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  • Supreme Court embarrassed by the opinion leak is embarrassed again | CNN Politics

    Supreme Court embarrassed by the opinion leak is embarrassed again | CNN Politics

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    CNN
     — 

    The Supreme Court’s stunning report Thursday on its failure to discover who leaked a draft decision reversing abortion rights last year laid bare shortfalls at the nation’s highest court, in its technology, protocols for confidentiality and overall institutional safeguards.

    Further, the lack of success in discovering who was responsible raises the possibility of a security breach in the future. It already appears likely to add to the public’s distrust of the justices and accelerate the partisan rancor surrounding the court.

    The justices’ two-page statement and 20-page report from Supreme Court Marshal Gail Curley appear intended to demonstrate the thoroughness of the investigation, with numbers of people interviewed (126 formal interviews of 97 employees) and various forensic measures taken.

    Yet each page rings with limitations and dead ends. It also suggests certain boundaries on who was investigated, referring only to employee scrutiny. There was no mention of possible interviews with the nine individual justices or their spouses.

    On Friday, Curley put out a statement saying she had spoken to the justices but suggesting that it was in a less formal process than her interviews with employees. She said she did not ask the justices to sign sworn affidavits, as she had asked their law clerks, and that none of the leads she pursued implicated the justices or their spouses.

    Overall, it is paradoxical that an institution that cloaks itself in secrecy and casts itself above other Washington institutions would be exposed as such a sieve.

    The report expresses outright how easily confidential information could have slipped out, whether deliberately or accidentally. About 100 people had access to the draft at the outset, according to the details of the report. Many employees, the report said, “printed out more than one copy.”

    In a momentous case involving a half century of precedent protecting women’s privacy rights, routine office precautions were absent. And when the breach was discovered – a breach that the court itself deemed “a grave assault” – it was all but impossible to re-trace internal operations.

    Although the report effectively clears the law clerks who serve the justices for one-year terms, it noted that some of them admitted to telling their spouses about the opinion and vote count, in violation of the clerks’ code of conduct.

    In the days immediately after Politico published the draft, some conservative activists had accused liberal clerks of the disclosure. Liberal advocates, meanwhile, targeted the court’s conservatives who might have been trying cement the 5-4 split to overturn Roe v. Wade. The partisan acrimony only increased once the decision upending reproductive rights nationwide was issued.

    Thursday’s inconclusive report did little to ease such tensions and instead spurred questions about how seriously the court sought out those responsible for the leak.

    Outside critics had predicted that it would be difficult to determine who leaked the draft to Politico, which published the document on May 2, believing that whoever was responsible would not have left a trail.

    But now that the court has laid out its operations, it appears it might have been quite simple to avoid detection.

    Computer and printing technology was not secure. Officials could not determine conclusively whether copies of the draft decision in Dobbs v. Jackson Women’s Health Organization had been surreptitiously copied or emailed to unauthorized devices.

    “(F)or some networked printers there was very little logging capability at the time, so it is likely that many print jobs were simply not captured,” the report stated. Investigators also found that printers used by the justices’ staff were only locally connected, rather than connected to a larger network that could track printing activity.

    The report acknowledged that no written policy existed on how to safeguard or dispose of draft opinions and other sensitive documents.

    “The pandemic and resulting expansion of the ability to work from home, as well as gaps in the Court’s security policies,” Curley wrote, “created an environment where it was too easy to remove sensitive information from the building and the Court’s IT networks, increasing the risk of both deliberate and accidental disclosures of Court-sensitive information.”

    The report, nearly nine months in the making, belied the suspense generated by Chief Justice John Roberts’ launch of the investigation. In his May 3 statement, he referred to a “betrayal of the confidences of the Court … intended to undermine the integrity of our operations.”

    The report came with a seal of approval from an outside firm, the Chertoff Group, hired to review Curley’s investigation. Michael Chertoff, a former judge and secretary of Homeland Security who now runs a private firm, wrote that Curley and her investigators had undertaken a “thorough investigation within their legal authorities.”

    In his one-page statement attached to the justices’ materials for public distribution, Chertoff made specific recommendations, all of which appeared fairly basic for any operation handling legal documents, if not the country’s top judicial officers: restrict the distribution of paper copies of sensitive documents; restrict the email distribution of such documents; adopt tools to better control how such documents are edited and shared; and limit the access of sensitive information on outside mobile devices.

    Curley had noted that no evidence emerged showing that anyone emailed the draft opinion outside, “although technical limitations in the Court’s computer recordkeeping at the time made it impossible to rule out this possibility entirely.” She said she also could not eliminate the possibility that someone had downloaded the opinion to a removable device.

    CNN had reported last summer that Curley was collecting cell phones and other devices from clerks and permanent employees. “To date,” she wrote in the report, “the investigators have found no relevant information from these devices.” Interviews and signed affidavits also yielded no answers.

    Curley, who said that new security measures were being implemented, was candid about how few conclusions her team could reach, adding that the draft opinion could have been inadvertently left in a public place. Yet, she added, regarding any employee who acted intentionally, “that person was able to act with impunity because of inadequate security with respect to the movement of hard copy documents from the Court to home, the absence of mechanisms to track print jobs on Court printers and copiers, and other gaps in securities or policies.”

    That reality puts a bureaucratic stamp on what has been regarded as the court’s most serious breach ever.

    Roberts had vowed back in May that the disclosure would not affect the justices’ work. He declared then that the draft “does not represent a decision by the Court or the final position of any member on the issues in the case.”

    But it did – despite Roberts’ own efforts to try to change the outcome.

    The final opinion, issued on June 24, differed little from the draft opinion reversing Roe v. Wade, a 1973 decision that first gave woman a constitutional right to end a pregnancy. Justice Samuel Alito, who wrote the new opinion, was joined by four fellow conservatives.

    Even after the leak, CNN had learned, Roberts tried to persuade one of the five justices in the majority to break away and prevent the reversal of nearly a half century of abortion rights. The chief justice voted to uphold a disputed Mississippi law that banned abortion at 15 weeks of pregnancy, but he did not want to use the case to obliterate abortion rights at earlier stages of pregnancy.

    None of the five on the right might ever have wavered in their votes, but CNN learned through sources at the time that the leaked decision made Roberts’ negotiating efforts all the more difficult.

    Determining how the leak changed the course of history may be impossible. But Thursday’s report, revealing the loose handling of confidential documents, suggests the leak itself need not have been inevitable.

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    January 20, 2023
  • Trump struggles with the new politics of abortion as a triumphant March for Life arrives in Washington | CNN Politics

    Trump struggles with the new politics of abortion as a triumphant March for Life arrives in Washington | CNN Politics

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    CNN
     — 

    The anti-abortion “March for Life” for decades demonstrated to Republicans that they could not reach the Oval Office without the support of the anti-abortion movement.

    On Friday, marchers will gather in Washington with a decades-long mission accomplished, after the Supreme Court’s removal of a constitutional right to an abortion by overturning the Roe v. Wade decision last year.

    That means this year’s march will be a time for celebration but also of debate about where the movement goes next with some campaigners seeking to restrict the procedure everywhere. But such a refocused goal carries big risks. Democrats after all belatedly leveraged their own energy over abortion in the midterm elections in a backlash against the right-wing Supreme Court majority that helped stave off a big Republican midterm election wave.

    The March for Life also comes at an extraordinary moment when Donald Trump, the president who did more than any other to end Roe after a pact with social conservative voters that helped win him the 2016 GOP nomination, has launched an extraordinary attack on evangelical leaders he sees as insufficiently loyal, as CNN’s Gabby Orr, Kristen Holmes and Kaitlan Collins reported this week.

    “Nobody has ever done more for Right to Life than Donald Trump. I put three Supreme Court justices, who all voted, and they got something that they’ve been fighting for 64 years, for many, many years,” Trump said in an interview on Real America’s Voice Monday, referring to the overturning of federal abortion rights.

    “There’s great disloyalty in the world of politics and that’s a sign of disloyalty,” Trump told conservative journalist David Brody.

    The comment was a window into Trump’s psychology, revealing his transactional understanding of politics and his highly developed sense of fealty he sees owed to him.

    The former president is specifically angry over the failure to immediately endorse his 2024 White House bid by some evangelical leaders who remain influential figures in the conservative movement. Trump’s third White House run has so far failed to pick up significant energy.

    But Trump has also shown signs recently of questioning whether his purported greatest domestic achievement – the building of a generational conservative Supreme Court majority and its subsequent overturning of Roe – may end up hindering his hopes of a return to the White House in 2025. He wrote on his Truth Social platform earlier this month that 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.”

    The former president’s comments are backed by exit polls from November’s midterms that showed more than a quarter of voters listing abortion as a top issue. About 61% said they were unhappy with the Supreme Court’s overturning of Roe v. Wade, and about 7 in 10 of those voters backed a Democratic House candidate.

    In his Truth Social comments, Trump appeared to be seeking to offload blame for the Republicans’ failure to win back the Senate and the party’s smaller-than-expected House majority. Trump took on waves of criticism after the election for promoting extreme, election denying candidates who often lost in swing states in the midterm elections.

    But it is notable seeing Trump navigate the shifting politics of abortion and apparently sizing up how it could affect his political prospects in future. After all, he was once unapologetically pro-choice before his foray into Republican politics dictated a shift in position and led to the bargain with evangelicals, which included an effective commitment to appoint anti-abortion justices to the Supreme Court in return for the crucial votes of social conservatives.

    In the past, Trump has been a fixture of the March for Life rally, and in 2020, he became the first sitting president to attend in person as he geared up for his reelection race. He told marchers that “unborn children have never had a stronger defender in the White House.”

    There is no sign yet that he will call into Friday’s event, which will include a detour to the US Capitol on its usual route to the Supreme Court to underline how Congress is now a focus of the movement, as Democrats seek to codify Roe v. Wade protections into law.

    Trump’s comments on abortion and his feuding with evangelical leaders raise the question of whether the former president has made a tactical error and is harming his 2024 candidacy by targeting a critical GOP primary voting bloc at a time when there are growing questions over whether he is still the dominant force in Republican politics.

    Ralph Reed, the executive director of the Faith and Freedom Coalition, told CNN that there is “no path to the nomination without winning the evangelical vote. Nobody knows that better than President Trump because, to the surprise of almost everyone, he won their support in 2016.”

    This question is especially acute in Iowa, the first-in-the-nation caucuses – for Republicans at least – in the 2024 primary season, which will be the first test of the ex-President’s hold over conservatives and evangelicals especially.

    Trump didn’t actually win in Iowa in 2016, coming second to Texas Sen. Ted Cruz and just beating out Florida Sen. Marco Rubio, and the state has often not been a true barometer of how the GOP nominating contest will go.

    However, it will take on extra significance in 2024 and is likely to be seen as a strong indicator of Trump’s appeal to the conservative base. A loss there would create a painful narrative as he headed into subsequent contests – especially since he strongly carried the state in the general elections in 2016 and 2020.

