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  • White House seeks to tackle food insecurity at first hunger conference since 1969 | CNN Politics

    White House seeks to tackle food insecurity at first hunger conference since 1969 | CNN Politics

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    CNN
     — 

    Groceries cost 13.5% more than they did a year ago. Nearly 25 million adults live in households where there isn’t always enough to eat. Some 40% of food banks saw increased demand this summer.

    At a time when the affordability of food is in the spotlight, the Biden administration is hosting a White House Conference on Hunger, Nutrition and Health on Wednesday with the goal of combating food insecurity and diet-related diseases.

    Overall, food insecurity has declined since former President Richard Nixon convened the first and only White House conference on food, nutrition and health in 1969, which led to nationwide expansions of the food stamp and school meals programs and the creation of the Special Supplemental Nutrition Program for Women, Infants and Children, known as WIC, among other changes. General economic growth and the reduction in poverty have also contributed to the improvements in food security in recent decades.

    However, the Covid-19 pandemic and soaring inflation have increased the attention paid to food insecurity in the US over the past two years. The Biden administration released a 44-page playbook on Tuesday aimed at the “bold goal” of ending hunger by 2030 and increasing healthy eating and physical activity to reduce diet-related diseases.

    Among the key proposals: expand free school meals to 9 million more children by 2032; allow more people to qualify for food stamps; broaden the Summer Expanded Benefit Transfer program to more kids; increase funding for nutrition programs for senior citizens; and improve transportation to and from grocery stores and farmer’s markets, among other initiatives. Many of the efforts would need approval from Congress.

    President Joe Biden announced at the conference more than $8 billion in private and public sector commitments as part of the administration’s call to action.

    “In America, no child, no child should go to bed hungry,” Biden told those gathered at the conference Wednesday. “No parent should die of disease that can be prevented.”

    More than 100 organizations have made commitments, including hospitals and health care associations, tech companies, philanthropies and the food industry.

    At least $2.5 billion will be invested in start-up companies that are focused on solutions to hunger and food insecurity, according to the White House. More than $4 billion will be dedicated toward philanthropic efforts to improve access to nutritious food, promote healthy choices and increase physical activity.

    The President also urged Congress to make permanent the enhancement to the child tax credit, which was only in effect last year. Parents used the additional monthly funds to buy food and basic necessities, which Biden said helped cut child poverty in half and reduced food insecurity for families by 26%.

    Congress has poured billions into special pandemic assistance programs aimed at enabling struggling Americans to have enough food to feed themselves and their families – even as millions of jobs were lost in 2020.

    “That’s why it’s so consequential that at the onset of the Covid-19 recession, the combination of fiscal support to households – whether it is from the economic impact payments, unemployment insurance, refundable tax credits, enhanced SNAP benefits or pandemic EBT – all combined to prevent an increase in food insecurity over the past two years,” said Lauren Bauer, a fellow in economic studies at the Brookings Institution.

    The pandemic aid, particularly a temporary enhancement to the child tax credit, helped keep kids fed last year, Bauer and anti-hunger advocates maintain.

    Food insecurity among children fell in 2021, reversing a spike during the first year of the pandemic, according to a recent US Department of Agriculture report. Some 6.2% of households with children were unable at times to provide adequate, nutritious food for their kids last year, compared with 7.6% in 2020, the report found. Last year’s rate was not significantly different than the 2019 share.

    And the prevalence of food insecurity in the families who have kids dropped to 12.5% last year, the lowest since at least 1998, the earliest year that comparable records exist.

    But elderly Americans living alone and childless households both experienced an increase in food insecurity last year, the report found.

    Overall, the share of households contending with food insecurity remained statistically the same in 2021 as the year before.

    This lack of improvement in general food insecurity despite the surge in federal spending on food stamps, formally known as the Supplemental Nutrition Assistance Program or SNAP, is a red flag for Angela Rachidi, senior fellow in poverty studies at the American Enterprise Institute, a conservative think tank.

    “When the solution is always ‘let’s just spend more on SNAP or spend more on school lunch or WIC,’ I think that that’s not always the best use of federal dollars,” she said.

    Rachidi would like to see more of an emphasis on nutrition and healthy eating, which are among the pillars of the White House conference.

    “Many more people in the US die from diet-related disease than die from hunger,” she said, noting the health problems caused by obesity, diabetes and other conditions.

    The pandemic aid that helped keep Americans afloat has largely been exhausted, and Congress has shown little appetite to dole out more assistance – even as high inflation is squeezing many families.

    The share of people who say they live in households where there was either sometimes or often not enough to eat in the last seven days has climbed to 11.5%, according to the most recent US Census Bureau Household Pulse Survey conducted in late July and early August.

    That’s up from the 10.2% recorded by the survey in late December and early January, just after the final monthly child tax credit payment was distributed. The share had been even lower in the late summer and early fall of 2021, when the monthly installments were being sent.

    Meanwhile, shopping in the supermarket is taking a bigger bite out of people’s wallets. Egg prices have skyrocketed nearly 40% over the past year, while flour is 23% costlier. Milk and bread are up 17% and 16% respectively, while chicken is nearly 17% more expensive.

    Starting next month, it will be a little easier for those in the food stamp program to afford groceries because the annual inflation adjustment will kick in. Beneficiaries will see an increase in benefits of 12%, or an average of $26 per person, per month. This comes on top of last year’s revision to the Thrifty Food Plan, upon which benefits are based, which raised the average monthly payment by $36 per person.

    Still, the upward march in prices has driven more people to food pantries, which are also struggling to stock the shelves amid higher prices.

    Some 40% of food banks reported seeing an increase in the number of people served in July compared with June, according to a survey conducted by Feeding America, which has more than 60,000 food pantries, meal programs and partner agencies in its network. The average increase was about 10% more people. Another 40% said demand remained about level.

    Many food pantries don’t have the resources to meet this increased demand, said Claire Babineaux-Fontenot, Feeding America’s CEO, noting that she’s seen sites with nearly empty shelves but long lines out the door.

    The network provided 1.4 billion fewer meals in the fiscal year ending June 30 than the year before.

    The USDA announced earlier this month that it will provide nearly $1.5 billion in additional funding for emergency food assistance, which will help alleviate the supply shortages at food banks and pantries.

    However, Feeding America feels more should be done. It recently surveyed nearly 36,000 people for their recommendations to end hunger. Many felt that food stamp benefits should be increased and eligibility should be expanded. Nearly half felt their communities need more food pantries, grocery stores and fresh food.

    The recent infusion of federal funds will help pantries distribute more food, though it doesn’t completely close the gap. And it will take time for the supplies to arrive, Babineaux-Fontenot said.

    “Today, people are going to be looking for ways to feed themselves and their family, and there will be scarce resources for them to do that,” she said.

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  • These were the best and worst places for air quality in 2021, new report shows | CNN

    These were the best and worst places for air quality in 2021, new report shows | CNN

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    CNN
     — 

    Air pollution spiked to unhealthy levels around the world in 2021, according to a new report.

    The report by IQAir, a company that tracks global air quality, found that average annual air pollution in every country — and 97% of cities — exceeded the World Health Organization’s air quality guidelines, which were designed to help governments craft regulations to protect public health.

    Only 222 cities of the 6,475 analyzed had average air quality that met WHO’s standard. Three territories were found to have met WHO guidelines: the French territory of New Caledonia and the United States territories of Puerto Rico and the US Virgin Islands.

    India, Pakistan and Bangladesh were among the countries with the worst air pollution, exceeding the guidelines by at least 10 times.

    The Scandinavian countries, Australia, Canada, Japan and United Kingdom ranked among the best countries for air quality, with average levels that exceeded the guidelines by 1 to 2 times.

    In the United States, IQAir found air pollution exceeded WHO guidelines by 2 to 3 times in 2021.

    “This report underscores the need for governments around the world to help reduce global air pollution,” Glory Dolphin Hammes, CEO of IQAir North America, told CNN. “(Fine particulate matter) kills far too many people every year and governments need to set more stringent air quality national standards and explore better foreign policies that promote better air quality.”

    Above: IQAir analyzed average annual air quality for more than 6,000 cities and categorized them from best air quality, in blue (Meets WHO PM2.5 guildline) to worst, in purple (Exceeds WHO PM2.5 guideline by over 10 times). An interactive map is available from IQAir.

    It’s the first major global air quality report based on WHO’s new annual air pollution guidelines, which were updated in September 2021. The new guidelines halved the acceptable concentration of fine particulate matter — or PM 2.5 — from 10 down to 5 micrograms per cubic meter.

    PM 2.5 is the tiniest pollutant yet also among the most dangerous. When inhaled, it travels deep into lung tissue where it can enter the bloodstream. It comes from sources like the burning of fossil fuels, dust storms and wildfires, and has been linked to a number of health threats including asthma, heart disease and other respiratory illnesses.

    Millions of people die each year from air quality issues. In 2016, around 4.2 million premature deaths were associated with fine particulate matter, according to WHO. If the 2021 guidelines had been applied that year, WHO found there could have been nearly 3.3 million fewer pollution-related deaths.

    IQAir analyzed pollution-monitoring stations in 6,475 cities across 117 countries, regions and territories.

    In the US, air pollution spiked in 2021 compared to 2020. Out of the more than 2,400 US cities analyzed, Los Angeles air remained the most polluted, despite seeing a 6% decrease compared to 2020. Atlanta and Minneapolis saw significant increases in pollution, the report showed.

    “The (United States’) reliance on fossil fuels, increasing severity of wildfires as well as varying enforcement of the Clean Air Act from administration to administration have all added to U.S. air pollution,” the authors wrote.

    Researchers say the main sources of pollution in the US were fossil fuel-powered transportation, energy production and wildfires, which wreak havoc on the country’s most vulnerable and marginalized communities.

    “We are heavily dependent on fossil fuels, especially in terms of transportation,” said Hammes, who lives a few miles from Los Angeles. “We can act smartly on this with zero emissions, but we’re still not doing it. And this is having a devastating impact on the air pollution that we’re seeing in major cities.”

    Climate change-fueled wildfires played a significant role in reducing air quality in the US in 2021. The authors pointed to a number of fires that led to hazardous air pollution — including the Caldor and Dixie fires in California, as well as the Bootleg Fire in Oregon, which wafted smoke all the way to the East Coast in July.

    China — which is among the countries with the worst air pollution — showed improved air quality in 2021. More than half of the Chinese cities analyzed in the report saw lower levels of air pollution compared to the previous year. The capital city of Beijing continued a five-year trend of improved air quality, according to the report, due to a policy-driven drawdown of polluting industries in the city.

    The report also found that the Amazon Rainforest, which had acted as the world’s major defender against the climate crisis, emitted more carbon dioxide than it absorbed last year. Deforestation and wildfires have threatened the critical ecosystem, polluted the air and contributed to climate change.

    “This is all a part of the formula that will lead to or is leading to global warming.” Hammes said.

    The report also unveiled some inequalities: Monitoring stations remain scant in some developing countries in Africa, South America and the Middle East, resulting in a dearth of air quality data in those regions.

    “When you don’t have that data, you’re really in the dark,” Hammes said.

    Hammes noted the African country of Chad was included in the report for the first time, due to an improvement in its monitoring network. IQAir found the country’s air pollution was the second-highest in the world last year, behind Bangladesh.

    Tarik Benmarhnia, a climate change epidemiologist at Scripps Institution of Oceanography who has studied the health impact of wildfire smoke, also noted that relying only on monitoring stations can lead to blind spots in these reports.

    “I think it is great that they relied on different networks and not only governmental sources,” Benmarhnia, who was not involved in this report, told CNN. “However, many regions do not have enough stations and alternative techniques exist.”

    The UN Intergovernmental Panel on Climate Change concluded in its 2021 report that, in addition to slowing the speed of global warming, curbing the use of fossil fuels would have the added benefit of improving air quality and public health.

    Hammes said the IQAir report is even more reason for the world to wean off fossil fuel.

    “We’ve got the report, we can read it, we can internalize it and really devote ourselves to taking action,” she said. “There needs to be a major move towards renewable energy. We need to take drastic action in order to reverse the tide of global warming; otherwise, the impact and the train that we’re on (would be) irreversible.”

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  • Asian Americans are anxious about hate crimes. TikTok ban rhetoric isn’t helping | CNN Business

    Asian Americans are anxious about hate crimes. TikTok ban rhetoric isn’t helping | CNN Business

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    CNN
     — 

    Ellen Min doesn’t go to the grocery store anymore. She avoids bars and going out to eat with her friends; festivals and community events are out, too. This year, she opted not to take her kids to the local St. Patrick’s Day parade.

    Min isn’t a shut-in. She’s just a Korean American from central Pennsylvania.

    Ever since the US government shot down a Chinese spy balloon last month, Min has withdrawn from her normal routine out of a concern she or her family may become targeted in one of the hundreds of anti-Asian hate crimes the FBI now says are occurring every year. The wave of anti-Asian hate that surged with the pandemic may only get worse, Min worries, as both political parties have amplified fears about China and the threat it poses to US economic and national security.

    “You can’t avoid paying attention to the rhetoric, because it has a direct impact on our lives,” Min said.

