the marketplace, they’re going to be paying a lot more money every month,” he said. “It doesn’t help them pay that monthly premium.”
Others, Buchmueller noted, might be pushed into skimpier insurance coverage. Obamacare bronze plans come with the highest out-of-pocket costs.
An HHS official’s interest
Health savings accounts can be used to pay for many routine medical supplies and services, such as medical and dental exams, as well as emergency room visits. In recent years, the government has expanded the list of applicable purchases to include over-the-counter products such as Tylenol and tampons.
Purchases for “general health” are not permissible, such as fees for dance or swim lessons. Food, gym memberships, or supplements are not allowed unless prescribed by a doctor for a medical condition or need.
Americans are investing more into these accounts as their insurance deductibles rise, according to Morningstar. The investment research firm found that assets in HSAs grew from $5 billion 20 years ago to $146 billion last year. President George W. Bush signed the law establishing health savings accounts in 2003, with the White House promising at the time that they would “help more American families get the health care they need at a price they can afford.”
Since then, the accounts have become most common for wealthier, white Americans who are healthy and have employer-sponsored health insurance, according to a report released by the nonpartisan Government Accountability Office in September.
Now, even more money is expected to flow into these accounts, because of the One Big Beautiful Bill Act. Companies are taking notice of the growing market for HSA-approved products, with major retailers such as Amazon, Walmart, and Target developing online storefronts dedicated to devices, medications, and supplies eligible to be purchased with money in the accounts.
Startups have popped up in recent years dedicated to helping people get quick approval from medical providers for various — and sometimes expensive — items, memberships, or fitness or health services.
Truemed — a company co-founded in 2022 by Calley Means, a close ally of Health and Human Services Secretary Robert F. Kennedy Jr. — has emerged as one of the biggest players in this niche space.
A $9,000 red cedar ice bath and a $2,000 hemlock sauna, for example, are available for purchase with HSA funds through Truemed. So, too, is the $1,700 bassinet, designed to automatically respond to the cries of a newborn by gently rocking the baby back to sleep.
Truemed’s executives say its most popular products are its smaller-dollar fitness offerings, which include kettlebells, supplements, treadmills, and gym memberships.
“What we’ve seen at Truemed is that, when given the choice, Americans choose to invest their health care dollars in these kinds of proven lifestyle interventions,” Truemed CEO Justin Mares told KFF Health News.
Means joined the Department of Health and Human Services in November after a stint earlier this year at the White House, where he worked when Trump signed the One Big Beautiful Bill Act into law in July. Truemed’s general counsel, Joe Vladeck, said Means left the company in August.
Asked about Means’ potential to benefit from the law’s expansion of HSAs, HHS spokeswoman Emily Hilliard said in a statement that “Calley Means will not personally benefit financially from this proposal as he will be divesting from his company since he has been hired at HHS as a senior advisor supporting food and nutrition policy.”
Truemed is privately held, not publicly traded, and details of how Means will go about divesting have not been disclosed.
Social media videos of a Catholic priest turning away Immigration and Customs Enforcement agents from his church are garnering support and thousands of shares, but they were generated with artificial intelligence tools.
An Instagram video with 22,500 views as of Dec. 5, shows a passionate priest blocking ICE agents from entering his parish and giving a speech on the steps of the church, with a crowd of parishioners behind him.
“You’re not welcome here, not today, and not on this church. I don’t know what god you worship, maybe an orange one, but my god is love,” the priest says in the Dec. 1 video post. “Now go and don’t come back.”
A background voice says, “Preach it bishop” and “hallelujah.”
@politifact Don’t fall for it! Videos of a Catholic priest turning away ICE agents from his church aren’t real. While the posts garnered support and thousands of shares, they were generated with artificial intelligence tools. AI-video detectors determine the footage was AI-generated. We also found the user that posted the clips sells courses on how to earn money with AI videos. #AI#priest#ICE#church#video♬ original sound – PolitiFact
Some people in the comments commended the unidentified bishop for his bravery to stand against law enforcement. Other commenters wrongly identified him as Chicago Auxiliary Bishop José María Garcia-Maldonado, whom ICE prohibited from giving detained Catholics holy communion back in November.
Churches have warned parishioners of ICE presence and have spoken against it in their local communities. But this video isn’t real.
The same user postedothervideosof priests with similar scripts at different churches on Instagram, Facebook and TikTok. According to the user’s social media profiles, he sells multiple courses on how to earn money with AI videos made with AI video generators such as Sora 2 and Veo.