    And it’s easy to come up with a list of potential GOP candidates that might have appeal in the state if they challenge Trump, including Florida Gov. Ron DeSantis, South Dakota Gov. Kristi Noem, former Vice President Mike Pence or Cruz once again. Only Trump so far is a declared 2024 Republican presidential candidate.

    Trump would be in an odd situation in 2024, in that he is in many ways effectively an incumbent given his strong support in the GOP and the fact that he didn’t go away after losing reelection. But at the same time, he’s not a sitting president and looks likely to face a contested primary and so may be more exposed in early contests.

    Still, while some conservative base voters might want to move on, there’s still strong goodwill among many toward Trump, gratitude for the change he brought during his term and admiration for his attitude.

    “Many people forgave him for his misstatements and his missteps because they generally liked his ability to fight, even if that became a cliché for some people, Trump’s detractors,” said Timothy Hagle, an associate professor of political science at the University of Iowa who is an expert on the state’s politics.

    This gets to point often missed about Trump. For many of his supporters, he offered an emotional as much as a political connection. His willingness to say what many grassroots conservatives thought and to assail institutions they despised, like the media or Washington experts and other elites, were as important as many of his often-ill-defined individual political positions.

    And it’s also often forgotten that evangelical voters in places like Iowa do not necessarily vote as a bloc, or according to what their leaders or pastors recommend and may prioritize issues such as taxes over social questions if a candidate is deemed to be generally acceptable. That may give Trump more leeway than more conventional candidates in departing from traditional conservative orthodoxy even over abortion.

    Still, Hagle said, even small numbers of disaffected Iowa voters could make a difference to Trump’s chances in the state if they don’t show up for him, as could more mainstream GOP caucus voters who may be taking a look at other aspects of his candidacy and those of potential rivals.

    “Are they going to support Trump because he fights, or because of his economic position or his position on the border?” Hagle said. “The abortion stuff may not be as important to them, or will they go a different direction at this point?”

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    January 20, 2023
  • Jay Inslee Fast Facts | CNN Politics

    Jay Inslee Fast Facts | CNN Politics

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    CNN
     — 

    Here is a look at the life of Jay Inslee, governor of Washington and former 2020 Democratic presidential candidate.

    Birth date: February 9, 1951

    Birth place: Seattle, Washington

    Birth name: Jay Robert Inslee

    Father: Frank Inslee, biology teacher, coach and athletic director

    Mother: Adele (Brown) Inslee, store clerk

    Marriage: Trudi (Tindall) Inslee (August 27, 1972-present)

    Children: Jack, Connor and Joe

    Education: Stanford University, 1969-1970; University of Washington, B.A., 1973, economics; Willamette University College of Law, J.D., 1976, graduated magna cum laude

    Religion: Protestant

    Inslee is dedicated to addressing climate change and other environmental issues.

    While in the US House of Representatives, he served on the House Committee on Energy and Commerce and on the House Select Committee on Energy Independence and Global Warming.

    He was the first governor to enter the 2020 presidential race.

    At Seattle’s Ingraham High School, Inslee was the starting quarterback.

    Worked his way through college doing odd jobs.

    Has praised the “Green New Deal,” saying it is “raising people’s ambitions” and “making what might seem impossible within the realm of the possible,” but has not outright said he would support the entire package. Nor has he endorsed Medicare-for-all.

    Established Washington’s Marijuana Justice Initiative. It allows for gubernatorial pardons for those previously convicted of a single misdemeanor marijuana crime “between January 1, 1998, and December 5, 2012, when I-502 legalized marijuana possession.”

    After law school, works as an attorney with Peters, Schmalz, Leadon & Fowler (later Peters, Fowler and Inslee), and serves as a city prosecutor for over a decade.

    November 1988 – Wins an open seat in the Washington House of Representatives for the 14th District against Lynn Carmichael (R) with 51.64% of the vote. Is reelected in 1990 with 61.82% of the vote.

    1989-1993 – Washington House of Representatives.

    November 1992 – Wins US House of Representatives seat for Washington’s 4th District against Richard “Doc” Hastings (R) with 50.84% of the vote.

    January 3, 1993-January 3, 1995 – US House of Representatives.

    November 1994 – Loses his reelection bid to the US House of Representatives to Hastings with 46.6% of the vote.

    1995-1996 – Attorney at Gordon, Thomas, Honeywell, Malanca, Peterson & Daheim L.L.P.

    September 1996 – Unsuccessful gubernatorial bid, only coming in third with 10% of the vote in the primary.

    1997-1998 – Region 10 Director for the US Department of Health and Human Services under US President Bill Clinton, serving Alaska, Idaho, Oregon and Washington.

    November 1998 – Wins US House of Representatives seat for Washington’s 1st District, after four years out of office, against incumbent Rick White (R) with 49.77% of the vote.

    January 3, 1999-March 20, 2012 – US House of Representatives. Reelected six times.

    2007 – His book, “Apollo’s Fire: Igniting America’s Clean Energy Economy,” written with Bracken Hendricks, is published.

    March 10, 2012 – Announces he will resign from the US House of Representatives in order to focus on his run for governor of the state.

    November 2012 – Wins the election for governor of Washington, defeating Rob McKenna (R) with 51.54% of the vote. Is reelected in 2016 with 54.39% of the vote.

    January 16, 2013-present – Governor of Washington.

    February 11, 2014 – Announces that he is suspending executions while he is in office, meaning he will issue reprieves when any capital cases come to his desk for action.

    2015-2016, 2017-2018 – Education and Workforce Committee Chair, National Governors Association (NGA).

    2016-2017, 2018-2019 – Education and Workforce Committee Vice Chair, NGA.

    2016 – Endorses Hillary Clinton for president of the United States.

    2017-present – Co-chair of the US Climate Alliance, a group he co-founded with California Governor Jerry Brown and New York Governor Andrew Cuomo. The Alliance pledges to uphold the Paris Climate Accord following the United States’ withdrawal from the agreement.

    2017-2018 – Chairman of the Democratic Governors Association.

    July 5, 2017 – Inslee signs Washington’s paid family and medical leave act into law. It is considered one of the most generous such laws in the nation.

    November 6, 2018 – Loses a bid to enact a statewide carbon emissions tax, for the second time in two years.

    March 1, 2019 – Releases a video announcing his presidential candidacy.

    March 14, 2019 – Signs a bump stock buy-back program into law a week before a nationwide ban takes effect. The devices, which replace the standard stock and grip of a semi-automatic firearm, make it easier to fire rounds from such a weapon by harnessing the gun’s recoil to “bump” the trigger faster.

    August 21, 2019 – Suspends his 2020 presidential campaign.

    August 22, 2019 – Announces that he is running for a third term as governor.

    November 3, 2020 – Wins reelection to a third term as governor.

    June 30, 2022 – Inslee issues a directive that bars state police from cooperating with out-of-state investigatory requests related to abortion in his efforts to make the state a “sanctuary” for those seeking abortion services. The decision comes after the US Supreme Court ruled to strike down Roe v Wade, the 1973 legal precedent which guaranteed people’s federal constitutional right to abortion. The historic ruling essentially leaves abortion laws in states’ hands.

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    January 17, 2023
  • Alabama attorney general says people who take abortion pills could be prosecuted | CNN Politics

    Alabama attorney general says people who take abortion pills could be prosecuted | CNN Politics

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    CNN
     — 

    Alabama’s Republican attorney general said this week that women in the state who use prescription medication to terminate their pregnancies could be prosecuted under a chemical-endangerment law, even though Alabama’s anti-abortion law does not intend to punish women who receive abortions.

    Steve Marshall made the comments in the wake of a decision earlier this month by the US Food and Drug Administration to allow certified pharmacies to dispense the abortion medication mifepristone to people who have a prescription.

    “The Human Life Protection Act targets abortion providers, exempting women ‘upon whom an abortion is performed or attempted to be performed’ from liability under the law,” Marshall said in a statement to AL.com on Tuesday. “It does not provide an across-the-board exemption from all criminal laws, including the chemical-endangerment law—which the Alabama Supreme Court has affirmed and reaffirmed protects unborn children.”

    The chemical endangerment law was passed in 2006 amid high drug usage in Alabama with aims of protecting children from chemicals in the home, but district attorneys have successfully applied the law to protect fetuses of women who used drugs during pregnancy.

    It’s unclear if there are any pending cases against women in Alabama in the wake of the FDA’s announcement. CNN has reached out to Marshall’s office for comment.

    At least one Democrat, Alabama state Rep. Chris England, argued on Twitter that the chemical endangerment law is “extremely clear” and under it, a woman could not be prosecuted for taking a lawfully prescribed medication.

    “Any prosecutor that tries this, or threatens it, is intentionally ignoring the law,” England wrote on Thursday morning.

    Emma Roth, an attorney with Pregnancy Justice, a nonprofit that provides legal representation for women charged with crimes related to pregnancy, said on Twitter that the effect of Marshall’s comments will be to create “a culture of fear among pregnant women.”

    The comments are “extremely concerning and clearly unlawful,” Roth elaborated in a statement to CNN. “The Alabama legislature made clear its opposition to any such prosecution when it explicitly exempted patients from criminal liability under its abortion ban.”

    The chemical endangerment law says it does not require reporting controlled substances that are prescription medications “if the responsible person was the mother of the unborn child, and she was, or there is a good faith belief that she was, taking that medication pursuant to a lawful prescription.”

    Mifepristone can be used along with another medication, misoprostol, to end a pregnancy. Previously, these pills could be ordered, prescribed and dispensed only by a certified health care provider. During the Covid-19 pandemic, the FDA allowed the pills to be sent through the mail and said it would no longer enforce a rule requiring people to get the first of the two drugs in person at a clinic or hospital.

    Marshall’s comments underscore the legal uncertainty wrought by the Supreme Court’s decision last year to end the federal right to an abortion. In the wake of the Dobbs decision, several Republican-led states passed strict anti-abortion laws, while several others, including Alabama, that had passed so-called trigger laws anticipating an eventual overturn of Roe v. Wade, saw their new restrictions go into effect.

    While the anti-abortion movement seeks to prevent abortions from taking place, it has often opposed criminalizing the women who undergo the procedure.

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    January 12, 2023
  • Damar Hamlin discharged after spending more than a week hospitalized due to a cardiac arrest | CNN

    Damar Hamlin discharged after spending more than a week hospitalized due to a cardiac arrest | CNN

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    CNN
     — 

    Buffalo Bills player Damar Hamlin has been discharged from a Buffalo medical center, his club said Wednesday, after more than a week of hospitalization due to a cardiac arrest he suffered during a “Monday Night Football” game this month.

    The 24-year-old Bills safety had been showing signs of accelerated improvement in the days leading up to his release from Buffalo General Medical Center in New York, hospital officials had said.