    That rhetoric surged again this week as a hostile House committee grilled TikTok CEO Shou Chew for more than five hours on Thursday about the app’s ties to China through its parent company, ByteDance. After lawmakers repeatedly accused Chew, who is Singaporean, of working for the Chinese government and tried to associate him with the Chinese Communist Party, Vanessa Pappas, a top TikTok executive, condemned the hearing as “rooted in xenophobia.”

    Chew had taken pains to distance TikTok from China, going so far as to anglicize his name for American audiences and to play up his academic credentials — he holds degrees from University College London and Harvard Business School. But it was not enough to prevent lawmakers from blasting TikTok as “a weapon of the Chinese Communist Party” and as “the spy in Americans’ pockets,” all while mangling pronunciations of Chew’s name and the names of other officials at its parent company, ByteDance. After Chew’s testimony, Arkansas Republican Sen. Tom Cotton said the CEO should be “deported immediately” and banned from the United States, saying his defense of TikTok was “beneath contempt.”

    There are good reasons to be mistrustful of ByteDance given that it is subject to China’s extremely broad surveillance laws. (TikTok has failed to assuage concerns the Chinese government could pressure ByteDance to improperly access the data, despite a plan by TikTok to “firewall” the information.) And the Chinese government’s authoritarian approach to numerous other issues clashes with important American values, said many Asian Americans interviewed for this article.

    But they also warned that policymakers’ choice to use inflammatory speech — in some cases, language tinged with 1950s-era, Red Scare-style McCarthyism — endangers countless innocent Americans by association. Moreover, politicians’ increasingly strident tone is creating conditions for new discriminatory policies at home and the potential for even more anti-Asian violence, civil rights leaders said.

    “We are afraid that, more and more, the actions and the language of the government is premised on the assumption that just because we are Chinese or have cultural ties to China that we could be disloyal, or be spies, or be under the influence of a foreign government,” said Zhengyu Huang, president of the Committee of 100, an organization co-founded by the late architect IM Pei, the musician Yo-Yo Ma and other prominent Chinese Americans. “We want to deliver the message: Not only are we not a national security liability — we are a national security asset.”

    But as the country wrestles with China’s influence as a competitive global power, caught in the middle are tens of millions of Americans like Min who, thanks to their appearance, may now face greater suspicion or hostility than they experienced even during the pandemic, according to Asian American lawmakers, civil society groups and ordinary citizens.

    The heated rhetoric surrounding China has undergone a shift from the pandemic’s early days, when xenophobia linked to Covid-19 was unambiguous.

    At the time, Asian Americans feared an uptick in violence inspired by derogatory phrases such as “Kung-flu” and “China virus.” That language had emerged amid then-President Donald Trump’s wider criticisms of China, which had led to a damaging trade war with the country. It was against that backdrop that Trump first threatened to ban TikTok, a move some critics said was an attempt to stoke xenophobia.

    In recent years, criticism of China has significantly expanded to encompass even more aspects of the US-China relationship. Concerns about China have gone mainstream as US national security officials and lawmakers have publicly grappled with state-backed ransomware attacks and other hacking attempts. The Biden administration has sought to confront China on how the internet should be governed, and like the Trump administration, it’s now taking aim at TikTok, again.

    As that shift has occurred, criticism of China has stylistically evolved from blatant name-calling to the more clinical vocabulary of national security, allowing an undercurrent of xenophobia to lurk beneath the respectable veneer of geopolitics, civil rights leaders said.

    People rallied during a

    In January, House lawmakers stood up a new select committee specifically focused on the “strategic competition between the United States and the Chinese Communist Party.” At its first hearing, the panel’s chairman, Wisconsin Republican Rep. Mike Gallagher, said: “This is an existential struggle over what life will look like in the 21st century — and the most fundamental freedoms are at stake.”

    A week later, US intelligence officials warned that the Chinese Communist Party represents the “most consequential threat” to US global leadership. An unclassified intelligence community report released the same day said China views competition with the United States as an “epochal geopolitical shift.” (Even so, the report maintained that the “most lethal threat to US persons and interests” continues to be racially motivated extremism and violence, particularly by White supremacy groups.)

    While some policymakers have added that their issue is with the Chinese government, not the Chinese people or Asians in general, leaders of Asian descent say the caveat has too often been a footnote in debates about China and not emphasized nearly enough. Leaving it unsaid or merely implied creates room for listeners to draw bigoted conclusions, critics said.

    “That can’t be a footnote; it can’t be an afterthought,” said Charles Jung, a California employment attorney and the national coordinator for Always With Us, a nationwide memorial event to remember the 2021 Atlanta spa shootings that killed six Asian women. “I’m speaking specifically, directly to both GOP and Democratic politicians: Be mindful of the words that you use. Because the words you use can have real world impacts on the bodies of Asian American people on the streets.”

    The current climate has led to at least one US lawmaker directly questioning the loyalty of a fellow member of Congress.

    California Democratic Rep. Judy Chu, who was born in Los Angeles and is the first Chinese American elected to Congress, last month confronted baseless claims of her disloyalty from Texas Republican Rep. Lance Gooden. Gooden’s remarks were swiftly condemned by his congressional colleagues. But to Chu, the incident was an example of the way politics surrounding China, technology and national security have fueled anti-Asian sentiment.

    “Rising tensions with China have clearly led to an increase in anti-Asian xenophobia that has real consequences for our communities,” Chu told CNN.

    Concerns about xenophobia are bipartisan. Rep. Young Kim, a California Republican, told CNN there is “no question” that anti-Asian hate crimes have risen since the pandemic.

    California Democratic Rep. Judy Chu, who was born in Los Angeles and is the first Chinese American elected to Congress, last month confronted baseless claims of her disloyalty from Texas Republican Rep. Lance Gooden.

    “This is unacceptable,” said Kim. “Asian American issues are American issues, and all Americans deserve to be treated with respect. We can treat all Americans with respect and still be wary of threats posed by the Chinese Communist Party.”

    But even in discussing the Chinese government’s real, demonstrated risks to US security, the way that some Americans describe those dangers is counterproductive, needlessly provocative and historically inaccurate, said Rep. Andy Kim, a New York Democrat and a member of the House select committee. Even the name “Chinese Communist Party” can itself prime listeners to adopt a Cold War mentality — a framework whose analytical value is dubious, Kim argued.

    “A lot of my colleagues, especially on the select committee, use rhetoric like, ‘This is a new Cold War,’” said Kim. “First of all, it’s not true: The Soviet Union was a very different competitor than China. And it’s framed in a very zero-sum way … It’s very much being talked about as if their entire way of life is incompatible with ours and cannot coexist with ours, and that heightens the tension.”

    In a November op-ed, Gallagher and Florida Republican Sen. Marco Rubio directly linked that rhetoric to TikTok, calling for the app to be banned due to the United States being “locked in a new Cold War with the Chinese Communist Party, one that senior military advisers warn could turn hot over Taiwan at any time.”

    Just because China may view its dynamic with the United States as an epic struggle does not mean Americans must be goaded into doing the same, Kim argued. Beyond the violence it could trigger domestically, a stark confrontational framing could cause the United States to blunder into poor policy choices.

    For example, he said, the right mindset could mean the difference between legally fraught “whack-a-mole” attempts to ban Chinese-affiliated social media companies versus passing a historic national privacy law that safeguards Americans’ data from all prying eyes, no matter what tech company may be collecting it.

    Security researchers who have examined TikTok’s app say that the company’s invasive collection of user data is more of an indictment of lax government policies on privacy, rather than a reflection of any TikTok-specific wrongdoing or national security risk.

    “TikTok is only a product of the entire surveillance capitalism economy,” said Pellaeon Lin, a Taiwan-based researcher at the University of Toronto’s Citizen Lab. “Governments should try to better protect user information, instead of focusing on one particular app without good evidence.”

    Asked how he would advise policymakers to look at TikTok, Lin said: “What I would call for is more evidence-based policy.” Instead, some policymakers appear to have run in the opposite direction.

    Anti-China sentiment has already led to policies that risk violating Asian-Americans’ constitutional rights, several civil society groups said.

    John Yang, president of Asian Americans Advancing Justice, pointed to the Justice Department’s now-shuttered “China Initiative,” a Trump-era program intended to hunt down Chinese spies but that produced a string of discrimination complaints and case dismissals involving innocent Americans swept up in the dragnet. The Biden administration shut down the program last year.

    More recently, Yang said, proposed laws in Texas and Virginia aimed at keeping US land out of the hands of those with foreign ties would create impossible-to-satisfy tests for Asian-Americans, showing how anti-China fervor threatens to infringe on the rights of many US citizens.

    “National security has often been used as a pretext specifically against Asian-Americans,” Yang said, referring to the internment of Japanese-Americans during World War II and the racial profiling of Muslim-Americans following Sept. 11. “We should remember that many Chinese-Americans came to this country to escape the authoritarian regime of China.”

    16 TikTok app STOCK

    Though he fears the situation for Asian-Americans will get worse before it gets better, Yang and other advocates called for US policymakers to stress from the outset that their quarrel lies with the Chinese government and not with people of Chinese descent.

    “We know from experience in the United States that once you demonize Chinese people, all Asian people living in this country face the brunt of that rhetoric,” said Jung. “And you see it not just in spy balloons and the reactions surrounding it and TikTok and Huawei, but also in modern-day racist alien land laws.”

    Growing up in Pennsylvania, Min was no stranger to racially motivated violence: Her home was regularly vandalized with eggs, tomatoes and epithet-laden graffiti (“Go home, gooks”); her father once discovered a crude homemade explosive stuffed in his car.

    But fears of racism stoked by modern US political rhetoric has forced Min to change how her family lives in ways they never had to during her childhood.

    Last year, amid another spate of assaults targeting elderly Asian-Americans, Min said her mother sold the family dry-cleaning business and moved to Korea, following Min’s father who had moved the year before.

    “It was a sad reality to say that as much as we want our family close to us and their grandchildren, they will be safer in Korea,” Min said.

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  • Social Security will not be able to pay full benefits in 2034 if Congress doesn’t act | CNN Politics

    Social Security will not be able to pay full benefits in 2034 if Congress doesn’t act | CNN Politics

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    CNN
     — 

    Americans’ Social Security checks will get a lot smaller in 2034 if lawmakers don’t act to address the pending shortfall, according to an annual report released Friday by the Social Security trustees.

    That’s because the combined Social Security trust funds – which help support payouts for the elderly, survivors and disabled – are projected to run dry that year. At that time, the funds’ reserves will be depleted, and the program’s continuing income will only cover 80% of benefits owed.

    The estimate is one year earlier than the trustees projected last year. About 66 million Americans received Social Security benefits in 2022.

    Medicare, meanwhile, is in a more critical financial condition. Its hospital insurance trust fund, known as Medicare Part A, will only be able to pay scheduled benefits in full until 2031, according to its trustees’ annual report, which was also released Friday.

    At that time, Medicare, which covered 65 million senior citizens and people with disabilities in 2022, will only be able to cover 89% of total scheduled benefits. Last year, Medicare’s trustees projected that the hospital trust fund’s reserves would be depleted in 2028.

    Immensely popular but long troubled, Social Security and Medicare are on shaky financial ground in large part because of the aging of the American population. Fewer workers are paying into the program and supporting the ballooning number of beneficiaries, who are also living longer. Also, health care is becoming increasingly expensive.

    Social Security has two trust funds – one for retirees and survivors and another for Americans with disabilities.

    Looking at them separately, the Old-Age and Survivors Insurance Trust Fund is projected to run dry in 2033, at which time Social Security could pay only 77% of benefits, primarily using income from payroll taxes. The date is one year earlier than estimated last year.

    The Disability Insurance Trust Fund is expected to be able to pay full benefits through at least 2097, the last year of the trustees’ projection period.

    Merging the two trust funds would require Congress to act, but the combined projection is often used to show the overall status of the entitlement.

    Social Security’s projected long-term health worsened over the past year because the trustees revised downward their expectations for the economy and labor productivity, taking into account updated data on inflation and economic output.

    However, the long-term projection for Medicare’s hospital trust fund’s finances improved, mainly due to lowered estimates for health care spending after the height of the Covid-19 pandemic. Also, the program is projected to take in more income because the trustees estimate the number of covered workers and average wages will be higher.

    Regardless, the bottom line remains that Medicare is not bringing in enough money to pay the costs it is expected to incur, said Cori Uccello, senior health fellow at the American Academy of Actuaries.

    “It’s still not a time to become complacent,” she said. Insolvency “is still less than a decade away.”

    The trustees’ reports are the latest warnings to Congress that they will have to deal with the massive entitlement programs’ fiscal problems at some point soon. But addressing their issues is politically challenging. Elected officials are hesitant to suggest any changes that could lead to benefit cuts, even though that could reduce their options in the future.

    “With each year that lawmakers do not act, the public has less time to prepare for the changes,” the trustees warned in a fact sheet.

    The programs’ shortfalls are back in the spotlight this year as President Joe Biden and House Republicans battle over how to address the nation’s debt ceiling drama and mounting budget deficits. GOP lawmakers want to cut spending in exchange for resolving the borrowing limit, while the White House has said it will not negotiate.

    In a memorable moment in his State of the Union address in February, Biden garnered public acknowledgment from congressional Republicans about keeping Social Security and Medicare out of the debt discussions.

    But “not touching” Social Security means a hefty cut in benefits within a decade or so.