The videos look convincing, but there are some generative AI giveaways:
We didn’t find credible news articles pertaining to the incident, specifically in local news outlets from cities such as Chicago, New Orleans and North Carolina, where the federal government has conducted recent ICE operations.
PolitiFact ran the Instagram video through Hive Moderation, which helps determine whether videos were generated with artificial intelligence. These programs are imperfect, but Hive Moderation concluded that the video is “99.9% likely to contain AI-generated or deepfake content.”
Upending decades-old guidance, the Centers for Disease Control and Prevention’s vaccine advisory committee voted to no longer issue a blanket recommendation that all newborns receive a hepatitis B vaccine at birth. Throughout the meeting, many panelists made misleading claims about the vaccine.
Here, we address claims about the vaccine’s effectiveness and safety, and other countries’ vaccination policies.
The hepatitis B vaccine, which is typically given in a three-dose series, is highly effective in preventing disease and has a strong safety record. As the Children’s Hospital of Philadelphia explains, there are no known serious side effects other than anaphylaxis, or a life-threatening allergic reaction, which is very rare and can be treated.
A universal birth dose was first recommended in 1991, after risk-based approaches had not brought cases down. Young children are the most likely to develop a chronic infection that can lead to liver cancer and other problems. In the decades since, rates of hepatitis B in children have fallen by 99%.
In an 8-to-3 vote on Dec. 5, the CDC’s Advisory Committee on Immunization Practices decided to end that policy. If accepted by the CDC director, parents of babies born to mothers who test negative for the virus will now be advised to discuss vaccination with a doctor to decide “when or if” to give the vaccine. For those who opt to forgo a birth dose, the panel “suggested” waiting at least two months to vaccinate.
This type of recommendation, which is known as shared clinical decision-making, has typically been reserved for cases in which experts do not think a vaccine is universally necessary for the recommended group, and there is no “default” answer on whether to vaccinate.
The hepatitis B vaccine would remain recommended at birth for babies born to mothers who are infected with the virus and to mothers with unknown status. The changes should not affect health insurance coverage of the shots.
Numerous experts and medical groups have slammed the decision to end the universal birth dose.
“This irresponsible and purposely misleading guidance will lead to more hepatitis B infections in infants and children,” American Academy of Pediatrics President Dr. Susan J. Kressly said in a statement. “I want to reassure parents and clinicians that there is no new or concerning information about the hepatitis B vaccine that is prompting this change, nor has children’s risk of contracting hepatitis B changed. Instead, this is the result of a deliberate strategy to sow fear and distrust among families.”
The panel also voted to advise parents to “consult with health care providers” about whether antibody testing should be done to determine if a child needs an additional HBV vaccine.
Dr. Robert Malone, center left, speaks during the Dec. 4 meeting of the CDC’s Advisory Committee on Immunization Practices in Atlanta, Georgia. Photo by Elijah Nouvelage/Getty Images.
However, experts present at the meeting emphasized that it is not known whether a child who achieves a certain level of antibodies after an incomplete vaccination series will in fact have long-term protection from hepatitis B. Dr. Adam Langer, a CDC staff member with a leadership role in the division tasked with preventing hepatitis, called this “a really huge assumption.” He added, “There really is no reason not to give the full series.”
In the past, members of ACIP were scientists and physicians with particular expertise in vaccinology, pediatrics, and other relevant fields. Many of the current panelists, who were hand-selected by Health and Human Services Secretary Robert F. Kennedy Jr. beginning in June after he dismissed the existing panel, do not have the typical qualifications and also have expressed views opposed to vaccination.
None of the scientific presentations were given by career CDC staff, as is typical. Instead, presentations were given by ACIP member Vicky Pebsworth, a nurse with a doctorate in public health who has ties to anti-vaccine groups; Cynthia Nevison, an environmental scientist who has volunteered for SafeMinds, an anti-vaccine group, and is now a CDC consultant; and Mark Blaxill, a well-known anti-vaccine advocate with no medical training who was recently hired as a senior adviser at the CDC.
Presenters also did not use the committee’s usual frameworks to evaluate evidence.
Dr. Joseph R. Hibbeln, neuroscientist and ACIP member, repeatedly complained about the lack of a rigorous scientific framework and the evidence to support the votes. He voted no on both.