    “We have completed a series of tests and evaluations, and in consultation with the team physicians, we are confident that Damar can be safely discharged to continue his rehabilitation at home and with the Bills,” a physician leading Hamlin’s care in Buffalo, Dr. Jamie Nadler, said in a statement the Bills released Wednesday on Twitter.

    Hamlin initially was hospitalized in Cincinnati when his heart suddenly stopped after a tackle during a game against the host Cincinnati Bengals on January 2, but was transferred to the Buffalo facility Monday after doctors determined his critical condition had improved enough for the move.

    Doctors at the Buffalo hospital were trying to determine why Hamlin suffered the cardiac arrest, Kaleida Health, the group of hospitals that includes the Buffalo medical center, said before his discharge. That included whether pre-existing conditions played a role in the event, which shocked many around the country and prompted a huge outpouring of support for the second-year NFL player.

    On Tuesday, Hamlin went through “a comprehensive medical evaluation as well as a series of cardiac, neurological and vascular testing,” the Bills said on Twitter.

    No cause of Hamlin’s cardiac arrest has been publicly announced.

    “Special thank-you to Buffalo General it’s been nothing but love since arrival! Keep me in y’all prayers please!” Hamlin tweeted Tuesday.

    It will be up to Hamlin to decide when he will be around the team again while recovering, Bills coach Sean McDermott said Wednesday.

    “Grateful first and foremost that he is home with his parents and his brother, which is great,” McDermott told reporters Wednesday, as the Bills prepared to host the Miami Dolphins for a playoff game Sunday. No timetable for Hamlin’s return to professional football has been announced.

    “We’ll leave (when he’ll be around the team) up to him. His health is first and foremost in our mind as far as his situation goes and when he feels ready, we will welcome him back,” McDermott said.

    While in critical condition in Cincinnati, Hamlin was sedated and on a ventilator for days. On Friday morning the breathing tube was removed, and Hamlin began walking with some help by that afternoon, his doctors said Monday.

    The health care team focused on stabilizing Hamlin and upgraded his condition Monday because his organ systems were stable and he no longer needed intensive nursing or respiratory therapy, doctors said.

    “He’s certainly on what we consider a very normal to even accelerated trajectory from the life-threatening event that he underwent,” Dr. Timothy Pritts, chief of surgery at the University of Cincinnati Medical Center, said earlier this week. “He’s making great progress.”

    Normal recovery from a cardiac arrest can be measured in weeks to months, Pritts said Monday. Hamlin had been beating that timeline at each stage and is neurologically intact.

    When Hamlin collapsed seconds after an open-field tackle against a Bengals wide receiver, medical personnel rushed onto the field and administered CPR quickly – which helped save his life.

    Hamlin’s heart had stopped, and medical responders revived it twice before putting him into an ambulance and taking him to the hospital. The immediate actions of medical personnel were vital to “not just saving his life, but his neurological function,” said Pritts.

    The horrifying scene of Hamlin suddenly falling on his back after standing up following the tackle unsettled his teammates, the other players and millions of watching fans.

    The game was initially postponed and later cancelled by the NFL – a decision several former football players said was a sign of a shift in prioritizing players’ mental and physical health.

    Now, the Bills organization is encouraging people to learn the critical, life-saving skill of administering CPR.

    The team has pledged support for resources including CPR certifications, automated external defibrillator units and guidance for developing cardiac emergency response plans within the Buffalo community, according to the statement. “We encourage all our fans to continue showing your support and take the next step by obtaining CPR certification,” the Bills said.

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    January 11, 2023
  • Meet the group protecting patients from protesters outside abortion clinics | CNN Politics

    Meet the group protecting patients from protesters outside abortion clinics | CNN Politics

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


    Washington
    CNN
     — 

    When the Supreme Court overturned Roe v. Wade in June, Planned Parenthood made a vow.

    “It is a dark day for our country, but this is far from over. We will not compromise on our bodies, our dignity or our freedom,” the organization said in a statement.

    But with more than a dozen states enacting complete or partial bans on abortion following the Supreme Court decision, abortion clinics, like those operated by Planned Parenthood, and the protests they attract have become an even more potent symbol of the country’s deep divisions over reproductive health.

    To minimize the effect these protests have on patients visiting Planned Parenthood clinics, the organization deploys volunteer clinic escorts to “help get patients to the door of our clinic with as little harassment from protesters and picketers as possible,” according to its website.

    The result is a defensive role on the front lines of America’s abortion debate.

    To understand the role and what it entails, we turned to Marian Starkey, a volunteer Planned Parenthood clinic escort in Maine who has been guiding patients past protesters at different locations since 2007.

    Our conversation, conducted over the phone in late December and lightly edited for flow and brevity, is below.

    LEBLANC: When you sign on for your clinic escort shift, what can the average day bring? I imagine every day is a little bit different.

    STARKEY: To a degree. I mean, the difference really revolves around the public’s reaction to the protesters. Honestly, the protesters are pretty consistent. It’s generally the same people who show up every Friday.

    Friday is the procedure day at Planned Parenthood. And so that’s the day that the protesters are there. They usually arrive around 8:30 in the morning and, depending on the weather, they’ll stay until 11 o’clock or sometimes later if it’s nice out.

    They show up with massive signs that barely fit in their cars. They have to kind of squish them into the back seats of their cars when they leave at the end of the shift. The signs show fetuses in very advanced stages of development and pretty, pretty gruesome images, and they’re meant to shock and disturb patients and passersby, which they do.

    They show up and they do a little prayer to start off their day. And then the men – it’s always men – will take turns preaching throughout the morning. I’ve never, in the 15 or 16 years I’ve been doing this, I’ve never seen a woman preach, always the dudes. Young ones, too.

    I mean, men as young as probably 19 or 20 sort of get on their soapbox and preach at passing traffic, at the patients entering the clinic. But mostly at us.

    STARKEY: Honestly, the patient traffic isn’t so heavy that there’s always somebody for them to be sort of focusing on. So they focus most of their attention on us greeters and try to learn personal information about us and then use that to sort of get under our skin.

    I mean, they all know my name. They know that my mom’s a midwife. I hear about that a lot – that, you know, she brings life into this world and I take it out.

    LEBLANC: Oh, wow.

    STARKEY: Yeah, so it can be pretty targeted. We have a non-engagement policy across the country, so we don’t speak with them; we try not to even acknowledge them with eye contact. And so we just kind of look right through them or look up and down the sidewalk to see what’s going on with patients and people passing by.

    And that doesn’t deter them from talking at us, but we don’t engage.

    LEBLANC: How is it that they’re learning personal information about the clinic escorts?

    STARKEY: The same way that we’re learning information about them, if I’m being honest. If they make the mistake of using each other’s names out on the sidewalk, then now we know their name.

    They coordinate with each other using a Facebook page, and so if you go to that page, you can see a lot of their activity, and it can actually be kind of useful to see what they’ve got cooking. They’ll sometimes reveal plans for future protest events that they wanna do.

    But it’s also a place to see their pictures, and so we can recognize who they are. And I imagine they do the same thing with us.

    LEBLANC: So your goal is to basically shield the people using Planned Parenthood’s facilities from as much protester activity as possible?

    STARKEY: Yeah, and to just keep the chaos to a minimum, if possible. Patients can’t tell when they turn the corner from the parking garage and start their walk down the sidewalk – they can’t tell who’s a protester and who isn’t and who’s on their side and who’s not.

    And so when they make their appointments over the phone, they’ve already been warned there are protesters. They’ve also been told that there are clinical volunteers who are wearing these bright pink vests.

    But I think sometimes that doesn’t even register for them because they’re just in such a state when they see what they have to walk through. So, you know, we’re just trying to keep things as calm as possible, and not engaging with them tends to be the best way to do that.

    People are in all sorts of different mental states when they arrive. A lot of times just the presence of the protesters will make them cry. They have to walk down almost an entire block to get from the corner where the parking garage is to the front door of the clinic. And so I’m sure that can feel like an eternity for patients when they’re already upset.

    And so a lot of times they’ll burst into tears or the partners that they’re with – their support person – will start screaming at the protesters.

    A lot of times the men are actually the targets of the abuse from the protesters. They have sort of standard lines that they shout at them, like “real men don’t kill their children” and “be a father” or “don’t kill your child,” that sort of thing.

    So yeah, it’s just chaos out there. It’s a circus.

    LEBLANC: Have you ever had someone come in that was so traumatized by the experience that they no longer want to go through with their procedure?

    STARKEY: I haven’t seen that happen. The protesters, we will hear them sometimes boast about all of the lives that they’ve saved through people changing their minds. I haven’t seen it happen. So I’m not sure what they’re referring to when they say that.

    I don’t know, maybe something’s happening behind the scenes that we’re not privy to. I’m not sure.

    We have had patients for sure who, if there weren’t greeters on the corner, would not have walked down the sidewalk by themselves, and they told us that.

    LEBLANC: You’ve been doing this a long time. I’m curious if you’ve noticed a change at all since the Dobbs decision that overturned Roe v. Wade?

    STARKEY: Honestly I don’t think so. The protesters seemed happy about it, but not overjoyed. They have told us over the years in their preaching, but also just kind of the one-sided conversations they have with us, that they’re not political people. That for them, the person in charge is Jesus Christ and they’re not all that interested in the laws of man and the elected officials that we have.

    What I have noticed that’s different is that people passing by are a lot angrier.

    The morning of the decision, a man came by and just screamed in the faces of the protesters: “You finally got what you wanted, now you can get out of here.” And they just kind of calmly explained to him, “Well, no, because abortion is still legal in Maine, so we still have work to do, and we’ll be out here regardless.”

    I had never before the Dobbs decision – I had never seen people passing by grab their signs and make off with them. And now that’s happened. I mean, I’ve probably seen that five or six times now.

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    January 11, 2023
  • NICU mom stays by her son’s side after his nurses leave to strike | CNN Business

    NICU mom stays by her son’s side after his nurses leave to strike | CNN Business

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    New York
    CNN
     — 

    Lora Ribas hasn’t left her son’s bedside in four days.

    Her one-year-old baby, Logan, has been in the neonatal intensive care unit (NICU) since he was born. For the past three and a half months, he’s been under the care of Mount Sinai Hospital where thousands of nurses are currently striking.

    Logan was born prematurely at 27 weeks and is on a ventilator because his lungs were underdeveloped.

    Mount Sinai’s NICU has been consistently understaffed even before the strike, Ribas said. But since Mount Sinai’s nurses began picketing Monday, new travel nurses have replaced Logan’s primary care nurses – nurses who don’t fully understand her son’s needs, she said.

    Ribas said she’s too scared to leave her son alone under the care of the new travel nurses. She took a leave from work to stay by his side.

    “It’s scary to think that I can’t even go to the bathroom without me being concerned,” Ribas told CNN.

    Although the travel nurses are trying to compensate, they “don’t really know my son” and are still learning where supplies are around the unit, Ribas said.

    They aren’t able to give him one-on-one care because of the staffing shortages, according to the mom, and she said the staffing levels are even lower at night.