    “Change is inevitable because without changes to current law, both Social Security and Medicare Hospital Insurance would go insolvent, subjecting program participants to sudden and severe payment cuts,” said Charles Blahous, senior research strategist at the Mercatus Center at George Mason University and former Social Security and Medicare trustee. “The outstanding question is whether change will be tolerably gradual, or instead highly damaging because it is too long delayed.”

    Though Biden has repeatedly vowed to protect Social Security, his latest budget proposal did not include a plan to stabilize its finances.

    However, his proposal did call for extending Medicare’s solvency by 25 years or more by raising taxes on those earning more than $400,000 a year and by allowing the program to negotiate prices for even more drugs.

    Spending on the entitlement programs is also projected to soar and exert increased pressure on the federal budget in coming years.

    Mandatory spending – driven by Social Security and Medicare – and interest costs are expected to outpace the growth of revenue and the economy, according to a Congressional Budget Office outlook released in mid-February.

    This story has been updated with additional information.

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  • Appeals court can rule at any time in dispute over suspending FDA approval of medication abortion drug | CNN Politics

    Appeals court can rule at any time in dispute over suspending FDA approval of medication abortion drug | CNN Politics

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    CNN
     — 

    The Justice Department and a manufacturer of abortion pills have submitted the final round of court briefs in the emergency dispute over whether an appeals court should freeze a judge’s ruling that would suspend the Food and Drug Administration’s approval of medication abortion drugs.

    Now that the filings have been submitted, the US 5th Circuit Court of Appeals Court could rule at any time on whether to put a hold on the order from US District Judge Matthew Kacsmaryk.

    Kacsmaryk on Friday night said he was halting the FDA’s approval of the drug mifepristone but that he was delaying the order by seven days to give the pill’s defenders time to appeal the case. The Justice Department has asked the appeals court to act by 12 p.m. CT Thursday on its request that Kacsmaryk’s ruling be paused, to give the government time to seek a Supreme Court intervention if need be. The 5th Circuit is not obligated to meet that deadline.

    The Justice Department wrote in its new filing that Kacsmaryk purported “to be acting in a restrained manner … but there is nothing modest about upending the decades-long status quo by blocking access nationwide to a safe and effective drug.”

    “Effectively requiring Danco Laboratories and GenBioPro to cease distribution of mifepristone after more than two decades would upend the status quo, severely harming women, healthcare systems, and the public,” the Justice Department said, referring to the two US manufacturers of mifepristone.

    The Justice Department filing pushed back on the assertions by the challengers, made in their filing overnight in the emergency dispute, that the 5th Circuit did not have the authority to hear the appeal of Kacsmaryk’s ruling. The Justice Department also called out Kacsmaryk and the challengers for relying on anonymous blog posts to claim mifepristone is unsafe.

    Danco Labroratories, which intervened in the case to defend mifepristone’s approval, wrote in its new filing with the appeals court that if the ruling is not frozen, “women across the nation will face serious, unnecessary health risks from the elimination of access to a drug FDA has repeatedly deemed safe and effective and that is the standard of care.”

    In an overnight filing, the anti-abortion doctors who sued to ban medication abortion drugs told a federal appeals court that it should leave in place the ruling that will halt the drug’s FDA approval.

    The anti-abortion doctors defended Kacsmaryk’s ruling called it a “meticulously considered” ruling that “paints an alarming picture of decades-long agency lawlessness – all to the detriment of the women and girls FDA is charged to protect.”

    Mifepristone has been approved by the FDA for terminating pregnancies for nearly 23 years. Leading medical associations have rebuked the claims by the approval’s legal challengers and by the judge that the drug is unsafe.

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  • YouTube rolls out new policies for eating disorder content | CNN Business

    YouTube rolls out new policies for eating disorder content | CNN Business

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    New York
    CNN
     — 

    YouTube on Tuesday announced a series of changes to how it deals with content related to eating disorders.

    The platform has long removed content that glorifies or promotes eating disorders, and YouTube’s Community Guidelines will now also prohibit content that features behaviors such as purging after eating or extreme calorie counting that at-risk users could be inspired to imitate. For videos that feature such “imitable behaviors” in the context of recovery, YouTube will allow the content to remain on the site but restrict it to users who are logged into the site and are over the age of 18.

    The policy changes, developed in consultation with the National Eating Disorder Association and other nonprofit organizations, aim to ensure “that YouTube creates space for community recovery and resources, while continuing to protect our viewers,” YouTube’s Global Head of Healthcare Garth Graham told CNN in an interview.

    “We’re thinking about how to thread the needle in terms of essential conversations and information that people might have,” Graham said, “allowing people to hear stories about recovery and allowing people to hear educational information but also realizing that the display of that information … can serve as a trigger as well.”

    The changes come as social media platforms have faced increased scrutiny for their effects on the mental health of users, especially young people. In 2021, lawmakers called out Instagram and YouTube for promoting accounts featuring content depicting extreme weight loss and dieting to young users. And TikTok has faced criticism from an online safety group that claimed the app served eating disorder related content to teens (although the platform pushed back against the research). They also follow several updates by YouTube in recent years to how it handles misinformation about medical issues such as abortion and vaccines.

    In addition to removing or age restricting some videos, YouTube plans to add panels pointing viewers to crisis resources under eating disorder-related content in nine countries, with plans to expand to more areas. And when a creators’ video is removed for violating its eating disorder policy, Graham said YouTube will send them resources about how to create content that’s less likely to harm other viewers.

    As with many social media policies, however, the challenge often isn’t introducing it but enforcing it, a challenge YouTube could face in discerning which videos are, for example, pro-recovery. YouTube said it will be rolling out enforcement of the policy globally in the coming weeks, and plans to use both human and automated moderation to review videos and their context.

    “These are complicated, societal public health [issues],” Graham said, “I want never to profess perfection, but to understand that we have to be proactive, we have to be thoughtful … it’s taken a while to get here because we wanted to articulate a process that had different layers and understood the challenges.”

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  • Meta phased out Covid-19 content labels after finding they did little to combat misinformation, Oversight Board says | CNN Business

    Meta phased out Covid-19 content labels after finding they did little to combat misinformation, Oversight Board says | CNN Business

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    CNN
     — 

    Late last year, Facebook-parent Meta quietly phased out certain content labels on its platforms that for much of the pandemic had directed viewers to its central Covid-19 information page, after internal research concluded the labels may be ineffective at changing attitudes or stopping the spread of misinformation, according to a report Thursday by the company’s external oversight board.

    Facebook rolled out the labels in early 2021, after coming under criticism for the spread of Covid-19 misinformation on its platforms during the first year of the pandemic. The company applied the labels to a wide range of claims both true and untrue about vaccines, treatments and other topics related to the virus.

    But Meta’s use of the labels began slowing on Dec. 19, and ended completely soon after, the report said, following the internal research. Study results provided to the Meta Oversight Board, a quasi-judicial body, showed that the company’s labels appeared to have “no detectable effect on users’ likelihood to read, create or re-share” claims that had previously been rated as false by third-party fact-checkers or that discouraged the use of vaccines, the report said.

    The research focused on Meta’s direct labeling interventions as opposed to labels the company applies to content as part of its third-party fact-checking program. The research found that the more frequently a user was exposed to the labels, the less likely they were to visit the Covid-19 information center, which offers authoritative resources and information linked to the pandemic.

    “The company reported that initial research showed that these labels may have no effect on user knowledge and vaccine attitudes,” the report said.

    Meta’s internal research on the labels has not been previously released, and the Oversight Board on Thursday called for Meta to publish its findings as part of a broader review of the company’s handling of Covid-19 misinformation.

    The new details highlight the struggles platforms have faced in fighting misinformation and could raise broader questions about the efficacy of labeling and directing users to more accurate information. It also comes at a time when some of the biggest social media companies, including Twitter and Meta, are either rolling back their Covid-19 misinformation policies or considering doing so.

    Meta should not relax its approach to Covid-19 misinformation as the company has proposed, the Oversight Board added. Until the World Health Organization determines that the pandemic has eased, Meta should instead continue to remove misinformation that violates the company’s policies, rather than shifting toward more lenient treatments such as labeling or downranking misleading information, the board said.

    Meta said Thursday it will publicly respond to the Oversight Board’s recommendations within 60 days.

    “We thank the Oversight Board for its review and recommendations in this case,” a company spokesperson said. “As Covid-19 evolves, we will continue consulting extensively with experts on the most effective ways to help people stay safe on our platforms.”

    In the past, Meta has touted its ability to direct users to the Covid-19 information center. Last July, the company said it had connected more than 2 billion people across 189 countries to trustworthy information through the portal.

    Some of those visits occurred through labels that Meta referred to internally as “neutral inform treatments,” or NITs, and “facts about ‘X’ informed treatments,” also known as FAXITs.

    The labels were automatically applied to content that Meta’s automated tools determined were about Covid-19, the Oversight Board said. The labels never directly addressed the claims within any given post, but they provided a link to the Covid-19 information center as well as more contextual information, including messages saying that vaccines have been proven safe and effective or that unapproved Covid-19 treatments could cause bodily harm. (Meta provided examples of a NIT and a FAXIT in its July 2022 request for Oversight Board guidance on whether it should relax its Covid-19 misinformation policy.)

    The decision to begin phasing out the labels came after Meta’s product and integrity teams ran an experiment studying Meta’s global userbase, the report said. The study found that users who were shown the labels approximately once a month were more likely on average to click through to the Covid-19 information center than users who were shown the labels both more and less frequently.

    In light of the results, Meta later told the Oversight Board it would stop using the labels altogether, to ensure they could remain effective in other public health emergencies, according to the report.

    While the Oversight Board’s report Thursday did not pass judgment on Meta’s decision to stop using the labels, it urged the company to reevaluate the 80 distinct types of claims that the company considers to be Covid-19 misinformation and therefore subject to removal from its platforms.

    Meta should perform the reassessments regularly, the Oversight Board said, consulting with public health officials to determine which claims on Meta’s banned list continue to be false or misleading and worthy of removal. Meta should also publish a record of when and how it updates that list, the board added.

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  • Senate Democrats write to Google over concerns about abortion-seekers’ location data | CNN Business

    Senate Democrats write to Google over concerns about abortion-seekers’ location data | CNN Business

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    Washington
    CNN
     — 

    Nearly a dozen Senate Democrats wrote to Google this week with questions about how it deletes users’ location history when they have visited sensitive locations such as abortion clinics, expressing concerns that the company may not have been consistently deleting the data as promised.

    The letter dated Monday and led by Sens. Amy Klobuchar, Elizabeth Warren and Mazie Hirono seeks answers from Google about the types of locations Google considers to be sensitive and how long it takes for the company to automatically delete visit history.

    The letter comes after tests performed by The Washington Post and other privacy advocates appeared to show that Google was not quickly or consistently deleting users’ recorded visits to fertility centers of Planned Parenthood clinics.

    “This data is extremely personal and includes information about reproductive health care,” the senators wrote. “We are also concerned that it can be used to target advertisements for services that may be unnecessary or potentially harmful physically, psychologically, or emotionally.”

    Concerns about the security of location data have spiked in Washington since the Supreme Court overturned Roe v. Wade last year, opening the door to state laws restricting or penalizing abortion-seekers. Under those laws, privacy advocates have said, states could potentially compel tech companies to hand over location data that might reveal whether a person has illegally sought an abortion.

    “Claiming and publicly announcing that Google will delete sensitive location data, without consistently doing so, could be considered a deceptive practice,” the senators added, implying that Google’s conduct could be grounds for an investigation by the Federal Trade Commission, which is authorized to police unfair and deceptive business practices.

    Google declined to comment Wednesday on the lawmakers’ letter, instead referring CNN to a blog post that answers some but not all of the senators’ questions.

    Google defines sensitive locations as “including counseling centers, domestic violence shelters, abortion clinics, fertility centers, addiction treatment facilities, weight loss clinics, cosmetic surgery clinics, and others,” according to an update to the blog post dated May 12. “If you visit a general purpose medical facility (like a hospital), the visit may persist.”

    The blog post does not, however, address the senators’ request for Google to explain what it means when it claims the data will be deleted “soon after” a visit.

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  • Elizabeth Holmes objects to government requesting she pay $250 a month to victims after prison | CNN Business

    Elizabeth Holmes objects to government requesting she pay $250 a month to victims after prison | CNN Business

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    CNN
     — 

    Elizabeth Holmes, the disgraced former Theranos CEO, has “limited financial means” and should not be forced to pay $250 a month to victims of her crimes after she is released from prison, her lawyers argued in a court filing on Monday.

    The move from Holmes’ attorneys comes after federal prosecutors said in a separate filing last week that “clerical errors” had resulted in no payment schedule being set for Holmes’ restitution after she is released from prison. Holmes and former Theranos COO Ramesh “Sunny” Balwani were previously ordered to pay $452 million in restitution to victims of their crimes.

    Holmes reported to prison late last month in Texas to serve out her more than 11-year sentence. She was convicted early last year on multiple charges of defrauding investors while running the failed blood-testing startup Theranos.

    Federal prosecutors asked that once Holmes is on supervised released, criminal monetary penalties should be paid monthly in the amount of $250, or at least 10% of her wages, whichever is greater.