“No rational science or discussion has been presented on these two novel issues,” he said, noting that no information had been given on why the group should advise vaccination after two months rather than any other timeline, and that there was “no data” on whether the antibody testing would actually work to ensure protection if people were not getting the full series of shots.
Claims About Hepatitis B Safety Studies
In a presentation on the safety of the hepatitis B vaccine birth dose, Blaxill claimed that the “safety evidence is limited” and implied the vaccines were not properly tested in placebo-controlled trials.
“There were basically no randomized or placebo controlled trials, meaning an inert placebo applied to infants and in comparison to the vaccine,” he said of the clinical trials previous ACIP members cited when making the 1991 birth dose recommendation.
This family of claims about placebo-controlled trials, advanced in the past by Kennedy, relies on narrowly defining placebos and on the faulty assumption that a randomized trial with a saline placebo is the only way to show the safety of a vaccine. Vaccines often are compared with other types of controls, such as other vaccines.
Looking at the data available today, there have been more than half a dozen randomized, controlled trials on the safety of the hepatitis B vaccine birth dose, a Dec. 2 report from the Vaccine Integrity Project, an initiative of the University of Minnesota’s Center for Infectious Disease Research and Policy, found. These include studies that compared the safety of giving vaccines at birth versus on a delayed schedule. In addition, the review detailed other types of safety studies done in the decades the vaccine has been given to infants at birth and also pointed out that the U.S. and other countries have ongoing vaccine safety programs.
“Results of randomized trials, large national safety monitoring programs, and long-term follow-up studies consistently demonstrate that the hepatitis B vaccine is safe regardless of vaccine timing,” the review said. “No safety benefits were identified for a delayed first dose versus vaccination at birth.”
Flawed Claim About Multiple Sclerosis
Dr. Evelyn Griffin, an ACIP member who is an ob-gyn from Louisiana, misleadingly suggested during discussions that the hepatitis B vaccine might cause multiple sclerosis, an autoimmune disease in which the body mistakenly attacks the protective covering around nerve fibers.
“There are signals of autoimmune conditions,” she said of the hepatitis B vaccine. “Multiple sclerosis, for example, is a large signal.”
Later, she claimed that “a large number of studies” show an association between the vaccine and “multiple sclerosis and other autoimmune conditions,” while acknowledging that associations are not necessarily causal. She wondered whether hepatitis B vaccination should “be paused in the meantime, so that we don’t continue autoimmune risks.”
It’s true that in the 1990s, case reports in France sparked concerns about the hepatitis B vaccine and MS. But as an archived CDC webpage explains, the issue has now been studied more rigorously.
“A large body of scientific evidence now shows that hepatitis B vaccination does not cause or worsen MS,” the webpage, which was last reviewed in 2020, says.
A 2007 French study failed to find any link between hepatitis B vaccination and childhood onset MS, whilenumerous others have looked at adults and also not found associations.
The World Health Organization’s Global Advisory Committee on Vaccine Safety has concluded that there is “no association” between the hepatitis B vaccine and MS. The group has also reviewed a couple of outlier studies that have claimed to identify possible links, but has found the evidence unconvincing. Several systematic reviews have also concluded there is no link.
Misleading Claim About Antibody Waning
In her presentation, Nevison misleadingly suggested that starting hepatitis B vaccination at birth could be putting people at risk later in life because of waning immunity. While antibody levels do drop over time, there is no evidence that people are getting sick as a result of declining immunity.
Antibodies “wane the most rapidly in children who begin their primary series as infants, especially as newborns,” Nevison’s slides read. “While most vaccinees respond well to a booster dose, some of those vaccinated as infants may lack protection when they enter their years of highest risk for acquiring hepatitis B.”
Noting that he disagreed with many statements in the earlier presentations, including Nevison’s, Dr. H. Cody Meissner, a pediatric infectious diseases expert and ACIP member, explained that it is well known that antibodies wane and in some cases disappear after hepatitis B vaccination. But the focus on antibodies is faulty, he said, because other parts of the immune system are very strong and can still provide protection even if antibodies have declined. He said he did not know of a single healthy vaccinated person later developing hepatitis B disease as a result of waning immunity. “I think the evidence is very strong that there is lifelong immunity to hepatitis B after completing the series,” he said. Meissner voted against both proposals.
Langer, the CDC expert, confirmed later in the meeting that the only instances of breakthrough infections had been in people who had, for example, immunocompromising conditions, and that the agency was not aware of any instances of a properly vaccinated, healthy person ever developing hepatitis B.