    Two nurses currently working inside Mount Sinai Hospital told CNN Monday that additional traveling nurses have not shown up as expected on their floors to replace nurses that are striking, causing stress for patients and staff.

    Mount Sinai Health System did not immediately respond to CNN’s request for comment.

    In preparation for the strike, Mount Sinai announced Friday it would transport newborns in its intensive care unit to other area hospitals. But the most critical babies – like Logan – have stayed in the hospital’s NICU unit. One NICU nurse at Mount Sinai who spoke to CNN on condition of anonymity, said moving a NICU baby to another hospital can be a risky move.

    “It’s a big journey for a baby who’s never been outside the hospital,” she told CNN. “It’s not anything that we want to happen. We want our babies to stay.”

    The more critical the baby’s condition is, the more complicated a transfer to another hospital becomes, the nurse explained.

    “You would need at least a doctor or nurse practitioner, a respiratory therapist if the patient is on respiratory support and a transport nurse to work the pumps and administer medicine if needed,” she said.

    Ribas said her son’s primary nurses who are striking right now are heartbroken they had to leave him and have been calling her to check on his status.

    “He has really wonderful primary nurses,” she said. “They were in tears having to leave him because my baby suffered cardiac arrest two days before the strike happened, and so now I’m dealing with that plus the shortage of staff. Which is very scary.”

    The nurses strike at two private New York City hospitals – Montefiore and Mount Sinai – involving over 7,000 nurses entered its second day Tuesday. Montefiore said it was holding bargaining sessions Tuesday. Mount Sinai has no plans to do so, according to the nurses’ union.

    The sticking point continues to be enforcing safe staffing levels, New York State Nurses Association (NYSNA) union officials said.

    A pediatric oncology nurse at Mount Sinai who administers chemotherapy to children with cancer said it’s hard to leave her patients to strike, but she knows it’s in the best interest of their care.

    “We love these patients more than anything,” Melissa Perleoni said, “and it breaks our heart – at least it breaks my heart – to be out here but I have to do this for the future of their care.”

    Ribas said she hopes hospital management reaches a contract with the nurses soon.

    “The nurses are the heart of the NICU, and they do need to figure it out before it becomes a different situation – because every single minute, every hour, the babies are running a very, very high risk of even dying in here.”

    “There’s nothing that could bring your kid back. Nothing,” she said.

    – CNN’s Tami Luhby, Vanessa Yurkevich and Mark Morales contributed to this report

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    January 10, 2023
  • Nurses at Mount Sinai Morningside and West reach tentative agreement as more than 7,000 nurses still due to strike | CNN Business

    Nurses at Mount Sinai Morningside and West reach tentative agreement as more than 7,000 nurses still due to strike | CNN Business

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    New York
    CNN
     — 

    Mount Sinai Morningside and West hospital reached a tentative agreement with the state nursing union on a new contract Sunday, avoiding a strike Monday morning, according to a news release from the union.

    Nurses at two other area hospitals, Mount Sinai Hospital and Montefiore Bronx, are still due to strike after not reaching agreements.

    Both hospitals are back at the bargaining table with New York State Nurses Association nurses today – if a tentative agreement is not reached, then approximately 3,625 nurses at Mount Sinai and approximately 3,500 nurses at Montefiore Bronx will strike at 6 a.m. Monday. The union said during a news conference Sunday morning that negotiations could go into the early morning.

    The new tentative agreement at Morningside and West brings the anticipated number of nurses to strike down from 8,700 to about 7,125. The tentative agreement improves staffing, protects benefits and increases salaries over three years.

    That brings seven of the 12 New York hospitals in negotiations to reach tentative agreements or new contracts.

    “The time is now to settle fair contracts that help nurses deliver the care that all New Yorkers deserve. We are fighting to improve patient care and will do whatever it takes to win,” NYSNA President Nancy Hagans said in a statement Sunday.

    New York City’s Mount Sinai Hospital is continuing to move infants out of intensive care units to other area hospitals, is diverting ambulances to other facilities and postponing elective surgeries and heart surgeries ahead of a planned nursing strike Monday.

    In a statement late Saturday, the hospital said it has been negotiating “in good faith” with the nursing union on a new contract. Mount Sinai has agreed to meet with NYSNA nurses after walking out on a bargaining session Thursday, the union said Sunday.

    A Mount Sinai spokesperson told CNN on Saturday the hospital system is actively bargaining with the Mount Sinai Morningside and West campuses under separate union agreements.

    But if agreements aren’t reached at several New York City area hospitals, thousands of nurses will strike on Monday morning.

    The hospital said Sunday its current wage offer “is identical” to ratified agreements at NewYork-Presbyterian and Maimonides – and would increase a Mount Sinai nurse’s base salary by 19.1 percent over three years.

    “But NYSNA’s inconsistent bargaining, unwillingness to accept this offer, and insistence on moving forward with a strike has left us no choice but to take significant actions to care for our patients,” the hospital statement said.

    Seven neonatal intensive care unit infants were safely transferred Saturday to partner hospitals in New York City, a hospital spokesperson told CNN on Sunday. Another six will be transferred Sunday from the NICUs at Mount Sinai Hospital and Mount Sinai West, the spokesperson said.

    “In addition, we have transferred close to 100 patients from the affected hospitals – The Mount Sinai Hospital, Mount Sinai West and Mount Sinai Morningside – to unaffected hospitals within the Mount Sinai system and partner hospitals in NYC and we continue to safely discharge patients who were schedule to go home.” All elective surgeries have been postponed, the spokesperson said.

    The NYSNA hit back Saturday at comments from Mount Sinai, which said Friday it was transferring infants in its neonatal intensive care units to other area hospitals because of the strike notice, adding the hospital was dismayed by the union’s “reckless” actions.

    “As a labor and delivery nurse who helps mothers to bring babies into this world, I find it outrageous that Mount Sinai would compromise care for our NICU babies in any way. We already have NICU nurses caring for twice as many sick babies as they should,” Matt Allen, the union’s regional director, said.

    “It’s unconscionable that Mount Sinai refuses to address unsafe staffing in our NICU and other units of the hospital but is now stirring fears about our NICU babies in contract negotiations,” he added.

    In a statement Saturday, the NYSNA said nurses at BronxCare and The Brooklyn Hospital Center reached tentative agreements that will improve safe staffing levels and enforcement, increase wages by 7%, 6%, and 5% annually during their three-year contract, and retain their healthcare benefits.

    On Saturday, nurses at NewYork-Presbyterian announced they had agreed to ratify their deal, but it was a close vote – 57% nurses voted yes and 43% were against.

    “Voting on whether to ratify a contract is a key component of union democracy. Just like in any democracy, there is rarely 100 percent consensus,” Hagans said in a statement.

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    January 8, 2023
  • Amid negotiation gridlock between Mount Sinai Hospital and the nursing union, newborns in intensive care are caught in the middle, one nurse says | CNN Business

    Amid negotiation gridlock between Mount Sinai Hospital and the nursing union, newborns in intensive care are caught in the middle, one nurse says | CNN Business

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    CNN
     — 

    Crucial union negotiations between Mount Sinai Hospital and the New York State Nurses Association appear to be at a standstill and both parties say the other is refusing to return to the bargaining table.

    As the impasse continues between the hospital and union, the most vulnerable patients – newborns in Mount Sinai’s neonatal intensive care unit – are caught between the opposing sides, causing worry among families, one Mount Sinai nurse, who declined to provide her name out of fear of repercussions, told CNN.

    With thousands of New York nurses poised to strike early Monday morning, one of Manhattan’s famed hospitals announced Friday it would transport newborns in its intensive care unit to other area hospitals in preparation for the strike.

    A Mount Sinai Health System spokesperson confirmed to CNN Friday that neonatal intensive care unit infants would be transferred to other area hospitals because of the strike notice.

    “We are seeking a resolution [to the strike.] The impact is great,” the spokesperson told CNN.

    A NICU nurse at Mount Sinai Hospital told CNN that families of patients in the unit have been deeply concerned about moving their sick infants from one hospital to another. Moving the babies to a different facility can be “very stressful” for a NICU patient, the nurse said, as well as the parents.

    “They’ve asked us all week what’s going to happen to their babies, and what’s going to happen next week,” the nurse said.

    “It’s a big journey for a baby who’s never been outside the hospital,” she told CNN. “It’s not anything that we want to happen. We want our babies to stay. We want to be taking care of them. And it’s kind of shocking, and actually a little infuriating, that the hospital is letting it get to this point.”

    The more critical the baby’s condition is, the more complicated and riskier a transfer to another hospital becomes, the nurse explained.

    “You would need at least a doctor or nurse practitioner, a respiratory therapist if the patient is on respiratory support and a transport nurse to work the pumps and administer medicine if needed,” she said.

    The nurses who care for the sick infants often grow close to the families and develop a trusting relationship with them, especially because some babies spend weeks or even months in the NICU, the nurse told CNN.

    “They’re comfortable leaving their babies with us when they aren’t able to be there,” she said. “We keep in contact with the families after their babies have gone home – so we really do develop a close bond to these families.”

    “We treat our babies in the hospital like they’re our own kids. We’re very protective of them,” she added.

    New York State Nurses Association President Nancy Hagans has said the goal of the negotiations is to improve patient care and staffing, get fair wages and to recruit and retain nurses.

    Negotiations between the health system and the nurse’s union have been ongoing since September, a Mount Sinai Health System spokesperson told CNN Saturday, but low staffing levels have afflicted the NICU unit for years, the nurse told CNN.

    “For over three years now, we’ve been understaffed,” she said.

    The number of patients in the unit surges and falls regularly, according to the nurse, but as patient levels rise, staffing levels stay the same. The unit can surge to 64 patients, she said.

    “You feel like you’re not actually giving your all to your patients,” she said. “You’re really pulled very thin.”

    Paying close attention to infant patients is especially important, according to the nurse, because unlike other patients – even small children – they can’t verbalize pain or discomfort.

    “You really have to be on top of their vital signs and general assessment. And when you’re not able to spend as much time as you need to with them, some things do get missed,” she said. “And it’s very unfortunate.”

    CNN has reached out to the hospital regarding the nurse’s comments on low staffing.

    More than 8,700 nurses are prepared to strike Monday morning if tentative contract agreements are not reached at several hospitals, Hagans, the union president, said at a virtual news conference Saturday morning.

    As of Saturday, negotiations across New York’s hospitals were continuing at Montefiore Bronx and the Mount Sinai Morningside and West campuses, according to the nurse’s union.

    But the president of the nurse’s union told reporters Saturday the main Mount Sinai Hospital complex left the bargaining table late Thursday and no further bargaining sessions have been scheduled since.

    A Mount Sinai Health System spokesperson told CNN that hospital management is “waiting for the union to come back to us” to resume negotiations.