    In the latest filing, Holmes’ attorneys argued “there is no basis in the record for the payment structure in the government’s request,” but did not object to her being asked to start paying $25 per quarter as part of her restitution while she is in prison.

    Holmes, once a paper billionaire, could hold a job at the Federal Prison Camp in Bryan, Texas, with hourly wages ranging from $0.12 to $1.15, according to the prison’s handbook.

    Theranos once claimed to have invented technology that could test for a range of conditions using a few drops of blood. It was valued at some $9 billion at its peak and raised money from a long list of prominent investors. Then it all began to unravel after a damning Wall Street Journal report cast doubt on the company’s claims.

    As part of the original restitution order, some $125 million is owed to media mogul Rupert Murdoch, as well as millions in payments to other Theranos investors.

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  • Republican 2024 hopefuls converge on DC under the shadow of Trump | CNN Politics

    Republican 2024 hopefuls converge on DC under the shadow of Trump | CNN Politics

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    CNN
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    Republican presidential candidates took turns Friday pitching themselves to a ballroom full of religious conservatives in Washington as the most viable alternative to front-runner Donald Trump for the 2024 GOP nomination.

    The specter of the former president loomed large over the Faith & Freedom Coalition’s Road to Majority Policy Conference, a summit that marks the first time the biggest names in the GOP race are appearing on the same stage as the summer campaign season kicks into gear. Trump is slated to speak Saturday, which will mark his first in-person appearance at a large GOP gathering of presidential hopefuls since announcing his White House bid.

    The topic of abortion was a through-line at the conference Friday, which coincided with the eve of the first anniversary of the US Supreme Court overturning Roe v. Wade. Abortion has been a politically fraught issue for Republicans, and some GOP 2024 candidates are struggling to balance appealing to the hard-line GOP base without alienating more moderate voters needed to win a general election.

    Though several GOP candidates typically skate around the issue, including what kind of federal legislation they would support, one candidate has staked out a clear position on abortion and kicked off the conference with a call to action for his GOP 2024 rivals to do the same.

    “Every Republican candidate for president should support a ban on abortions before 15 weeks as a minimum nationwide standard,” former Vice President Mike Pence told the audience, largely made up of conservative evangelical voters.

    Pence appeared to take a shot at Trump, who, like other GOP hopefuls, has wrestled with how to navigate the politics of abortion.

    The former vice president told the audience that some speakers would say “that the Supreme Court returned to the issue of abortion only to the states and nothing should be done at the federal level.”

    “Others will say that continuing the fight to life could produce state legislation is too harsh. Some have even gone on to blame the overturning of Roe v. Wade for election losses,” Pence added.

    Trump’s campaign softened its stance that abortion should be decided at the state level after receiving backlash from the anti-abortion group Susan B. Anthony Pro-Life America. And after the GOP had a worse-than-expected showing in the 2022 midterm elections, Trump said the “abortion issue” had been poorly handled by many Republicans, especially those who insisted on no exceptions in the case or rape, incest or life of the mother, which, he said, “lost large numbers of voters.”

    Florida Gov. Ron DeSantis, notably, did not make abortion a main focus of his remarks and only made a quick reference to his state’s six-week abortion ban he signed into law earlier this year. (The law has yet to go into effect.)

    He spent more time during his roughly 35-minute speech leaning into cultural fights and digging in on his ongoing fight with Disney, decrying transgender athletes competing in women’s sports, touting his opposition to the teaching of gender ideology in public schools and propping up Florida as what he described as a “citadel of freedom,” particularly during the height of the Covid-19 pandemic.

    With the GOP field somewhat solidified, Trump remains firmly the favorite for the nomination – a fact that is apparent not only in recent polls but in the conference’s programming itself. The former president will serve as the keynote speaker for the event’s closing gala on Saturday.

    Trump allies, too, are among the conference’s speakers. Last year’s losing Arizona gubernatorial nominee Kari Lake and conservative commentators Nick Adams and Judge Jeanine Pirro are scheduled to speak Saturday. Florida Rep. Byron Donalds and South Carolina Sen. Lindsey Graham spoke Friday. The Trump-heavy lineup underscores the challenges for other candidates to break out in a party still dominated by the former president.

    “Donald Trump is arguably the strongest front-runner and in the strongest position overall of anyone in my career,” said Ralph Reed, the founder and chairman of the Faith and Freedom Coalition.

    But Reed added that Trump’s competition has a strong case to make, too, and there are paths for many of them to secure the nomination. Reed singled out DeSantis as an especially well-funded candidate who appears to pose a serious threat to the former president.

    A new CNN poll conducted by SSRS in the wake of his indictment and arrest on federal charges showed Trump remained the front-runner – 47% of Republicans and Republican-leaning registered voters say Trump is their first choice for the party’s nomination. That’s down from 53% in May. His support appears to be softening amid his legal troubles, with a greater share of Republicans now saying they will not support him under any circumstances. DeSantis’ support has held steady at 26% and no other candidate in the growing field tops double digits.

    “For the candidates that are not as high in the polls, this is an opportunity and an important moment for them to make their case,” Reed said. “If you’re not Donald Trump, it’s a very short calendar where you have to win somewhere and you have to do it quickly. If someone can win one of those first three states, and especially Iowa or New Hampshire, this race will change overnight. I think that’s part of why they’re all here.”

    In addition to Pence and DeSantis, Friday’s speakers included entrepreneur Vivek Ramaswamy, former Arkansas Gov. Asa Hutchinson, South Carolina Sen. Tim Scott and former New Jersey Gov. Chris Christie. Radio show host Larry Elder and former South Carolina Gov. Nikki Haley will address the conference on Saturday.

    Christie drew boos from the crowd when he criticized Trump on Friday.

    “I’m running because he’s let us down,” the former New Jersey governor said. “He has let us down because he’s unwilling, he’s unwilling to take responsibility for any of the mistakes that were made. Any of the faults that he has and any of the things that he’s done and that is not leadership everybody. That is a failure of leadership.”

    When several people in the crowd started loudly booing, Christie said, “You can boo all you want.”

    Christie told CNN’s Dana Bash after his speech that he would continue speaking out against Trump on the campaign trail, saying the former president was “not a man of character, and they know it.”

    “There were a lot of people in that audience who were standing and cheering when I left. And there were some that were booing. But no one left wondering what I think,” Christie said.

    Christie has been sharply critical of the former president, whom he endorsed in the 2016 primary after dropping out of the presidential race and continued to advise ahead of the 2020 election. As other GOP hopefuls shy away from attacking Trump directly, hoping to avoid potentially alienating his supporters, Christie has taken direct aim at the former president and kicked off his 2024 candidacy lambasting Trump.

    Instead of drawing direct contrasts with Trump, Scott spent much of his speech attacking the Biden administration, accusing it of “weaponizing” the Justice Department against the president’s political opponents. 

    “In this radical-left Biden administration, they weaponize the Department of Justice against their political enemies. That is wrong. We deserve better in the United States of America,” Scott said.

    Scott didn’t directly reference the federal charges against Trump, but the senator’s remarks came less than two weeks after Trump pleaded not guilty in a Miami courtroom to federal charges related to his alleged mishandling of classified documents after leaving office. Trump continues to claim the DOJ has been “weaponized” against him. 

    Republican voters are increasingly getting opportunities to size up the GOP field and evaluate them in the same setting. Next weekend, Trump, DeSantis, Haley, Ramaswamy and Hutchinson will address a summit in Philadelphia hosted by Moms For Liberty, a relatively new but increasingly influential group of conservative women focused largely on K-12 education issues.

    The Road to Majority conference is taking place just two months before the first scheduled Republican presidential debate on August 23 in Milwaukee. Trump on Tuesday repeated his suggestion that he may not participate.

    “Why would I let these people take shots at me?” he told Fox News.

    However, Trump’s appearance on Saturday in DC marks a change in approach from similar Republican gatherings. To date, when Trump has participated, it has been via video message, just as he did at Faith and Freedom’s Iowa event earlier this year. Trump also skipped Iowa Sen. Joni Ernst’s annual “Roast and Ride” earlier this month, which drew the rest of the field that had entered at the time.

    Reed encouraged Trump to spend more time talking to voters and less time harping on his legal troubles and past elections.

    “He has a tremendous story to tell, and it’s the reason he’s doing so well among these voters now,” Reed said. “But I think it’s important for him to talk about what a second term agenda looks like.”

    This story has been updated with additional details.

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  • Why the US ‘does not get to assume that it lasts forever’ | CNN Politics

    Why the US ‘does not get to assume that it lasts forever’ | CNN Politics

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    CNN
     — 

    As the United States marks its 247th birthday Tuesday, questions about how many more the nation will celebrate in its current form have become ominously relevant.

    Possibly not since the two decades before the Civil War has America faced as much pressure on its fundamental cohesion. The greatest risk probably isn’t a repeat of the outright secession that triggered the Civil War, though even that no longer seems entirely impossible in the most extreme scenarios. More plausible is the prospect that the nation will continue its drift into two irreconcilable blocs of red and blue states uneasily trying to occupy the same geographic space.

    “I can’t recall a time when we’ve had such fundamental friction between the states on such important issues,” says Donald Kettl, former dean and professor emeritus of the University of Maryland’s School of Public Policy and author of the 2020 book, “The Divided States of America.”

    The strains on America’s basic unity are broad and diverse. They include a widening divergence in the basic rules of life between red and blue states on everything from the availability of abortion and guns to what teachers can say in the classroom; sharpening conflicts not only between the states, but among the urban and rural regions within them; a growing tendency of voters in each political coalition to view the other party not only as a political rival but as an “enemy” that threatens their core conception of America; the increasing inability of almost any institution – from the media to federal law enforcement to even consumer products – to retain comparable credibility on both sides of the red-blue divide; more common threats of political violence, predominantly from the right, against local and national officials; and the endurance of Donald Trump as the first leader of a truly mass-scale American political movement who has demonstrated a willingness to subvert small-d democracy to achieve his goals.

    Behind almost all of these individual challenges is the same larger force: the mounting tension between those who welcome the propulsive demographic and cultural changes reshaping 21st century America and those who fear or resent those changes. It’s the collision between what I’ve called the Democrats’ “coalition of transformation” and the Republican “coalition of restoration.” As the US evolves toward a future, sometime after 2040, when people of color will constitute a majority of the population, political scientists point out that the country is trying to build something without exact modern precedent: a true multi-racial democracy that provides a voice to all its citizens.

    The urgent demands for greater opportunity and inclusion from traditionally marginalized groups (from Black to LGBTQ people) and the ferocious backlash against those demands that Trump has mobilized in his “Make America Great Again” movement demonstrate how fraught that passage has become.

    “To expect we are going to be as unified as we [have been] trying to negotiate these fundamental transformations of American demography is wholly unrealistic,” says Daniel Cox, a senior fellow in polling and public opinion at the conservative American Enterprise Institute. “There is going to be real differences and divisions on these things and, unfortunately, some people are weaponizing them in a way that is unhelpful.”

    The ideal of national unity celebrated on July Fourth has almost always been overstated: the country from its founding has been riven by sectional, racial, class and gender conflicts. Large groups of people living within our borders have always felt excluded from any proclaimed national consensus: American Indians who were brutally displaced for decades, Black people who faced generations of legal slavery and then decades of state-sponsored segregation, women denied the vote until the 20th century.

    But today’s proliferating and intersecting pressures have reached a height that is forcing experts to contemplate questions few Americans have seriously considered since the Civil War era: can the United States continue to function as a single unified entity, and if so, in what form?

    In the late 1990s, Alan Wolfe, a Boston University political scientist, wrote a book called “One Nation, After All” based on in-depth interviews with hundreds of Americans around the country. His book was one of several published in the era that concluded the broad American public was not nearly as divided as its leaders and that average Americans, however much their views differed on issues, recognized the importance of finding common ground with others of opposing views.

    Now, Wolfe told me in an interview, he considers the current situation much more worrying. “I was so optimistic with the title of ‘One Nation, After All,’ but I couldn’t say that now,” Wolfe, a professor emeritus, said. “I think the book was right for its time. I think the sociology of it was right. That’s what I found. But I’m sure I wouldn’t find it now.”

    To Wolfe, the US is now trapped in a “vicious cycle” of rising partisan and ideological hostility in which political leaders, particularly on the right, see a “benefit in fueling the rage even more.” While President Joe Biden, Wolfe says, has struck traditional presidential notes of emphasizing the value of national unity, Trump – currently the front-runner for the 2024 GOP presidential nomination – has built his political strategy on widening the nation’s divides in ways that may be difficult to reverse any time soon. “I don’t know if [Trump’s] a political genius or just instinctively knows something, but he sure has exacerbated the shocks, and I don’t know how we are going to recover from him,” Wolfe says.

    Experts may be the least concerned about the most often discussed scenario for a future American unraveling. That’s the prospect the nation will fully split apart into separate entities, as it did when the South seceded to create the Confederate States of America after the election of Abraham Lincoln in 1860. Rep. Marjorie Taylor Greene, the far-right Republican from Georgia who has become a close ally of House Speaker Kevin McCarthy, has called for “a national divorce” in which Republican- and Democratic-leaning states would go their separate ways, presumably peacefully. “We need to separate by red states and blue states and shrink the federal government,” Greene said in a tweet on President’s Day this year.