Dr. Amy Middleman, a pediatric and adolescent medicine physician at University Hospitals Babies & Children’s in Cleveland and a liaison to ACIP for the Society for Adolescent Health and Medicine, objected to Nevison’s interpretation of one of Middleman’s studies from 2014.
“The entire point of our study is that for most vaccines, the anamnestic response is really their superpower,” she said, referring to the immune system’s ability to respond more quickly and more strongly when encountering a particular antigen again. “So this study shows that memory cells exist such that when they see something that looks like the hepatitis B [virus], they actually attack. The presence of a robust and anamnestic response, regardless of circulating antibody years later, shows true protection, and there was no difference in response based on when the dose was given.”
“In fact, 99% of those with any detectable antibody and 82% of those with zero antibody displayed persistent immunity to a challenge,” Middleman added, referring to a 2015 follow-up study she co-authored.
Comparisons Between Countries
Meeting attendees repeatedly compared the U.S. hepatitis B vaccine recommendations with those in other countries, calling the U.S. an “outlier” among peer nations.
“The United States’ universal recommendation of the hepatitis B vaccine birth dose is an outlier among developed countries with low hepatitis B prevalence,” an HHS press release announcing the altered recommendations also said.
However, as we’ve written previously, countries that do not have universal policies differ from the U.S. in multiple ways. In countries with these so-called selective strategies, children whose mothers test negative for hepatitis B typically are recommended to receive the vaccine later, often at 2 months of age, although sometimes as late as adolescence.
“The United States is a unique country,” Langer said during the meeting. “I think that most of us would agree that we don’t really have a peer nation in this world.”
The World Health Organization recommends a birth dose of the hepatitis B vaccine, and 115 out of 194 member states have adopted this policy. Nations with more selective vaccination strategies are concentrated in Europe.
“While appropriate to consider US vaccine guidance in the context of global recommendations, US vaccination policies were developed and revised to address real-world challenges related to hepatitis B epidemiology, populations at risk, continuity of care, access to care, costs, and other considerations —that are unique to the US and its healthcare system,” the Vaccine Integrity Project report says.
ACIP member Pebsworth presented a slide showing that a variety of countries with relatively low chronic hepatitis B prevalence do not give a universal birth dose. “This graph shows that the U.S. is an outlier,” she said. She is chair of the committee’s new work group on the childhood and adolescent vaccine schedule, which was tasked with assessing the hepatitis B birth dose in advance of the meeting.
However, the U.S. achieved its relatively low rate of hepatitis B after decades of using public health measures to prevent childhood infections, including recommending a universal birth dose.
On her slide, Pebsworth cited data on international vaccine policy that Langer had presented at the prior September ACIP meeting. But at that meeting, Langer also showed data indicating that countries with selective birth dose policies generally have higher rates of successful screening for hepatitis B during pregnancy and also have universal health care — context Pebsworth did not mention.
During the December meeting, Langer expanded on this point, using Denmark as an example. Denmark’s vaccine policies have often been cited to question U.S. recommendations.
But Langer said that not only does Denmark have a lower population than New York City and a high rate of hepatitis B screening in pregnant women, it also provides free prenatal care “for both citizens and refugee or asylum seekers,” unlike the U.S.
In addition, he said that Denmark collects health information on its population on an individual level, tying it to an identification number, and follows babies of mothers who screen positive for hepatitis B to make sure the babies are protected. “In the United States, many of these infants are lost to follow-up as soon as they leave the hospital,” he said.
Langer said that perhaps a better peer nation is Canada. While hepatitis B vaccination recommendations for children there vary by region, he said, studies recently “have shown that universal hepatitis B birth dose is going to be needed to achieve elimination of hep B in Canada.”
Indeed, a May 2025 study by Canadian researchers argued for a universal birth dose, explaining that a current risk-based policy in Ontario has not entirely prevented hepatitis B cases in children. In addition, the researchers wrote that areas that long ago adopted the universal birth dose now have lower hepatitis B rates in adults than those areas with selective policies. Canadian analyses have also found the birth dose to be cost-effective compared with delaying the vaccine until adolescence.
Editor’s note: FactCheck.org does not accept advertising. We rely on grants and individual donations from people like you. Please consider a donation. Credit card donations may be made through our “Donate” page. If you prefer to give by check, send to: FactCheck.org, Annenberg Public Policy Center, P.O. Box 58100, Philadelphia, PA 19102.