    The hospital said it put forth a deal at Thursday evening’s bargaining session was the same one the union agreed to for nurses at the NewYork-Presbyterian Hospital. Tentative agreements have also been reached with union nurses at Maimonides Medical Center in Brooklyn and Richmond University Medical Center in Staten Island.

    Mount Sinai also said it has offered a 19.1% compounded pay raise over three years, which is the same offer other hospital systems in the city have made.

    The NICU nurse at Mount Sinai said that nurses in her unit don’t want to strike and are hoping that they can come to an agreement with the hospital before Sunday night.

    “It truly breaks our heart having to strike and leave our patients, but unfortunately you have to do some drastic things sometimes,” she told CNN.

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    January 7, 2023
  • Idaho suspect in student murders thoroughly cleaned vehicle, also seen wearing surgical gloves multiple times outside family home, source says | CNN

    Idaho suspect in student murders thoroughly cleaned vehicle, also seen wearing surgical gloves multiple times outside family home, source says | CNN

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    CNN
     — 

    The man accused of murdering four University of Idaho students in November had thoroughly cleaned the interior and exterior of his car and was also seen wearing surgical gloves multiple times before being apprehended, a law enforcement source tells CNN.

    Bryan Kohberger, 28, is currently the sole suspect in the gruesome stabbings of students Kaylee Goncalves, 21; Madison Mogen, 21; Xana Kernodle, 20; and Ethan Chapin, 20, who were found dead inside their off-campus house in Moscow, Idaho, on November 13.

    Kohberger, who was pursuing a PhD in criminal justice at Washington State University at the time of the killings, “cleaned his car, inside and outside, not missing an inch,” according to the law enforcement source.

    The source, who spoke on the condition of anonymity, was briefed on observations made by investigators during four days of surveillance leading up to Kohberger’s arrest at his family’s Pennsylvania home on December 30.

    As Kohberger now remains behind bars in Idaho awaiting his January 12 status hearing, new details have emerged elucidating some of the suspect’s movements in the days leading up to his arrest.

    A surveillance team assigned to Kohberger was tasked with two missions, according to multiple law enforcement sources: keep eyes on Kohberger so they could arrest him as soon as a warrant was issued, and try to obtain an object that would yield a DNA sample from Kohberger, which could then be compared to DNA evidence found at the crime scene.

    Kohberger was seen multiple times outside the Pennsylvania home wearing surgical gloves, according to the law enforcement source.

    In one instance prior to Kohberger’s arrest, authorities observed him leaving his family home around 4 a.m. and putting trash bags in the neighbors’ garbage bins, according to the source. At that point, agents recovered garbage from the Kohberger family’s trash bins and what was observed being placed into the neighbors’ bins, the source said.

    The recovered items were sent to the Idaho State Lab, per the source.

    Last Friday, a Pennsylvania State Police SWAT team then moved in on the Kohberger family home, breaking down the door and windows in what is known as a “dynamic entry” – a tactic used in rare cases to arrest “high risk” suspects, the source added.

    On Thursday, Kohberger had his initial court appearance in Idaho after he was booked into the Latah County jail Wednesday night following his extradition from Pennsylvania.

    Kohberger is charged with four counts of first-degree murder and one count of burglary. He did not enter a plea at the hearing.

    Steve Goncalves, whose daughter Kaylee was among those killed, he told CNN’s JIm Sciutto in an interview that aired Friday morning.

    “Nobody understands exactly why but he was stalking them, he was hunting them,” Goncalves said. “He was a person looking for an opportunity and it just happened to be in that house. And that’s hard to take.

    “She had her phone right next to her and she couldn’t call 911. So these were just girls that went to sleep that night and a coward, you know, a hunter that went out and he picked his little opponent that was girls, that’s probably why the house was targeted.”

    Goncalves was in the courtroom for Kohberger’s appearance.

    “He knows I want him to look me in the eye. So he didn’t. He didn’t give me that opportunity,” Goncalves said. “He’s scared to look at me in the eyes and start to understand what’s about to happen to him. You know, he picked the wrong family.”

    Authorities spent nearly two months investigating before they were able to name publicly a suspect, a task that grabbed national attention and rattled the victims’ loved ones as well as the community – which had not recorded a murder in years.

    Still, the public’s view of the case remains mired with questions. As of late Thursday, it remains unclear what motivated the killings. It’s also unclear how the suspect entered the house after authorities said there was no sign of forced entry or why two roommates who were inside the residence at the time of the killings survived the attacks.

    Here’s how investigators narrowed the search to Kohberger:

    • DNA: Trash recovered from Kohberger’s family home revealed that the “DNA profile obtained from the trash” matched a tan leather knife sheath found “laying on the bed” of one of the victims, according to a probable cause affidavit released Thursday. The DNA recovered from the trash “identified a male as not being excluded as the biological father” of the suspect whose DNA was found on the sheath. “At least 99.9998% of the male population would be expected to be excluded from the possibility of being the suspect’s biological father,” the affidavit said.
    • Phone records: Authorities found the suspect’s phone was near the victims’ Moscow, Idaho, home at least a dozen times between June 2022 to the present day, according to the affidavit. The records also reveal Kohberger’s phone was near the crime scene hours after the murders that morning between 9:12 a.m. and 9:21 a.m, the document says. The killings were not reported to authorities until just before noon.
    • A white sedan: A Hyundai Elantra was seen near the victims’ home around the time of their killings. Officers at Washington State University identified a white Elantra and later learned it was registered to Kohberger. The same car was also found at the suspect’s Pennsylvania family home when he was arrested last Friday. The suspect’s university is about a 10-minute drive from the Idaho crime scene.

    One of two roommates who were not harmed in the attacks said she saw a masked man dressed in black inside the house on the morning of the killings, according to the probable cause affidavit.

    Identified as D.M. in the court document, the roommate said she “heard crying” in the house that morning and also heard a man’s voice say, ‘It’s OK, I’m going to help you.’” D.M. said she then saw a “figure clad in black clothing and a mask that covered the person’s mouth and nose walking towards her,” the affidavit continued.

    “D.M. described the figure as 5’ 10” or taller, male, not very muscular, but athletically built with bushy eyebrows,” the affidavit says. “The male walked past D.M. as she stood in a ‘frozen shock phase.’

    “The male walked towards the back sliding glass door. D.M. locked herself in her room after seeing the male,” the document says, adding the roommate did not recognize the male.

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    January 6, 2023
  • Roberts calls for judicial security in year-end report while avoiding mention of ethics reform or abortion draft leak | CNN Politics

    Roberts calls for judicial security in year-end report while avoiding mention of ethics reform or abortion draft leak | CNN Politics

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    CNN
     — 

    Chief Justice John Roberts urged continued vigilance for the safety of judges and justices in an annual report published Saturday, after a tumultuous year at the US Supreme Court.

    “A judicial system cannot and should not live in fear,” Roberts wrote.

    While drawing attention to judicial security, however, the chief justice bypassed other controversies, including calls for new ethics rules directed at the justices, and an update on an investigation launched eight months ago into the unprecedented leak of a draft abortion opinion last spring that unleashed nationwide protests.

    Avoiding direct mention of any specific controversy, Roberts praised judges who face controversial issues “quietly, diligently and faithfully,” and urged continued congressional funding devoted to security.

    Roberts said that while there is “no obligation in our free country” to agree with decisions, judges must always be protected.

    “The law requires every judge to swear an oath to perform his or her work without fear or favor, but we must support judges by ensuring their safety,” he wrote.

    Besides his duties on the high court, Roberts presides over the Judicial Conference, a body responsible for making policy regarding the administration of the courts, and he releases a report each New Year’s Eve on the state of the judiciary.

    Some critics of the court were hoping that Roberts would use his annual report to concretely address other concerns that arose over the last several months.

    The report comes as public opinion of the court has reached an all-time low. The justices, who are on their winter recess, took on blockbuster cases this fall concerning the issues of voting rights and affirmative action. In the second half of the term, they will discuss issues such as immigration and President Joe Biden’s student loan forgiveness program.

    Roberts made no direct mention, for instance, of the status of an ongoing investigation into the leak last May of the draft opinion overturning Roe v. Wade.

    The disclosure – and the eventual opinion released the following month – triggered protests across the country, including some staged outside of the justices’ homes. In June, a man was arrested near the home of Justice Brett Kavanaugh and later charged with attempted murder of a Supreme Court justice. According to court documents, the man, Nicholas Roske, told investigators that he was upset over the leaked draft opinion overturning Roe.

    In addition, the court building was surrounded by 8-foot security fences that were only brought down ahead of the new term at the end of August.

    In May, Roberts launched an investigation into the leak, but has not provided any public updates.

    Roberts did not bring up ethics reform in the year-end report, but others had hoped he would use it to address the ongoing calls for a more formal code of ethics directed at the justices.

    “There is no doubt that judicial security is paramount,” said Gabe Roth, the executive director of a group called Fix the Court, which is dedicated to more transparency in federal courts. Roth said he thought Roberts should have done more this year to shore up the public’s faith in the ethics of the court.

    “As things stand now, there is no formal code of conduct for the Supreme Court and justices themselves get to decide how they conduct themselves both on and off the bench without any formal guiding principles,” Roth said.

    Back in 2011, Roberts dedicated his year-end report to the issue of ethics, addressing such criticism.

    “All Members of the Court do in fact consult the Code of Conduct in assessing their ethical obligations,” Roberts at the time. He noted that the justices can consult a “wide variety” of other authorities to resolve specific ethical issues including advice from the court’s legal office.

    Federal law also demands a judge should disqualify himself if his “impartiality might reasonably be questioned.”

    Roth said that this year the court’s integrity has been tested in ways it rarely has in the past, between the leaked opinion and the activities brought to light concerning Virginia “Ginni” Thomas – a long-time conservative activist and the wife of Justice Clarence Thomas.

    In March, the House select committee investigating the January 6, 2021, attack on the US Capitol had in its possession more than two dozen text messages between Ginni Thomas and former Trump White House chief of staff Mark Meadows.

    The text messages, reviewed by CNN, show Thomas pleading with Meadows to continue the fight to overturn the 2020 presidential election results.

    Roth and others say that Justice Thomas should have recused himself – including from a January case in which the high court cleared the way for the release of presidential records from the Trump White House to the committee. Thomas was the sole dissenter.

    “Federal law says that recusal is required when a justice’s impartiality could be reasonably questioned, and that was clearly the case here,” Roth said.

    Ginni Thomas ultimately voluntarily testified before the committee, but she was not mentioned in the panel’s final report released last week.

    Thomas told the committee that she regretted the “tone and content” of the messages she was sending to Meadows, according to witness transcripts the panel released on Friday, and that her husband only found out about the messages in March 2022.

    Thomas said she could “guarantee” that her husband never spoke to her about pending cases in the court because it was an “ironclad” rule in the house, according to the transcript. Additionally, she said that Justice Thomas is “uninterested in politics.”