    Susan Stokes, a political scientist and director of the Chicago Center on Democracy at the University of Chicago, said that prospect could receive growing discussion in coming years, particularly on the right, “if we continue to go in this direction and we continue to view each other as threats and as anathema, immoral, and a threat to each other’s existence.”

    But the practical barriers to any formal national divorce, she says, are likely to limit such discussion to the fringes. Unlike the Civil War, which had a clear geographical boundary, the nation’s current political divide has created a checkerboard – with Democrats strongest in coastal and upper Midwest states, as well as parts of the Southwest, while Republicans hold the edge in most Heartland states, particularly those in the South and Great Plains. Plus, Stokes notes, the red-blue line runs not only between but within the states, with the urban areas of every state leaning relatively more toward Democrats than their rural neighbors. In some future national divorce, “What do you do with upstate New York? What do you do with Memphis or Austin?” she asked.

    For those reasons, none of the experts I spoke to worry much about full-scale national separation through any intermediate time frame, though most no longer consider it inconceivable either. (Polls don’t show extensive interest among the public, with one national CBS/YouGov survey last year finding a quarter of Americans favoring the idea.) One wild card is what might happen if Trump wins in 2024 and moves to implement some of the policies he’s proposed that amount to mobilizing federal power against blue institutions and individuals – including a massive deportation program of undocumented immigrants and the deployment of the National Guard into high-crime cities. Blue state governors, legislatures and mayors might respond to such an offensive in forceful ways difficult to predict today.

    The nation’s greater challenge may be the continuing incremental separation between the red and blue blocs – the political equivalent of continental drift. Polls show that voters in each coalition hold darkening views of the other. In that 2022 CBS/YouGov survey, about half of the voters for both Trump and Biden said they considered the other party not just “political opposition” but “enemies, that is, if they win, your life or your entire way of life may be threatened.”

    More tangibly, red and blue states are hurtling apart. The most aggressive moves have come from red states shifting social policy sharply to the right on a broad array of issues, from retrenching abortion and LGBTQ rights, to censoring classroom discussion of race, gender and sexual orientation, expanding access to guns while limiting access to books that provoke conservative objections, and restricting access to voting. With red states exploring various ways to discourage their residents from traveling to blue states for banned activities (such as abortions or gender-affirming care for transgender minors), and blue states passing laws to inhibit such red state enforcement, the nation is facing open conflict over the cross-border application of state law reminiscent of the bitter disputes between free and slave states over the Fugitive Slave Act.

    No single issue separates the red and blue states today as profoundly as the gulf between those with and without legal segregation during the Jim Crow era, or that between states with and without slavery before the Civil War. But, as experts point out, the current divergence involves more issues in more states than those earlier conflicts, with nearly half the country joining the red state drive to create what I’ve called “a nation within a nation” operating by its own rules and values.

    “I really feel like we are becoming two different countries, if not that it has already happened,” says Wolfe. “I don’t like it, but I don’t see what we have in common anymore. I really don’t.”

    To some students of government, allowing states to set their own course on these divisive issues may relieve pressure and help hold the nation together. “In some ways, you can say how this is terrible, how can we remain a unified country and address global concerns” when states are separating this fundamentally, says Cox. “But by the same token, there’s something that is positive about these ‘laboratories of democracy’ where one party is given free rein to put forward their ideas and legislate and the public can see how they do and react to that.”

    Yet allowing states to diverge this comprehensively may do more to heighten than relieve national tensions. Cox acknowledges one reason: severe gerrymandering in many states’ legislative districts means most politicians are unlikely to suffer consequences even if the public doesn’t like the agenda they have advanced.

    A second problem is this experimentation is unlikely to proceed on an even track. The Republican-appointed majority on the US Supreme Court has encouraged the red state social offensive with decisions that stripped away national rights – most prominently on abortion and voting. Many legal experts believe that conservative majority is unlikely to block many of the new red state social laws that critics (including, in many cases, the Biden administration) are challenging in federal courts. On the other hand, the six GOP-appointed justices have shown no hesitation about overturning blue state initiatives, such as gun control measures that conflict with their reading of the 2nd Amendment, or LGBTQ protections they argue infringe on religious liberty or free speech. “Given the make-up of the courts, it’s difficult for blue states to be hopeful about this,” says Kettl.

    The biggest challenge created by the widening distance among the states is where to draw the line between local leeway and preserving a baseline floor of nationally guaranteed rights in every state. Racial segregation, after all, was justified for 70 years on the ground of respecting “local traditions.”

    From both Congress and the Supreme Court, the general trend in American life from the 1950s through the 2010s was to nationalize more rights and to restrict the ability of states to curtail those rights. Now, though, the red states are engaged in the most concerted effort over that long arc to roll back the “rights revolution” and restore a system in which people’s basic civil rights vary much more depending on where they live.

    “It is certainly good to have a chance to have a contest over basic values, and that’s one of the great strengths of the American republic,” says Kettl, co-author of the new book “Bridgebuilders: How Government Can Transcend Boundaries to Solve Big Problems.” He continued: “But there is also a basic question of the fundamental rights of individuals and whether the balance of power in deciding them ought to lie” with states or the nation as a whole.

    The chasm between the civil rights and liberties available in blue and red states has widened to the point where it will be highly explosive for either side to attempt to impose its social regime on the other. If Democrats win unified control of the White House and Congress in 2024 and pass legislation to restore a national floor of abortion or voting rights, red state leaders would likely sue to block them (even though abortion rights are popular in several of them). This Supreme Court majority could prove receptive to such challenges. Conversely, the fear that Republicans will seek to pass national legislation imposing the red state rules on blue and purple states, particularly on abortion and guns, may be the best Democratic asset in the 2024 presidential race in the key swing states of Michigan, Pennsylvania, Wisconsin and Arizona.

    Michael Podhorzer, the former long-time political director for the AFL-CIO, has argued that the wave of restrictive red state social laws has simply made more apparent something that has long been true: that the red and blue parts of the country are so divergent in their values, priorities and even economic structures that they are more accurately described as separate nations than separate regions. In his mind, what’s changed isn’t that these different regions – or different nations – have divergent approaches on both social and economic issues, but that the Trump-aligned MAGA movement ascendant in the red states is now pursuing such an extreme and even anti-democratic (small d) agenda.

    Eric Liu, co-founder of Citizen University, a non-partisan organization that trains people to work together on local problems across ideological, racial and other boundaries, agrees that Trump and much of his movement represent a unique threat to the future of American democracy. The nation, Liu says, now faces the challenge of doing two things at once: countering and isolating that threat to democracy, while building a bigger coalition for cooperation and consensus-building among what he calls (borrowing from Richard Nixon’s phrase) the “silent majority” of Americans who want to coexist.

    Liu counsels that lowering the temperature does not require an artificial level of agreement between people of differing views: “It’s OK to argue it out. It’s necessary to argue it out because America is an argument.” But it does, he believes, require both sides to commit to respecting the democratic process and staying engaged with the other when that process produces decisions they don’t support. “That means to recognize that politics is not a one-and-done, winner-take-all, wipe-the-other-side-off-the-face-of-the-earth, scorched earth endeavor,” he says.

    Even more important, strengthening the nation’s bonds, he believes, requires people on both sides of the political divide to see the other “as three-dimensional, complicated, sometimes contradictory human beings.” The best way to achieve that, he says, is to work together to solve local problems. Liu’s group tries to facilitate that through programs like Civic Saturdays that promotes collaborative local actions, or initiatives that bring together rural and urban residents around shared concerns.

    Such interactions, Liu believes, can nudge the US toward the national unity it celebrates on July Fourth. But he acknowledges there’s no assurance this patient nurturing of civic connection can overcome all the forces in politics, the media and communications technology blowing toward separation. Even the most carefully cultivated garden, after all, may not survive a gale-force wind.

    “It is totally not a given that we get through this,” Liu told me. “The United States does not get to assume that it lasts forever.”

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  • RFK Jr. hearing encapsulates a political era when truth is upside down | CNN Politics

    RFK Jr. hearing encapsulates a political era when truth is upside down | CNN Politics

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    CNN
     — 

    In a Donald Trump-influenced era of through-the-looking-glass politics, everything seems upside down, traditional loyalties are scrambled, history can be rewritten and truth is just what anyone wants it to be.

    A Republican-run House hearing Thursday encapsulated the current political circus ahead of another tense election. In a head-spinning spectacle, a Kennedy family scion and candidate for the Democratic presidential nomination was greeted as a hero by Republicans. But he was slammed by Democrats, including by House Minority Leader Hakeem Jeffries as “a living, breathing, false flag operation.”

    Robert F. Kennedy Jr. was given a platform by pro-Trump Republicans because his conspiracies about vaccine and Covid-19, and claims that the government has tried to censor him gel with their efforts to shield Trump by claiming that the political weaponization of government is a Democratic and not a GOP transgression.

    The marriage of convenience in a fiery hearing underscored how populism and the bending of truth pioneered on the right by Trump also has significant currency on the left. It illustrated how the character of mainstream American politics is under siege from fringe voices and extremist positions that once struggled to be heard but in recent years found a footing on social media, the campaign trail and even in Congress and the White House.

    As an example of his creation of alternative realities – a tactic frequently used by Trump – Kennedy forcibly denied that he had ever been anti-vaccine, racist or antisemitic. Yet CNN fact checks show he has repeatedly shared unfounded conspiracy theories with a false link between autism and childhood vaccines. He has also claimed that man-made chemicals could be making children gay or transgender. And just last week, he was hit by new claims of conspiracy mongering, racism and antisemitism over remarks at a dinner in New York City in which he claimed that “Covid-19 is targeted to attack Caucasians and Black people. The people who are most immune are Ashkenazi Jews and Chinese.”

    Despite this controversy, Kennedy brazenly appeared to be inventing new truths even during the hearing. He said, for instance, “In my entire life, and while I’m under oath I have never uttered a phrase that was either racist or antisemitic.” At another moment he said: “I’ve never been anti-vaccine,” then added: “But everybody in this room probably believes that I have been because that’s the prevailing narrative.”

    Jack Schlossberg, the grandson of President John F. Kennedy, criticized his relative in a social media video Friday, calling his candidacy an “embarrassment.”

    “I’ve listened to him. I know him. I have no idea why anyone thinks he should be president. What I do know is, his candidacy is an embarrassment. Let’s not be distracted, again, by somebody’s vanity project.” Schlossberg said.

    In an odd flipping of the normal political order, Democrats in the hearing effectively sought to undermine the candidacy of the son and nephew of assassinated party heroes, former Attorney General Robert Kennedy and President John F. Kennedy. The top Democrat on the House Select Committee on the Weaponization of the Federal Government, Virgin Islands Delegate Stacey Plaskett, for instance, condemned committee chair Ohio Rep. Jim Jordan for letting Kennedy air what Democrats regard as extreme views. “It’s a free country. You absolutely have a right to say what you believe,” she said, adding: “But you don’t have the right to a platform, public or private.”

    Plaskett’s comments did raise serious questions about whether there are limits – if any – on a prominent personality’s right to free speech even if they are saying things that are not true, as well as the extent to which misinformation has swamped politics and elections. But most of the hearing stayed away from such topics and was dominated by Republican attempts to score points and shield Trump and Democratic attacks on Kennedy.

    One of the ex-President’s top allies, Rep. Elise Stefanik of New York, the fourth ranking House Republican, revived conservative claims that the Democratic-leaning officials in the federal government suppressed a story about a laptop belonging to Hunter Biden before the last election, a move she argued had been instrumental in his father beating Trump for the presidency. She cited this theory when asking Kennedy whether he believed there was censorship amounting to government interference in the 2020 election.

    Former Twitter executives admitted under oath this year that the social media network temporarily suppressed a story about the laptop but said there was no government interference in the decision. CNN has previously reported that allegations the FBI told Twitter to suppress the story are unsupported, and a half-dozen tech executives and senior staff, along with multiple federal officials familiar with the matter, denied any such directive was given.

    But the specific truth in this case isn’t necessarily important to Republicans who were using Kennedy to further create the impression of government interference to prevent Trump retaining the White House. The more public confusion there is the better it is for the ex-president politically. Of course, claims that Democrats are the ones really guilty of election interference are a direct attempt to whitewash Trump’s own behavior – since he used the tools of his office to try to subvert the 2020 election and to stay in power.

    Thursday’s hearing is not the first time political reality has seemed mixed up or traditional loyalties subverted. Just last week for instance, Republicans subjected FBI Director Christopher Wray to a fearsome grilling in a hearing while Democrats unusually defended the bureau – long regarded as one of the most conservative organs of the US government. The GOP storm was whipped up by allies of Trump who want to discredit investigations into his effort to overturn the 2020 election and his hoarding of classified documents in his Florida resort. Trump has already been indicted in the latter case and there are growing signs he will be charged in the former. He denies any wrongdoing and claims the investigations are politically motivated.

    It’s not that Republicans don’t have genuine ground for oversight. Independent government watchdog reports and internal investigations for instance have found deficiencies and mistakes in some investigations involving Trump. In the Russia probe, there were mistakes in the use of a dossier complied by a former British spy and in applications for surveillance warrants. More recently, an agreement with the Justice Department under which Hunter Biden pleaded guilty to two tax misdemeanors and struck a deal to resolve a felony gun charge is within the right of Congress to investigate. But neither case so far supports the wild claims that a corrupt liberal deep state is conducting schemes designed to suppress conservatives that are often made by Trump and his fellow Republicans.

    There is plentiful evidence that the ex-president is the one who weaponized government to go after his political enemies and to evade accountability. For instance he sacked former FBI chief James Comey and told NBC News it was because of the Russia investigation. He used his position as president and the prospect of military aid to seek to coerce Ukrainian President Volodymyr Zelensky into opening an investigation into Joe Biden and his son in a phone call that later led to his first impeachment. And Trump, by pressuring multiple officials in key swing states and by lambasting poll workers and making claims of widespread voter fraud, apparently used executive power to try to defy the will of voters in 2020.

    Voters also risked being misled by Washington’s hall of mirrors on another occasion this week. In a more frivolous, but still misleading example of the way it’s often hard to work out what is true, the Biden campaign debuted a campaign video that appeared to show one of Trump’s most fervent allies, Georgia Rep. Marjorie Taylor Greene praising Biden as fulfilling the historic mission of great Democratic presidents Franklin Roosevelt and Lyndon Johnson. The words were those of Greene but they were selectively edited from a speech in a video that disguised her true intent, which was to condemn historic government spending by Democrats on education, health care, and social safety net programs that Republicans claim are akin to socialism.

    This example of things being not quite what they seem was more of a cheeky case of campaign trolling than the wholesale refashioning of truth evident Thursday. The hearing at one point degenerated into both Republicans and Democrats accusing each other of trying to censor their questions and witnesses.

    One veteran Democrat, Rep. Gerry Connolly of Virginia, summed up how the session had in itself warped reality. “I never thought we’d descend to this level of Orwellian dystopia. Suddenly, the tools of the trade are not to get at the truth but to distract, distort, to deflect and dissemble,” Connolly said.

    Oddly, several members on the Republican side of the committee nodded their heads in agreement – apparently convinced the Orwellian behavior in question was on the part of what they see as a tyrannical, censoring government rather than in the obvious truths turned upside down.

    This story has been updated with additional information.

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  • YouTube removed video of Robert F. Kennedy, Jr. for violating vaccine misinformation policy | CNN Business

    YouTube removed video of Robert F. Kennedy, Jr. for violating vaccine misinformation policy | CNN Business

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    New York
    CNN
     — 

    YouTube said on Monday that it had removed a video of presidential hopeful Robert F. Kennedy, Jr. being interviewed by podcast host Jordan Peterson for violating its policy prohibiting vaccine misinformation.

    A YouTube spokesperson told CNN that the platform removed the video from Peterson’s channel because it does not allow “content that alleges that vaccines cause chronic side effects, outside of rare side effects that are recognized by health authorities.”

    The platform’s latest move comes as Kennedy, an environmental lawyer and anti-vaccine activist, has gained more mainstream attention with his views and recently had his account reinstated on Instagram as a result of his long-shot presidential campaign.

    YouTube began cracking down broadly on vaccine misinformation in 2021, following an earlier policy preventing false or misleading claims about Covid-19. At the time, YouTube said it would remove the channels of “several well-known vaccine misinformation spreaders,” including one belonging to the Children’s Health Defense, a group affiliated with Kennedy. (The YouTube channel for Kennedy’s presidential campaign remains active.)

    Under its policy, YouTube removes false claims about currently administered vaccines that the World Health Organization and local authorities have approved and confirmed to be safe.

    Although YouTube removed the video, it remains available on Twitter, showing the fractured approach to vaccine misinformation across the internet as his campaign gets underway.

    In a tweet on Sunday, Kennedy noted YouTube’s removal of the video saying, “What do you think … Should social media platforms censor presidential candidates?”

    Kennedy also gained attention for his anti-vaccine views on a different podcast this week.

    On Monday, prominent vaccine scientist Peter Hotez said he was accosted outside of his home after a Twitter exchange with podcaster Joe Rogan, who challenged Hotez to debate Kennedy over the weekend.

    Hotez had tweeted in support of a Vice article criticizing Spotify’s handling of vaccine misinformation in an interview with Kennedy on Rogan’s show. After Twitter owner Elon Musk and hedge fund manager Bill Ackman weighed in, Hotez said he was “stalked in front of my home by a couple of antivaxxers.”

    Kennedy suggested to Hotez that they have a “respectful, congenial, informative debate.” Hotez said he would go on Rogan’s podcast but would not debate Kennedy.

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  • Ohio’s showdown over abortion rights intensifies as group files signatures for ballot measure | CNN Politics

    Ohio’s showdown over abortion rights intensifies as group files signatures for ballot measure | CNN Politics

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    CNN
     — 

    Ohio is poised to become the next major abortion battleground after groups seeking to enshrine abortion rights in the state’s constitution on Wednesday submitted hundreds of thousands of petition signatures to the secretary of state’s office.

    If certified, those 710,000 signatures – nearly 300,000 more than state law requires – would place the proposed amendment on ballots in November alongside municipal and school board elections across the state.

    The statewide vote would come the year after two of Ohio’s neighboring states – deep-red Kentucky and the political battleground of Michigan – supported abortion rights in their own ballot measures.

    It would position Ohio, traditionally a presidential swing state that has shifted in the GOP’s favor in recent years, as the latest test of voters’ attitudes ahead of a 2024 presidential election in which the debate over abortion rights could play a central role in both the Republican primary and the general election.

    “We know that Ohioans, just like our neighbors in Michigan and Kentucky – when they have the opportunity to vote for abortion access, they will,” said Lauren Blauvelt, vice president of Planned Parenthood Advocates of Ohio.

    Abortion rights advocates on Wednesday said they were pulled into politics in the wake of the US Supreme Court’s decision last June to overturn Roe v. Wade’s long-standing federal abortion protections and return the issue to the states.

    “I was never very political before all this started last year,” said Dr. Aziza Wahby, a Cleveland dermatologist who has become active over the last year with Ohio Physicians for Reproductive Rights, a group that was part of the effort to gather signatures. “This has made me pay more attention and I think it will do the same for others.”

    The proposed amendment in Ohio would ensure “every individual has a right to make and carry out one’s reproductive decisions.” It could make Ohio the only state with a ballot measure on abortion rights this year.

    Local officials have until July 20 to verify the signatures, with Ohio Secretary of State Frank LaRose having final approval to place the issue on this fall’s ballots by July 25.

    Before the November election, though, is another key vote: an August 8 special election set by Ohio’s Republican-dominated legislature, in which voters will decide whether to raise the threshold for amending the state constitution from the current simple majority to 60%.

    The debate over the constitutional amendment and the change to the amendment process has galvanized both sides of the abortion fight.

    After filing U-Haul truckloads of petition signatures Wednesday, abortion rights advocates complained that the special election was slated for a moment when families will be wrapping up summer vacations and preparing for the start of school – a period when the state’s voters are not used to casting ballots.

    “And they’re doing that on purpose because they know that their agenda is not the agenda of Ohioans,” said Kellie Copeland, the executive director of Pro-Choice Ohio.

    Amy Fogel, who said she became awakened to politics during the Trump era and joined the grassroots group Red Wine and Blue, has spent months helping collect signatures for the citizen-led initiative for the November ballot. She said she was “absolutely heartbroken” when the August special election was approved by the Republican supermajority in the statehouse.

    “It was just a blatant power grab to take away the majority vote of Ohioans,” Fogel said.

    She said she and other volunteers would not be deterred by the new hurdle.

    “We started out telling people to vote in November and now we have to tell them to make sure you plan an absentee ballot, vote early, or show up at the polls on August 8,” Fogel said. “You have to vote ‘No,’ to protect the Ohio constitution and majority vote in August and then ‘Yes,’ in November.”

    It is confusing, she said, by design.

    Amy Natoce, the press secretary for Protect Women Ohio, the coalition working to defeat the abortion rights ballot measure in November, dismissed suggestions that a special election in August was in any way undemocratic because of concerns over historically low voter turnout in the summer.

    “There is no time like the present to protect Ohio’s constitution,” Natoce said in an interview. “Ohioans should be reminded of the fact that this is allowing them to determine how their constitution is amended. We’ve seen the other side saying one person, one vote, this takes away the people’s vote. Not at all.”

    For the next month, both campaigns will be unfolding across Ohio – on “Issue 1,” to raise the threshold of support needed to change the constitution, and on the November ballot measure on abortion. From door-to-door canvassing to a multi-million dollar television ad campaign, both sides are intensifying their efforts ahead of the August and November elections.

    “We’re going to continue in all 88 counties across Ohio,” Natoce said. “But we have to move ahead as if it will be on the ballot in November.”

    Two former Republican governors, Bob Taft and John Kasich, have come out against the August 8 special election, saying such a consequential change to state law shouldn’t happen during a low-turnout summer election.

    “I just think it’s a major mistake to approve or disapprove such a change at the lowest-turnout election that we have,” Taft said at a forum in Dayton last week. “This is a kind of change that really needs to be considered by all the people who go out and vote in a presidential election.”

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  • Gaming the government is not going well | CNN Politics

    Gaming the government is not going well | CNN Politics

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    A version of this story appeared in CNN’s What Matters newsletter. To get it in your inbox, sign up for free here.



    CNN
     — 

    Governing is not, or at least it shouldn’t be, some kind of game.

    But this week it feels like powerful people are treating it like one, running trick plays to score points, trash talking and making threats, and exploiting rules to bring things to a halt.

    In Florida, a brewing grudge match pits Disney, one of the state’s largest employers, against its governor, the ambitious Republican Ron DeSantis who is eyeing a presidential run.

    How the state government’s relationship with its notable corporate citizen turned petty is getting hard to follow.

    The basic storyline, as laid out by CNN’s Steve Contorno, is that Disney spoke out against a law DeSantis pushed to limit what teachers can say in the classroom. Faulting its “woke” corporate behavior, DeSantis and Republicans in the state moved to install their political allies onto a quasi-government board that oversees the area that includes Disney World. But the company moved to defang the board before the new appointees took on their roles.

    Rather than sending a message to Disney, DeSantis now looks outmaneuvered and is threatening more action against the company.

    It’s not clear if he’s serious or not, but the most bizarre idea he suggested is building a state prison on public land next to the Magic Kingdom. Watch him here.

    The appearance of a Republican potentially trying to sabotage a massive employer is the kind of play DeSantis’ potential rivals for the Republican presidential nomination are happy to point out.

    “I think it rightfully makes a lot of people question his judgment and his maturity,” former New Jersey Gov. Chris Christie said Tuesday in a conversation with the website Semafor.

    Christie said if DeSantis “can’t see around a corner that (Disney CEO) Bob Iger created for you,” then “that’s not the guy I want sitting across from President Xi and negotiating our next agreement with China.”

    In Washington, where the Senate rulebook has been befuddling people for centuries, Republicans are citing the Senate rules and making clear they won’t let Democrats replace, even temporarily, the ailing Sen. Dianne Feinstein on the Senate Judiciary Committee.

    Feinstein, 89, has been out of the office since early March while dealing with a case of the shingles. But since Democrats only have a one-seat majority on the panel, her absence has ground judicial nominations to a halt.

    For a rules-minded guy like Senate Minority Leader Mitch McConnell, another octogenarian just returning from his own month-plus convalescence after a fall, there’s no need to let Democrats get another vote on the committee and push through scores of nominations caught in limbo. McConnell suggested if Democrats culled the herd of nominees, they might get some confirmed.

    “They could move a number of less controversial nominees right now. Right now,” he said Tuesday on the Senate floor. “They want to sideline Senator Feinstein, so they can ram through the worst four as well.”

    Various Senate rules have been confusing people for centuries. Even if Feinstein were to resign, Sen. Mitt Romney suggested Tuesday that Republicans could block changes to the Senate Judiciary Committee.

    “I don’t think Republicans are going to lift a finger in any way to get more liberal judges appointed, so whether she’s resigned or leaves temporarily from the judiciary committee, I think we will slow walk any process that makes it easier to appoint more liberal judges,” Romney said.

    Feinstein’s absence isn’t the only problem, as CNN’s Tierney Sneed and Lauren Fox have pointed out, since Republican senators can also use the “blue slip” tradition to veto judicial nominees the Biden administration has put forward for their states.

    If the importance of judicial nominees is still in question, look no further than the furor that a Trump-appointed federal judge has caused by ruling to suspend the 23-year-old FDA authorization for mifepristone, the first drug used in a medication abortion.

    The decision by Judge Matthew Kacsmaryk out of the federal court in Amarillo, Texas, has sent the abortion issue straight back to the Supreme Court, which is expected to rule by Wednesday in a case that could remove nationwide access to a medication that American women have been using for decades, even in states that have sought to protect abortion rights.

    Kacsmaryk was all but selected by opponents of the drug to hear the case since he is the only federal district judge in Amarillo.

    It’s not the rulebook, but rather the teamwork making House Speaker Kevin McCarthy’s life difficult. He wanted to send a message of unity to Wall Street with a speech there Monday. His goal was to calm nerves about the looming debt ceiling showdown and project that Republicans have a plan to raise the debt ceiling and impose spending cuts. Their plan probably won’t get any support from Democrats.