    Ginni Thomas’ lawyer, Mark Paoletta, released a statement last week saying she was “happy to meet” with the committee to “clear up misconceptions” but that the committee had “no legitimate reason to interview her.”

    He called her post-election activities after Trump lost in 2020 “minimal.”

    “Mrs. Thomas had significant concerns about potential fraud and irregularities in the 2020 election, and her minimal activity was focused on ensuring that reports of fraud and irregularities were investigated,” Paoletta said.

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    December 31, 2022
  • Biden remembers Pope Benedict XVI as ‘renowned theologian, with a lifetime of devotion to the Church’ | CNN Politics

    Biden remembers Pope Benedict XVI as ‘renowned theologian, with a lifetime of devotion to the Church’ | CNN Politics

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    CNN
     — 

    President Joe Biden mourned the passing of Pope Emeritus Benedict XVI, saying in a statement Saturday that the late pontiff “will be remembered as a renowned theologian, with a lifetime of devotion to the Church, guided by his principles and faith.”

    Benedict died Saturday at the age of 95 in a Vatican monastery, according to a statement from the Vatican. He was the first pope in almost 600 years to resign his position, rather than hold office for life, doing so in 2013.

    Biden, the second Catholic to serve as president of the United States, reflected on his meeting with Benedict at the Vatican in 2011, recalling the late pontiff’s “generosity and welcome as well as our meaningful conversation.”

    “As he remarked during his 2008 visit to the White House, ‘the need for global solidarity is as urgent as ever, if all people are to live in a way worthy of their dignity.’ May his focus on the ministry of charity continue to be an inspiration to us all,” Biden said Saturday.

    Benedict’s funeral will be held on Thursday in St. Peter’s Square in Vatican City at 9:30 a.m. local time, the Vatican statement said. The funeral will be led by Pope Francis.

    Benedict was a polarizing figure, hailed by conservatives who admired his erudite writings and careful theology. But he faced criticism, particularly in the postmodern West, for his staunch insistence on fidelity to church doctrine and his willingness to silence dissent. He also came under fire for his handling of the sexual abuse crisis that engulfed the Catholic Church during his years as a senior cleric.

    Benedict met with three sitting US presidents – in addition to future President Biden – during his time as leader of the Catholic Church.

    “It was like going back to theology class,” Biden told America, a Jesuit publication, in 2015 of his meeting with Benedict. “And by the way, he wasn’t judgmental. He was open. I came away enlivened from the discussion.”

    In pictures: The life of Pope Benedict XVI


    Benedict met with his first sitting president in 2007 when George W. Bush traveled to the Vatican. Benedict made his only papal visit to the United States the following year. Bush took the rare step of meeting the pope when his plane arrived at Joint Base Andrews outside Washington, DC, and he later welcomed Benedict to the White House with an arrival ceremony on the South Lawn where thousands gathered and sang “Happy Birthday” to the pope, who turned 81 that day.

    Later that year, Bush visited Benedict at the Vatican, where the two men strolled through the Vatican Gardens and met privately for roughly 30 minutes.

    In 2009, President Barack Obama met with Benedict for 30 minutes at the Vatican. Officials at the time said their meeting included discussions on addressing poverty and the Middle East, as well as issues such as abortion and stem cell research.

    Abortion also appeared to be a topic of discussion during Biden’s meeting with Benedict. In his 2015 interview with America, Biden said the two men spoke about Catholic doctrine and the then-vice president’s view that he should not impose his own beliefs on other people, including on issues such as abortion.

    Benedict talked about Biden’s abortion stance after he became president in 2021.

    “It’s true, he’s Catholic and observant. And personally, he is against abortion,” Benedict said in an interview with The Tablet, a Catholic publication. “But as president, he tends to present himself in continuity with the line of the Democratic Party … and on gender policy, we still don’t really understand what his position is.”

    Biden also spoke of Benedict at a White House event this summer, calling him a “great theologian, a very conservative theologian.” The president shared that Benedict had asked him for advice when they met.

    “‘Well, one piece of advice,’ I said, ‘I’d go easy on the nuns. They’re more popular than you are,’” Biden recounted to laughter.

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    December 31, 2022
  • What older Americans need to know before undergoing major surgery | CNN

    What older Americans need to know before undergoing major surgery | CNN

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    KHN
     — 

    Larry McMahon is weighing whether to undergo a major surgery. Over the past five years, his back pain has intensified. Physical therapy, muscle relaxants, and injections aren’t offering relief.

    “It’s a pain that leaves me hardly able to do anything,” he said.

    Should McMahon, an 80-year-old retired Virginia state trooper who now lives in Southport, North Carolina, try spinal fusion surgery, a procedure that can take up to six hours? (Eight years ago, he had a lumbar laminectomy, another arduous back surgery.)

    “Will I recover in six months — or in a couple of years? Is it safe for a man of my age with various health issues to be put to sleep for a long period of time?” McMahon asked, relaying some of his concerns to me in a phone conversation.

    Older adults contemplating major surgery often aren’t sure whether to proceed. In many cases, surgery can be lifesaving or improve a senior’s quality of life. But advanced age puts people at greater risk of unwanted outcomes, including difficulty with daily activities, extended hospitalizations, problems moving around, and the loss of independence.

    I wrote in November about a new study that shed light on some risks seniors face when having invasive procedures. But readers wanted to know more. How does one determine if potential benefits from major surgery are worth the risks? And what questions should older adults ask as they try to figure this out? I asked several experts for their recommendations. Here’s some of what they suggested.

    Ask your surgeon, “How is this surgery going to make things better for me?” said Dr. Margaret “Gretchen” Schwarze, an associate professor of surgery at the University of Wisconsin School of Medicine and Public Health. Will it extend your life by removing a fast-growing tumor? Will your quality of life improve by making it easier to walk? Will it prevent you from becoming disabled, akin to a hip replacement?

    If your surgeon says, “We need to remove this growth or clear this blockage,” ask what impact that will have on your daily life. Just because an abnormality such as a hernia has been found doesn’t mean it has to be addressed, especially if you don’t have bothersome symptoms and the procedure comes with complications, said Drs. Robert Becher and Thomas Gill of Yale University, authors of that recent paper on major surgery in older adults.

    Schwarze, a vascular surgeon, often cares for patients with abdominal aortic aneurysms, an enlargement in a major blood vessel that can be life-threatening if it bursts.

    Here’s how she describes a “best case” surgical scenario for that condition: “Surgery will be about four to five hours. When it’s over, you’ll be in the ICU with a breathing tube overnight for a day or two. Then, you’ll be in the hospital for another week or so. Afterwards, you’ll probably have to go to rehab to get your strength back, but I think you can get back home in three to four weeks, and it’ll probably take you two to three months to feel like you did before surgery.”

    Among other things people might ask their surgeon, according to a patient brochure Schwarze’s team has created: What will my daily life look like right after surgery? Three months later? One year later? Will I need help, and for how long? Will tubes or drains be inserted?

    A “worst case” scenario might look like this, according to Schwarze: “You have surgery, and you go to the ICU, and you have serious complications. You have a heart attack. Three weeks after surgery, you’re still in the ICU with a breathing tube, and you’ve lost most of your strength, and there’s no chance of ever getting home again. Or, the surgery didn’t work, and still you’ve gone through all this.”

    “People often think I’ll just die on the operating table if things go wrong,” said Dr. Emily Finlayson, director of the UCSF Center for Surgery in Older Adults in San Francisco. “But we’re very good at rescuing people, and we can keep you alive for a long time. The reality is, there can be a lot of pain and suffering and interventions like feeding tubes and ventilators if things don’t go the way we hope.”

    Once your surgeon has walked you through various scenarios, ask, “Do I really need to have this surgery, in your opinion?” and “What outcomes do you think are most likely for me?” Finlayson advised. Research suggests that older adults who are frail, have cognitive impairment, or other serious conditions such as heart disease have worse experiences with major surgery. Also, seniors in their 80s and 90s are at higher risk of things going wrong.

    “It’s important to have family or friends in the room for these conversations with high-risk patients,” Finlayson said. Many seniors have some level of cognitive difficulties and may need assistance working through complex decisions.

    Make sure your physician tells you what the nonsurgical options are, Finlayson said. Older men with prostate cancer, for instance, might want to consider “watchful waiting” — ongoing monitoring of their symptoms — rather than risk invasive surgery. Women in their 80s who develop a small breast cancer may opt to leave it alone if removing it poses a risk, given other health factors.

    Because of McMahon’s age and underlying medical issues (a 2021 knee replacement that hasn’t healed, arthritis, high blood pressure), his neurosurgeon suggested he explore other interventions, including more injections and physical therapy, before surgery. “He told me, ‘I make my money from surgery, but that’s a last resort,” McMahon said.

    “Preparing for surgery is really vital for older adults: If patients do a few things that doctors recommend — stop smoking, lose weight, walk more, eat better — they can decrease the likelihood of complications and the number of days spent in the hospital,” said Dr. Sandhya Lagoo-Deenadayalan, a codirector in Duke University Medical Center’s Perioperative Optimization of Senior Health (POSH) program.

    When older patients are recommended to POSH, they receive a comprehensive evaluation of their medications, nutritional status, mobility, preexisting conditions, ability to perform daily activities, and support at home. They leave with a “to-do” list of recommended actions, usually starting several weeks before surgery.

    If your hospital doesn’t have a program of this kind, ask your physician, “How can I get my body and mind ready” before having surgery, Finlayson said. Also ask: “How can I prepare my home in advance to anticipate what I’ll need during recovery?”

    There are three levels to consider: What will recovery in the hospital entail? Will you be transferred to a facility for rehabilitation? And what will recovery be like at home?

    Ask how long you’re likely to stay in the hospital. Will you have pain, or aftereffects from the anesthesia? Preserving cognition is a concern, and you might want to ask your anesthesiologist what you can do to maintain cognitive functioning following surgery. If you go to a rehab center, you’ll want to know what kind of therapy you’ll need and whether you can expect to return to your baseline level of functioning.

    During the Covid-19 pandemic, “a lot of older adults have opted to go home instead of to rehab, and it’s really important to make sure they have appropriate support,” said Dr. Rachelle Bernacki, director of care transformation and postoperative services at the Center for Geriatric Surgery at Brigham and Women’s Hospital in Boston.

    For some older adults, a loss of independence after surgery may be permanent. Be sure to inquire what your options are should that occur.

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    December 27, 2022
  • Nurse becomes a living organ donor for her mom — twice | CNN

    Nurse becomes a living organ donor for her mom — twice | CNN

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    CNN
     — 

    Marzena Stasieluk needed a new kidney. She’d been diagnosed with kidney disease in 2015, and ultimately needed dialysis, a grueling process where a machine did the work her kidneys could no longer do.

    But in order for a kidney transplant to succeed, she needed a liver first. Stasieluk’s liver disease had been controlled for more than a decade, but it worsened during the Covid-19 pandemic. It wasn’t so bad that she would be prioritized for a liver from a deceased donor, her family said, but bad enough that a kidney transplant likely wouldn’t work.