    But almost on cue Tuesday, conservative Republicans began to poke holes in McCarthy’s plan, calling it into question as the US hurtles toward a potential default if there is no debt ceiling agreement by June. McCarthy, at least for now, seems disinclined to allow a vote on any proposal that could get support from Democrats in the House. And he seems unable to find a proposal that can get all Republicans on board. Those Senate rules make it impossible for anything to pass through that chamber without support from ten Republicans, so long as Feinstein is not voting. Read more from CNN’s Stephen Collinson.

    Suffice it to say the debt ceiling, the abortion medication and Disney’s status in Florida are issues where there’s not a winner and a loser, even if they’re being treated that way by the powerful people who are supposed to be in charge.

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  • Graham will support replacing Feinstein on Judiciary Committee if she resigns, following precedent | CNN Politics

    Graham will support replacing Feinstein on Judiciary Committee if she resigns, following precedent | CNN Politics

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    Washington
    CNN
     — 

    Republican Sen. Lindsey Graham said Sunday that he will follow precedent for replacing Sen. Dianne Feinstein on the Judiciary Committee if she resigns, signaling a willingness to vote to replace the California Democrat if she left the chamber altogether.

    “If she does resign, I would be in the camp of following the precedent of the Senate, replacing the person, consistent with what we have done in the past,” the South Carolina lawmaker told CNN’s Dana Bash on “State of the Union.”

    Feinstein was hospitalized in March for shingles and has yet to return to the Senate. She has asked to be “temporarily” replaced on the Senate Judiciary Committee while she is recovering but remains committed to returning to Washington.

    Democrats would need 60 votes to replace Feinstein on the panel, but senior Republicans in leadership and on the committee have made clear that they would not give them the votes to do that on a temporary basis.

    Senate Republicans blocked an effort last week by Majority Leader Chuck Schumer to temporarily replace Feinstein on the Judiciary panel with Maryland Sen. Ben Cardin.

    But Graham – who objected to Schumer’s request – signaled Sunday that the situation would be different if Feinstein resigned.

    “If she resigned, I would make sure that whatever we did in the past when members resigned would be followed,” he said.

    “As to Sen. Feinstein, she is a wonderful person. She’s been a very effective senator. I hope she comes back,” the top Republican on the Judiciary Committee added.

    Feinstein is facing calls to resign from at least two House Democrats, though most congressional Democrats have remained largely supportive of her decision to remain in office while absent from the Capitol.

    More than 60 progressive organizations across California signed a letter Friday calling for Feinstein’s resignation.

    “For three decades, 39 million Californians counted on you to be our hardworking voice in Washington, day in and day out. We still need a daily voice, now more than ever,” the letter stated. ” We respectfully ask you to give one more gift of service to our great state by fully stepping back to allow a new appointee to carry forth and extend your legacy.”

    On the issue of abortion, Graham would not say Sunday whether he believes the procedure should be regulated at the state or federal level.

    “It’s a human rights issue, does it really matter where you’re conceived?,” Graham said. He added later: “I welcome this debate. I think the Republican Party will be in good standing to oppose late-term abortion.”

    Graham’s comments highlight the difficulty that Republicans have had navigating the abortion issue. The Supreme Court’s overturning of Roe v. Wade last year has energized Democrats, with voters across the country rejecting ballot efforts to restrict abortion at the state level.

    which was once a popular GOP premise. After Roe v. Wade was overturned last year, voters overwhelmingly rejected further efforts to restrict abortion.

    The South Carolina senator introduced a bill in September that would ban abortions after 15 weeks of pregnancy.

    “Here’s what I believe, that anybody running for president who has a snowball’s chance in hell in the 2024 primary is going to be with me, the American people, and all of Europe, saying late-term abortions should be off the table,” Graham, who has endorsed former President Donald Trump’s reelection bid, said Sunday. “I am confident, over time, that’s where our nominee will be.”

    The issue of abortion has continued to reverberate across the political landscape. The Supreme Court on Friday protected access to a widely used abortion drug as appeals play out by freezing lower-court rulings that had placed restrictions on its usage.

    Meanwhile, Graham, who recently traveled to the Middle East, said Sunday that he saw dramatic change while on the ground in Saudi Arabia.

    “The biggest prize, for lack of a better word, would be to get Saudi Arabia to recognize Israel and vice versa. And the Biden administration is trying to do that. And I want to help them. I think the Biden administration is right to want a normalize relationship with Saudi Arabia, based on the changes I see,” he said.

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  • Republican-controlled states target college students’ voting power ahead of high-stakes 2024 elections | CNN Politics

    Republican-controlled states target college students’ voting power ahead of high-stakes 2024 elections | CNN Politics

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    CNN
     — 

    Republican-controlled legislatures around the country have moved to erect new barriers to voting for high school and college students in what state lawmakers describe as an effort to clamp down on potential voter fraud. Critics call it a blatant attempt to suppress the youth vote as young people increasingly bolster Democratic candidates and liberal causes at the ballot box.

    As turnout among young voters grows, new proposals that change photo ID requirements or impose other limits have emerged.

    Laws enacted in Idaho this year, for instance, prohibit the use of student IDs to register to vote or cast ballots. A new law in Ohio, in effect for the first time in Tuesday’s primary elections, requires voters to present government-authorized photo ID at the polls, but student IDs are not included. Identification issued by universities has not traditionally been accepted to vote in the Buckeye State, but the new law eliminates the use of utility bills, bank statements and other documents that students have used before.

    A proposal in Texas would eliminate all campus polling places in the state. Meanwhile, officials in Montana – where Democrat Jon Tester is seeking a fourth term in one of 2024’s highest-profile Senate contests – have appealed a court decision striking down additional document requirements for those using student IDs to vote.

    And voting rights advocates say a longstanding statute in Georgia, which bars the use of student IDs from private universities, has made it more difficult for students at several schools – including Spelman and Morehouse, storied HBCUs in Atlanta – to participate in Georgia’s competitive US Senate and presidential elections.

    “Republican legislatures … are pretty transparently trying to keep left-leaning groups from voting,” said Charlotte Hill, interim director of the Democracy Policy Initiative at UC-Berkeley’s Goldman School of Public Policy. Rather than trying to sway young voters, lawmakers seem willing “to shrink the eligible electorate,” she added.

    Proponents say the changes are needed to protect against voter fraud and shore up public confidence in elections – battered by widespread, and false, claims of a stolen presidency in 2020. And they contend that the forms of identification provided by secondary schools and colleges vary too widely to serve as a reliable way to establish a voter’s identity and residency.

    “They are issued by colleges, universities, public and private high schools, and some have address and pictures, while some do not,” Idaho state Sen. Scott Herndon, a Republican and one of the sponsors of the new law, said in an email to CNN.

    During a legislative hearing earlier this year, Herndon said his goal was straightforward: “Make sure that people who are voting at the polls are who they say they are.”

    The efforts to clamp down on student IDs and campus voting come against a backdrop of gains for Democrats among this demographic group. Exit polls analyzed by the Brookings Institution found that people ages 18 to 29 – especially young women – made a pronounced shift toward Democrats in last year’s midterm elections, helping to blunt an expected “red wave” for Republicans.

    And voter registration among 18-24 year-olds increased in several states last year over 2018 levels – including Kansas and Michigan, where voters decided on ballot measures on abortion, following the US Supreme Court decision to overturn Roe v. Wade, according to data from Tufts University’s nonpartisan Center for Information and Research on Civic Learning and Engagement, or CIRCLE. CIRCLE conducts research into youth civic engagement.

    An analysis by The Milwaukee Journal Sentinel found that voting on college campuses soared in last month’s election for a state Supreme Court seat in Wisconsin. In that contest, the liberal candidate who prevailed, Janet Protasiewicz, had made protecting abortion rights a central feature of her campaign.

    Among the voting wards in the city of Eau Claire, for instance, the highest turnout came from the ward that served several University of Wisconsin dorms – with nearly 900 votes cast, up from 150 in a Supreme Court race four years earlier, the paper found. Protasiewicz won 87% of those votes.

    Prominent conservatives have spotlighted these voting trends.

    “Young voters are the issue,” Scott Walker, Wisconsin’s former Republican governor, wrote in a widely noticed Twitter post following the state Supreme Court election. “It comes from years of radical indoctrination – on campus, in school, with social media, & throughout culture,” said Walker, who is president of Young America’s Foundation, which works to popularize conservative ideas among young people. “We have to counter it or conservatives will never win battleground states again.”

    In an interview with CNN this week, Walker said his group is not seeking to change the ground rules for voting among younger Americans. But, he said, conservatives have been “overlooking ways to communicate to young people sooner than a month or two before the election.”

    One longtime GOP lawyer has discussed ways to curtail youth voting.

    The Washington Post, citing a PowerPoint presentation along with an audio recording of portions of the presentation obtained by liberal journalist Lauren Windsor, reported that GOP lawyer Cleta Mitchell recently urged Republicans to limit campus voting during a private gathering of Republican National Committee donors.

    Mitchell, who tried to help former President Donald Trump overturn the 2020 election results in Georgia, did not respond to a CNN interview request through a spokesperson for her current organization.

    In Idaho, notably, the number of young people ages 18 and 19 registered to vote soared 81% between the week of the midterm elections in November 2018 and the same time period in November 2022 – the highest gain in the nation – according to data collected by CIRCLE.

    One of the new laws in the state, which will take effect in January, drops student IDs from the list of accepted identification to vote. Now only these forms of ID can be used: a driver’s license or ID issued by the state’s transportation department, a US passport or identification with a photo issued by the US government, tribal identification or a permit to carry a concealed weapon.

    Student IDs had been accepted for voting for more than a decade in the state.

    State Rep. Tina Lambert, who authored the House version of the bill, declined a CNN interview request, citing a busy schedule.

    But she said in an email that students should be able to navigate the new law. “Students of voting age are smart and able,” Lambert wrote. “They are able to get the ID needed to vote. Most of them have IDs already, that they use for all the other things that they need legal ID for.”

    The law also has the support of Idaho Republican Secretary of State Phil McGrane, who told legislators this year that the change would help “maintain confidence in our elections” – although he said that he doesn’t know of any “instances of students trying to commit voter fraud.”

    He also noted that student identification was rarely used. Just 104 of the nearly 600,000 voters who cast ballots in Idaho’s general election last year did so using student ID, McGrane said.

    “Even if one person out there can only use a student ID to vote, that still matters. That’s still a vote,” said Saumya Sarin, a freshman at the College of Idaho in Caldwell, Idaho, and a volunteer with Babe Vote, a nonpartisan group that has worked to boost youth voter registration in the state. She testified against the proposal in the state legislature earlier this year.

    Saumya Sarin addresses the media at a press briefing announcing that BABE VOTE filed suit challenging the new law that removes student IDs as acceptable identification for voting in Idaho at the Idaho Statehouse in Boise on Friday, March 17.

    Sarlin, who turns 19 this week, said she presented a US passport last year when she voted for the first time, but she noted that she had “several friends off the top of my head” who don’t have the forms of identification now required in Idaho.

    “I think the direction that the youth are going with their vote scares the people who are currently in power a little bit because it works against them,” she said.

    Sarlin said she’s become active on voting issues to take a stand against state policies she opposes, including Idaho’s limits on gender-affirming medical care for transgender youth and abortions. Idaho has a near-total ban on abortions and last month made it a crime to help a pregnant minor obtain an abortion in another state without parental consent.

    Babe Vote and the League of Women Voters of Idaho have filed a lawsuit in an effort to block the Idaho voter ID laws. The measures “were not driven by any legitimate or credible concerns about the ‘integrity’ of the state’s elections,” the groups argue in their civil complaint. “Instead, they are part of a broader effort to roll back voting rights, particularly for young voters by weaponizing imaginary threats to election integrity.”

    A separate lawsuit, brought by March for Our Lives Idaho and the Idaho Alliance for Retired Americans, in federal court also seeks to block the new laws.

    Not all proposals to restrict student voting have been successful to date.

    A bill introduced in February by GOP state Rep. Carrie Isaac in Texas to prohibit polling places on college campuses has not yet made it out of committee. Another Isaac bill would ban voting on K-12 campuses.

    She told CNN this week that the measures are needed because polling places are sites of raw emotions and high stress, and she doesn’t want that kind of environment in schools.

    “I don’t think it’s smart to invite people that would not otherwise have business on campus on our campuses,” Isaac said. “In Texas, we have two weeks of early voting that people are coming in, that would not otherwise be there. And I think we should do anything and everything to make our campuses as safe as possible.”

    She said she’s confident that college students can find ways to vote off-campus.

    In Georgia, a state that will be a key battleground in the 2024 White House contest, student IDs are accepted as a form of voter identification, but only if they are issued by public colleges in the state. Seven out of the 10 Historically Black Colleges and Universities Georgia are private, making it more difficult for students who attend those universities to cast their ballots, voting rights advocates say.

    Former state Sen. Cecil Staton, a Republican who sponsored the 2006 photo ID law, said the government can ensure consistent standards for student IDs at state schools. “We didn’t feel like we had that same ability with private schools,” he said.

    Aylon Gipson – a Morehouse student from Alabama and a fellow with the voting rights group Campus Vote Project – said he has a lot of friends who have had problems at the polls as a result of Georgia’s law, especially underclassmen who don’t have a driver’s license.

    Gipson, a junior economics major at Morehouse College, poses for a portrait in the library of the Martin Luther King Jr. International Chapel at Morehouse College in Atlanta on May 1.

    “I’ve seen specific instances where students will call me and say, ‘Hey, I tried to go in and vote, but I got turned around at this polling station,’ or specifically our on-campus polling station, because they didn’t have an ID or they didn’t have a valid license to be able to vote with,” Gipson said. “I think it’s disenfranchising students who attend these HBCUs simply because of the fact that we’re private.”

    And in Ohio, which will see a hotly contested US Senate race next year as Democrat Sherrod Brown seeks reelection in a state where the GOP controls the legislature and governor’s office, Tuesday’s primary election marks the first election with the new photo ID rules in place. Voting rights advocates say the new restrictions could spell problems for students who have moved to Ohio for college and are no longer allowed to provide dormitory, utility bills or other documents to establish their legal residency when voting.

    Getting the form of ID now required in Ohio, such as a state driver’s license, will invalidate identification students may possess from their home state.

    “It seems as if this specific group – out-of-state college students, who have every right to vote – have been targeted and singled out,” said Collin Marozzi, deputy policy director of the ACLU of Ohio.

    Legislators, he said, are sending a “poor signal to these college students: ‘We want your money for our colleges. We want your money for our economy. But we don’t really want you to have a voice in the future of this state.’ “

    Students in Ohio still can opt to vote absentee by mail if they don’t want to surrender their identification from the state where they used to live – provided they include the last four digits of their Social Security number on the application. (The law establishing new photo ID requirements also reduces the window to request and return absentee ballots.)

    “For that college student, they make a decision: Am I a voter in Ohio or, say, in Pennsylvania?” said Rob Nichols, a spokesman for Ohio Secretary of State Frank LaRose, a Republican. “If you want to hang on to your Pennsylvania license, you can do so, vote absentee, give the last four digits of your Social, and you are on your merry way.”

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  • First US senator to give birth in office offers heartfelt Mother’s Day message: ‘You’re what keeps this country strong’ | CNN Politics

    First US senator to give birth in office offers heartfelt Mother’s Day message: ‘You’re what keeps this country strong’ | CNN Politics

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    Washington
    CNN
     — 

    Illinois Sen. Tammy Duckworth, the first sitting US senator to give birth while in office, offered a heartfelt Mother’s Day message on Sunday, celebrating moms nationwide for “growing the next generation for our nation.”

    “Hang in there, sister. We’re in this together, and nobody has perfect work-life balance, everybody struggles, and so do the best that you can,” the Democrat told CNN’s Dana Bash on “State of the Union.”

    “You’re what keeps this country strong.”

    Duckworth and her husband, Bryan Bowlsbey, are the parents of two daughters, Abigail and Maile. Abigail was born while Duckworth was serving in the US House as a Chicago-area congresswoman.

    In 2018, after giving birth to Maile, Duckworth became the first US senator to cast a vote on the floor with her newborn by her side.

    Her vote came just one day after the Senate changed long-standing rules to allow newborns on the chamber floor during votes. The rule change, voted through by unanimous consent, was done to accommodate senators with newborn babies and lets them bring children under 1 year old onto the Senate floor and breastfeed them during votes.

    “It feels great,” Duckworth told reporters at the time. “It is about time, huh?”

    The Illinois Democrat on Sunday spoke about Democratic efforts to pass legislation to address rising child care costs.

    “Families spend as much as a quarter to half of their income on child care, and there’s no way for working families to survive under those burdens,” Duckworth said.

    “We keep trying,” she added when asked by Bash about finding bipartisan solutions.

    Duckworth is a retired Army lieutenant colonel who was a helicopter pilot during the Iraq War. She was the first female double amputee from the war after suffering severe combat wounds when her Black Hawk helicopter was shot down.

    Duckworth served in the Obama administration as an assistant secretary of Veterans Affairs. She was first elected to the US House in 2012 and the Senate four years later.

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  • Former first lady Rosalynn Carter has dementia, Carter Center says | CNN Politics

    Former first lady Rosalynn Carter has dementia, Carter Center says | CNN Politics

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    Washington
    CNN
     — 

    Rosalynn Carter, the former first lady of the United States and wife of former President Jimmy Carter, has dementia, the Carter Center announced on Tuesday.

    “The Carter family is sharing that former First Lady Rosalynn Carter has dementia. She continues to live happily at home with her husband, enjoying spring in Plains and visits with loved ones,” the center announced. Additional details about Carter, 95, were not immediately provided and the Center said it did not expect to comment further.

    The Center said that, in sharing news of Carter’s diagnosis, it helped to “increase important conversations at kitchen tables and in doctor’s offices around the country.” As first lady, Carter made mental health advocacy her platform and formed a presidential commission on the matter during her time in the White House, a legacy that continues today.

    President Carter, 98, began home hospice care in February after a series of short hospital stays.

    The Bidens have “stayed in touch” with the former president’s team to “ensure that their family knows that they are certainly in the president and first lady’s thoughts,” White House press secretary Karine Jean-Pierre said at a Tuesday press briefing.

    At an event in Norcross, Georgia, last week honoring the former president, President Carter’s former UN ambassador, Andrew Young, described the former president to WSB-TV as being in good spirits during a visit with him last month.

    “They’re coming to the end,” the Carters’ grandson, Jason Carter, said at the event. “He’s going to be 99 in October, but right now, it’s sort of the perfect way for them to spend these last days together at home in Plains. They’re together, and they’ve been together for 70-plus years.”

    Rosalynn Carter traveled across the country and the world as first lady in support of breaking mental health stigmas.

    “Since 1971, Rosalynn had been a champion of mental health issues, and her leadership in this cause continues even now,” President Carter wrote in “White House Diary,” an annotated account of his time in the White House published in 2010.

    Carter continued, “She mounted a worldwide crusade to reduce the stigma associated with mental illness and helped persuade the World Health Organization and Centers for Disease Control to include mental health on their agendas.”

    Dementia is a broad term for an impaired ability to remember, think and make decisions, according to the CDC. People with dementia may have trouble with memory, attention, communication, judgment and problem-solving, and visual perception beyond typical age-related vision changes.

    Dementia is not a normal part of aging, according to the National Institute on Aging, but about one-third of all people age 85 and older may have some form of dementia.

    This story has been updated with additional background information.

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  • These 5 states will be the first to kick residents off Medicaid starting in April | CNN Politics

    These 5 states will be the first to kick residents off Medicaid starting in April | CNN Politics

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    CNN
     — 

    Millions of Americans are at risk of losing their Medicaid coverage in coming months, but residents in Arizona, Arkansas, Idaho, New Hampshire and South Dakota will be the first to bear the brunt of the terminations.

    States have been barred by Congress from winnowing their Medicaid rolls since the Covid-19 pandemic began. That prohibition ends on Saturday, and some states are moving much more swiftly than others to kick off those deemed ineligible for the public health insurance program for low-income Americans.

    That worries advocates, who say speed will result in eligible residents being incorrectly terminated. Also, it could hamper shifting those who no longer qualify to other types of coverage.

    “This is the fable of the tortoise and the hare,” said Joan Alker, executive director of the Georgetown University Center for Children and Families. “Taking time is absolutely going to result in a better outcome for eligible children and families to remain covered. So speed is a big concern.”

    The five states will start cutting off coverage in April, followed by 14 more states in May and 20 additional states plus the District of Columbia in June. All states must complete their redeterminations over the next 14 months.

    Around 15 million people could be dropped from Medicaid, according to various estimates, though several million folks could find coverage elsewhere. Others may still be eligible but could be terminated for procedural reasons, such as not completing renewal forms. Those at risk include at least 6.7 million children, according to a Georgetown analysis.

    Medicaid enrollment has ballooned since March 2020, when lawmakers passed the Families First Coronavirus Response Act, which prevented states from involuntarily removing anyone from coverage. In exchange, Congress boosted states’ federal Medicaid match rates by 6.2 percentage points.

    The provision was initially tied to the national public health emergency, but lawmakers changed that as part of the federal spending bill that passed in December. In addition to being able to start conducting terminations in April, states will receive an enhanced federal match through the rest of this year, though it will phase down over time.

    More than 92 million Americans were enrolled in Medicaid and the Children’s Health Insurance Program in December, up 31% since February 2020, according to the most recent data available from the Centers for Medicare and Medicaid Services.

    Reviewing the eligibility of all those enrollees will be a monumental task for state Medicaid agencies, many of which are also contending with slim staffing. To gear up, they are hiring new employees, temporary workers or contractors or bringing back retirees, according to a recent survey conducted by Georgetown and the Kaiser Family Foundation.

    Most states can automatically renew coverage for at least some of their enrollees using other data, such as state wage information. But agencies must get in touch with others in their Medicaid programs, which proved challenging even prior to the pandemic. Most states are using multiple methods to update enrollees’ contact information, including working with insurers that provide Medicaid coverage to residents.

    If notices sent by mail are returned, states must make good faith attempts to contact enrollees through at least two other methods before cutting them off. And states have to adhere to additional requirements to continue to qualify for the enhanced match. If they don’t, CMS also could suspend their terminations, require they take corrective action or impose monetary penalties.

    Of the roughly 15 million people who could lose Medicaid coverage, about 8.2 million will no longer qualify, according to a Department of Health and Human Services analysis released in August. Some 2.7 million of these folks would qualify for enhanced federal subsidies for Affordable Care Act policies that could bring their monthly premiums to as low as $0.

    Some 6.8 million people, however, will be disenrolled even though they remain eligible.

    Though the federal government has given states more than a year to conduct the eligibility reviews and terminations, some plan to move much more quickly.

    Idaho, which has been monitoring enrollees’ eligibility throughout the pandemic, plans to complete its reevaluations by September, which it touts as one of the fastest timelines in the country.

    Of the nearly 450,000 Idahoans in the program, about 150,000 of them either don’t qualify or haven’t been in touch with the state in the past three years. The state began sending notices in February to those who face termination. People have 60 days to respond before they are removed.

    Those that are not eligible have 60 days from their termination date to enroll in Idaho’s state-based Obamacare exchange, Your Health Idaho. The exchange receives information nightly from the state Medicaid agency about residents who no longer qualify for public coverage but may be eligible for federal subsidies for Affordable Care Act policies.

    The exchange is reaching out to those folks weekly while they still have Medicaid and then every 15 days during the two-month special enrollment period via various methods, including mail, email and text messages, said Pat Kelly, Your Health Idaho’s executive director.

    The exchange works with 900 agents, brokers and enrollment counselors who can help folks sign up for policies. And it plans to start an advertising campaign this month highlighting the hefty subsidies.

    “We have to really help Idahoans know and understand that low-cost options are available, and most importantly, that it’s comprehensive health insurance that they can get for $0 a month,” Kelly said.

    Still, advocates in Idaho are concerned that the state’s push to unwind quickly will result in eligible residents losing coverage.

    Many people are not aware that they once again need to prove that they qualify, and the state agency is understaffed and underfunded, said Hillarie Hagen, health policy associate at Idaho Voices for Children. Renewal letters may not make it to enrollees, and those who need help may not be able to get through to customer service.

    “We are very concerned about families, and particularly children, losing health coverage without their knowledge – that they will find out when they show up to the doctor,” Hagen said.

    Aware that many people don’t know they’ll have to renew their eligibility, Arizona’s Medicaid agency last summer sent text messages and letters and made robocalls to enrollees, asking them to update their contact information. It is also working with community partners, health care providers, pharmacies and insurers. And it’s ramping up another text campaign since the prior one was so successful, said Heidi Capriotti, public information officer for the Arizona Health Care Cost Containment System.

    While the state can automatically redetermine the eligibility of about 75% of its Medicaid participants, it still has to connect with about 670,000 residents who could lose coverage because they are no longer eligible or they haven’t responded to the agency’s requests. The state plans to take 12 months to assess whether its enrollees still qualify.

    South Dakota will start terminating Medicaid enrollees in April, though some low-income adults may become eligible again in July, when the state’s Medicaid expansion program begins.

    Voters approved the broadening of Medicaid to low-income adults at the ballot box in November, over the objections of the Republican governor and legislature.

    Nearly 152,000 residents were enrolled in Medicaid in January, an increase of more than 30% from March 2020, according to the state’s Department of Social Services. But more than 22,000 people appear to be ineligible currently.

    The agency said in an FAQ that it will prioritize reviewing folks who are most likely to be ineligible because they no longer meet a coverage group or their income has increased, among other reasons.

    Those who are not eligible will be disenrolled with 10-days’ notice. If they appear eligible for expansion in July, they’ll receive a notice about it when they are terminated and sent a reminder in June. The agency is encouraging any enrollees who are determined to be ineligible to reapply after Medicaid expansion takes effect.

    But that three-month gap can wreak havoc on low-income residents’ health, said Jen Dreiske, deputy director of South Dakota Voices for Peace, which is working with the state’s immigrants and refugees to inform them of the unwinding. These folks may have to go without their heart medication or their cancer treatment. They may also be afraid to go to the doctor because of the cost.

    “Why can’t we just wait until July 1?” Dreiske said. “Our concern is that people are going to get sick or die because they’re not going to be able to access the health care that they so desperately need.”

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