    Marzena’s daughter, Jennifer Stasieluk, is a nurse who has cared for patients in the hardest of times, through Covid-19 and cancer. She was willing, even eager, to give her mother a kidney. They’d done all the scans and test, but it wasn’t going to work.

    Although they had the same blood type, her mother is among a subset of patients called “highly sensitized.” Marzena had a high number of antibodies against foreign tissues – a factor that increases the likelihood an organ will be rejected and makes it much harder to find a match.

    “She needed a new liver to do a kidney transplant. However, her liver by itself wasn’t sick enough,” recalls Jennifer, 29. “So, they kind of, like, threw their hands up and were just, kind of, like, ‘sorry.’ ”

    In January 2020, an appointment with Mayo Clinic in Rochester, Minnesota, introduced a new idea: Doctors suggested Marzena get a portion of a liver from a living donor.

    Jennifer insisted she get tested. Despite her mother’s protests, she wouldn’t take no for an answer. And this time, the response was a good one.

    “I kicked her door open in the morning when I got that call that I was a match. I said ‘Mom, I’m a match, pack your bags, surgery’s in six weeks.’ We couldn’t believe I was a match,” Jennifer said.

    On June 25, 2021, Jennifer gave her mother a lobe of her liver. Jennifer spent five days recovering in the hospital, and Marzena spent 11. For living donors and recipients, the liver has the unique ability to regenerate in a matter of weeks, and recovery was successful for mother and daughter.

    But Marzena, affectionately known as a “professional grandma,” had to continue with dialysis, and was desperate for a normal life.

    “It was awful. You sit there three days a week for over three hours,” said Marzena, who lives in Illinois. “My kids and my grandkids are the whole world and that’s why I was fighting for so long. I don’t want them, the kids and my grandkids, to lose me.”

    After the liver transplant, Jennifer was prepared to donate a kidney to a stranger as part of a paired donation – a process in which living donor’s kidneys are swapped so recipients like Marzena receive a compatible organ.

    Jennifer went through another round of bloodwork and tests to prepare for kidney donation. But then came a surprise: Because of the effect Jennifer’s liver had on her mother’s immune system, she was now able to give her mother a kidney.

    “We never in a million years thought that I would be a direct match,” Jennifer said. “I was excited for it. I wasn’t nervous. I knew I was in good hands.

    “I gave her the bigger lobe of my liver on June 25, 2021. And then a year later, a kidney.”

    Jennifer Stasieluk, left, and her mother Marzena Stasieluk.

    Dr. Timucin Taner, division chair of transplant surgery at the Mayo Clinic in Minnesota, performed the liver transplant for the Stasieluks.

    He and his colleagues have been studying the effect of liver transplants on the immune system, including research into how a liver transplant before a heart transplant – not the typical order – can reduce organ rejection.

    Taner said the Stasieluks are the first case they’re aware of where a liver’s effect on a patient’s immune response allowed for a subsequent kidney transplant from the same donor. They’re planning to write a case report about the procedures.

    “She donated two organs a year apart to the same person,” Taner said of Jennifer. “So she saved her mom’s life twice.”

    Taner says organ donors, living or deceased, are heroes. There simply aren’t enough organs to provide for everyone who needs one.

    Across the country, nearly 106,000 people are on the national transplant waiting list according to the United Network for Organ Sharing. So far this year, nearly 40,000 transplants have been performed.

    “On average, typically about 25,000 people in the U.S. are waiting for a liver transplant on the waiting list,” Taner said. “And of those, every year we can only transplant up to about 9,000 of them because that’s only how many livers we have.

    Jennifer described working long, late shifts as a nurse helping patients and their families during the height of the pandemic. There were dark days when answers were few and hope was sometimes hard to come by.

    “Losing patients to Covid was devastating. I felt so helpless,” Jennifer said.

    But donating organs to her mother – twice – was empowering.

    “Just knowing that there is something I can do that is not hopeless … just having that power that I can actually do something and help her and save her life, it was amazing,” Jennifer said.

    This will be the first Christmas in about seven years when Marzena is feeling healthy. Jennifer said it’s more special than any holiday before.

    Marzena said her daughter’s gifts changed her life.

    “Today, I am grateful. I don’t think I’ll ever be able to say enough, thank you,” Marzena said, fighting back tears. “What do you say to a person that donated two organs, not just one?”

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    December 24, 2022
  • World Cup security guard dies after ‘fall’ while on duty at the Lusail Stadium | CNN

    World Cup security guard dies after ‘fall’ while on duty at the Lusail Stadium | CNN

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    CNN
     — 

    A Kenyan security guard who reportedly fell while on duty at Qatar’s Lusail Stadium has died in hospital, his family and officials have confirmed to CNN.

    His employer had notified the migrant worker’s family on Saturday that 24-year-old John Njue Kibue had fallen from the 8th floor of the stadium while on duty, his sister Ann Wanjiru said.

    “We don’t have the money to get justice for him, but we want to know what happened,” she told CNN.

    A medical certificate obtained by CNN shows he was admitted at the Intensive Care Unit (ICU) at Hamad General Hospital in Doha. The document says Njue had a “severe head injury, facial fractures and pelvic fractures.”

    In a statement, the organizers of the World Cup – the Supreme Committee for Delivery and Legacy – announced Kibue’s death.

    “We regret to announce that, despite the efforts of his medical team, he sadly passed away in hospital on Tuesday 13 December, after being in the intensive care unit for three days,” the statement added.

    “His next of kin have been informed. We send our sincere condolences to his family, colleagues and friends during this difficult time.”

    Earlier this week, the committee announced that Kibue suffered a serious fall while on duty.

    “Qatar’s tournament organisers are investigating the circumstances leading to the fall as a matter of urgency and will provide further information pending the outcome of the investigation, ” it said in its statement.

    “We will also ensure that his family receive all outstanding dues and monies owed.”

    He had been unconscious since Saturday and was connected to a machine to help him breathe, his medical records showed. A family member was informed on Monday morning of his death.

    But the security guard’s family says his Qatari employer, Al Sraiya Security Services, has not explained how he fell or any of the circumstances surrounding his death.

    “We want justice. We want to know what caused his death. They have never sent us a picture to show where he fell from or given us any other information,” his sister Wanjiru told CNN.

    CNN has contacted Al Sraiya Security Services for comment after the guard’s death and is yet to receive a response.

    In a statement to CNN, the Kenyan embassy in Qatar said it was aware of the matter and “undertaking necessary consular assistance whilst awaiting official communication from Qatar’s Supreme Committee and competent authorities.”

    The guard’s family says he moved to Qatar last November for a contract with Al Sraiya Security Services.

    A WhatsApp message seen by CNN was sent to his colleagues at other World Cup stadiums soliciting for contributions.

    “He came here to support his family back home but by bad luck his dreams came to an end today,” it reads in part. “Let’s do something for our beloved comrade.”

    He is the second migrant worker reported dead since the tournament began in the Gulf nation after another was reportedly killed in an accident at a resort used by Saudi Arabia during the group stages.

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    December 14, 2022
  • Kirstie Alley died of colon cancer. Here’s how to lower your risk | CNN

    Kirstie Alley died of colon cancer. Here’s how to lower your risk | CNN

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    CNN
     — 

    Colon cancer has claimed another life. Emmy Award and Golden Globe winner Kirstie Alley, best known for her roles in the television sitcoms “Cheers” and “Veronica’s Closet,” died Monday at age 71 after battling cancer that was “recently discovered,” according to a family statement.

    A representative for Alley confirmed to CNN via email on Tuesday that she had been diagnosed with colon cancer prior to her death.

    Colorectal cancer, which includes colon and rectal cancers, is the second most common cause of death from cancer in 2022, outranked only by lung and bronchus cancer, according to the National Cancer Institute Surveillance, Epidemiology and End Results Program.

    Regular checkups are the best way to keep colon cancer at bay, according to the US Preventive Services Task Force. The task force lowered the age to begin screening for colon and rectal cancer to 45 last year after a worrisome spike in cases of colorectal cancer in people younger than 50.

    The new recommendations apply to everyone ages 45 to 75, including people with no symptoms, no prior diagnosis, no family history of colon or rectal disease, and no personal history of polyps, which are all key risk factors. Polyps are bumps or tiny mushroom-like stalks that grow inside the colon or rectum.

    If these growths are not found and removed, they can turn cancerous.

    Adults ages 76 to 85 years can also be screened, depending on their overall health, prior screening history and personal preferences, the task force said.

    Colorectal cancer screening can occur in several ways, including simple mail-in tests that look for blood or cancer cells in a sample of stool collected by the patient. However, all stool tests can have false-positive test results, which would likely require a more invasive test to rule out cancer, according to the American Cancer Society.

    Stool tests: While a stool test is the least invasive option, it does have to be done at least once a year, the society said. No anti-inflammatory pain relievers can be taken for seven days prior to a stool test, while red meats such as beef, lamb or liver and any citrus or vitamin C supplements should be avoided for at least three days.

    If the test finds something of concern, “you will still need a colonoscopy to see if you have cancer,” according to ACS. However, hidden bleeding in the stool does not automatically signal cancer, as ulcers, hemorrhoids and other conditions can also cause rectal bleeding.

    DNA stool test: A DNA stool test is another option, the society said. Because colorectal cancer cells can have DNA mutations, the test can screen for those genetic abnormalities. This test only needs to be done once every three years, but an entire stool sample must be collected and mailed.

    Patients may have insurance coverage issues because the test is fairly new, ACS said. Again, if anything suspicious is found, a colonoscopy will still be required.

    For all of the following tests, the colon must be clean and free of stool matter, which requires at-home bowel prep. Ways to empty the bowels include pills, drinking a laxative solution or the use of an enema the night before the procedure.

    This process has become much easier over the years with the advent of new kits that don’t require as much liquid laxative, so talk to your doctor about your options, ACS suggested.

    Colonoscopy: One of the most widely used tests, this procedure allows a doctor access to the entire length of the colon and rectum with a colonoscope, a “flexible, lighted tube about the thickness of a finger with a small video camera on the end,” ACS said.

    Typically, the patient is under light sedation during the whole procedure, waking up with no knowledge of the process. Watching on video in real time as the scope moves through the intestine, the doctor can stop and insert small instruments into the scope to take a sample or even remove any suspicious polyps.

    Virtual colonscopy: This test uses computer programs that take X-rays and a computed tomography (CT) scan to make three-dimensional pictures of the inside of the colon and rectum.

    The test does not require sedation. However, it does require the same bowel prep as a regular colonoscopy. After the patient drinks a contrast dye, a small, flexible tube will be inserted into the rectum, followed by pumped air expand the rectum and colon for better pictures.

    As with all CT scans, this procedure exposes the patient to a small amount of radiation and can cause cramping until the air exits the body, the society said. If a suspicious mass is detected, a colonoscopy will still be needed to remove the mass.

    Flexible sigmoidoscopy: This test inserts the same flexible camera tube into the lower part of the colon. However, because the tube is only 2 feet (60 centimeters) long, this test only allows the doctor to examine the entire rectum and less than half of the colon — any polpys in the upper colon will be missed. This test is not often used in the United States, the society said.

    Many people avoid a colonoscopy, partly due to the preparation, so as a way of encouraging people to get screened, former “Today” host Katie Couric broadcast her entire procedure in 2000 — from prep the night before to a mildly sedated Couric watching the procedure as it unfolded.

    “I have a pretty little colon,” Couric said with a sleepy chuckle as she watched the video projection from the scope inside her colon. “You didn’t put the scope in yet, did you?” asked Couric, whose husband, Jay Monahan, had died from colon cancer at age 42 in 1998.

    “Yes! We’re doing the examination. We’re almost done,” said her physician, the late Dr. Kenneth Forde, who taught for nearly 40 years at Vagelos College of Physicians and Surgeons at Columbia University in New York City.

    More recently, actors Ryan Reynolds and Rob McElhenney videotaped parts of their colonoscopies to raise public awareness after Reynolds lost a bet.

    “Rob and I both, we turned 45 this year,” Reynolds said in the video. “And you know, part of being this age is getting a colonoscopy. It’s a simple step that could literally — and I mean, literally — save your life.”

    Doctors found both actors had polyps that were removed during the screening.

    “It’s not every day that you can raise awareness about something that will most definitely save lives. That’s enough motivation for me to let you in on a camera being shoved up my a–,” Reynolds said.

    READ MORE: Get inspired by a weekly roundup on living well, made simple. Sign up for CNN’s Life, But Better newsletter for information and tools designed to improve your well-being.

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    December 7, 2022
  • Anita Hill says Supreme Court overturning Roe v. Wade is indicator of what could happen to individuals’ civil rights | CNN Politics

    Anita Hill says Supreme Court overturning Roe v. Wade is indicator of what could happen to individuals’ civil rights | CNN Politics

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    CNN
     — 

    Americans should not just consider how the Supreme Court’s decision to overturn Roe v. Wade impacts women’s rights, but also how it affects individuals’ civil rights, Anita Hill said in an interview with CNN’s Chris Wallace.

    Asked by Wallace if the decision by Justice Clarence Thomas to vote in the 5-4 majority in favor of overturning the landmark ruling makes it harder for her to reconcile his time on the high court, Hill said the decision was about a “shrinking of rights.”

    Hill accused Thomas of sexual harassment in testimony during his 1991 Supreme Court confirmation hearing. Thomas has denied the allegations.

    She told Wallace that the conservative Thomas is not the only one on the bench who wants to assess access to contraception and protections for gender identity, adding that “the votes are there to move us in that direction.”

    “I believe that’s why we should – how we should be looking at Dobbs, not just as an indicator of what is going to happen on reproductive rights, but also what will happen to us as a country in terms of how much we value the civil rights of individuals and especially marginalized people,” she said on “Who’s Talking to Chris Wallace,” which is set to air on CNN on Sunday night.

    Since June – when the Supreme Court ruled in Dobbs v. Jackson Women’s Health Organization, holding that there is no longer a federal constitutional right to an abortion – several states have moved to enshrine abortion protections in their constitutions. And after Thomas’ concurring opinion on the decision where he called for rulings on contraception, same-sex marriage and other rights to be revisited, President Joe Biden signed an executive order aiming to safeguard access to abortion care and contraceptives.

    The Senate on Tuesday passed legislation to protect same-sex and interracial marriage, called the Respect for Marriage Act, in a landmark bipartisan vote amid concern the Supreme Court might overturn its 2015 Obergefell v. Hodges decision that legalized same-sex marriage. The House would need to approve the legislation before sending it to President Joe Biden’s desk to be signed into law.

    Hill also told Wallace she was “shocked” to get a call from Thomas’ wife, Virginia “Ginni” Thomas, who she said in 2010 left a voicemail message requesting an apology from the law professor.

    “I had really no idea what to make of it. But I knew this, I knew that I did not want to entertain that kind of call either on the voicemail or face to face, that it was not something that clearly, I was not going to apologize for 1991,” Hill said. “And I didn’t in fact believe that the call was a sincere attempt to reconcile anything, and that I was going to do what I needed to do to stop it from happening.”

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    December 3, 2022
  • Research helps seniors make informed decisions about risks, benefits of major surgery | CNN

    Research helps seniors make informed decisions about risks, benefits of major surgery | CNN

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    Nearly 1 in 7 older adults die within a year of undergoing major surgery, according to an important new study that sheds much-needed light on the risks seniors face when having invasive procedures.

    Especially vulnerable are older patients with probable dementia (33% die within a year) and frailty (28%), as well as those having emergency surgeries (22%). Advanced age also amplifies risk: Patients who were 90 or older were six times as likely to die than those ages 65 to 69.

    The study in JAMA Surgery, published by researchers at Yale School of Medicine, addresses a notable gap in research: Though patients 65 and older undergo nearly 40% of all surgeries in the U.S., detailed national data about the outcomes of these procedures has been largely missing.

    “As a field, we’ve been really remiss in not understanding long-term surgical outcomes for older adults,” said Dr. Zara Cooper, a professor of surgery at Harvard Medical School and the director of the Center for Geriatric Surgery at Brigham and Women’s Hospital in Boston.

    Of particular importance is information about how many seniors die, develop disabilities, can no longer live independently, or have a significantly worsened quality of life after major surgery.

    “What older patients want to know is, ‘What’s my life going to look like?’” Cooper said. “But we haven’t been able to answer with data of this quality before.”

    In the new study, Dr. Thomas Gill and Yale colleagues examined claims data from traditional Medicare and survey data from the National Health and Aging Trends study spanning 2011 to 2017. (Data from private Medicare Advantage plans was not available at that time but will be included in future studies.)

    Invasive procedures that take place in operating rooms with patients under general anesthesia were counted as major surgeries. Examples include procedures to replace broken hips, improve blood flow in the heart, excise cancer from the colon, remove gallbladders, fix leaky heart valves, and repair hernias, among many more.

    Older adults tend to experience more problems after surgery if they have chronic conditions such as heart or kidney disease; if they are already weak or have difficulty moving around; if their ability to care for themselves is compromised; and if they have cognitive problems, noted Gill, a professor of medicine, epidemiology, and investigative medicine at Yale.

    Two years ago, Gill’s team conducted research that showed 1 in 3 older adults had not returned to their baseline level of functioning six months after major surgery. Most likely to recover were seniors who had elective surgeries for which they could prepare in advance.

    In another study, published last year in the Annals of Surgery, his team found that about 1 million major surgeries occur in individuals 65 and older each year, including a significant number near the end of life. Remarkably, data documenting the extent of surgery in the older population has been lacking until now.

    “This opens up all kinds of questions: Were these surgeries done for a good reason? How is appropriate surgery defined? Were the decisions to perform surgery made after eliciting the patient’s priorities and determining whether surgery would achieve them?” said Dr. Clifford Ko, a professor of surgery at UCLA School of Medicine and director of the Division of Research and Optimal Patient Care at the American College of Surgeons.

    As an example of this kind of decision-making, Ko described a patient who, at 93, learned he had early-stage colon cancer on top of preexisting liver, heart, and lung disease. After an in-depth discussion and being told that the risk of poor results was high, the patient decided against invasive treatment.

    “He decided he would rather take the risk of a slow-growing cancer than deal with a major operation and the risk of complications,” Ko said.

    Still, most patients choose surgery. Dr. Marcia Russell, a staff surgeon at the Veterans Affairs Greater Los Angeles Healthcare System, described a 90-year-old patient who recently learned he had colon cancer during a prolonged hospital stay for pneumonia. “We talked with him about surgery, and his goals are to live as long as possible,” said Russell. To help prepare the patient, now recovering at home, for future surgery, she recommended he undertake physical therapy and eat more high-protein foods, measures that should help him get stronger.

    “He may need six to eight weeks to get ready for surgery, but he’s motivated to improve,” Russell said.

    The choices older Americans make about undergoing major surgery will have broad societal implications. As the 65-plus population expands, “covering surgery is going to be fiscally challenging for Medicare,” noted Dr. Robert Becher, an assistant professor of surgery at Yale and a research collaborator with Gill. Just over half of Medicare spending is devoted to inpatient and outpatient surgical care, according to a 2020 analysis.

    What’s more, “nearly every surgical subspecialty is going to experience workforce shortages in the coming years,” Becher said, noting that in 2033, there will be nearly 30,000 fewer surgeons than needed to meet expected demand.

    These trends make efforts to improve surgical outcomes for older adults even more critical. Yet progress has been slow. The American College of Surgeons launched a major quality improvement program in July 2019, eight months before the covid-19 pandemic hit. It requires hospitals to meet 30 standards to achieve recognized expertise in geriatric surgery. So far, fewer than 100 of the thousands of hospitals eligible are participating.

    One of the most advanced systems in the country, the Center for Geriatric Surgery at Brigham and Women’s Hospital, illustrates what’s possible. There, older adults who are candidates for surgery are screened for frailty. Those judged to be frail consult with a geriatrician, undergo a thorough geriatric assessment, and meet with a nurse who will help coordinate care after discharge.

    Also initiated are “geriatric-friendly” orders for post-surgery hospital care. This includes assessing older patients three times a day for delirium (an acute change in mental status that often afflicts older hospital patients), getting patients moving as soon as possible, and using non-narcotic pain relievers. “The goal is to minimize the harms of hospitalization,” said Cooper, who directs the effort.

    She told me about a recent patient, whom she described as a “social woman in her early 80s who was still wearing skinny jeans and going to cocktail parties.” This woman came to the emergency room with acute diverticulitis and delirium; a geriatrician was called in before surgery to help manage her medications and sleep-wake cycle, and recommend non-pharmaceutical interventions.

    With the help of family members who visited this patient in the hospital and have remained involved in her care, “she’s doing great,” Cooper said. “It’s the kind of outcome we work very hard to achieve.”

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    November 26, 2022
  • Research helps seniors make informed decisions about risks, benefits of major surgery | CNN

    Research helps seniors make informed decisions about risks, benefits of major surgery | CNN

    [ad_1]

    Nearly 1 in 7 older adults die within a year of undergoing major surgery, according to an important new study that sheds much-needed light on the risks seniors face when having invasive procedures.

    Especially vulnerable are older patients with probable dementia (33% die within a year) and frailty (28%), as well as those having emergency surgeries (22%). Advanced age also amplifies risk: Patients who were 90 or older were six times as likely to die than those ages 65 to 69.

    The study in JAMA Surgery, published by researchers at Yale School of Medicine, addresses a notable gap in research: Though patients 65 and older undergo nearly 40% of all surgeries in the U.S., detailed national data about the outcomes of these procedures has been largely missing.

    “As a field, we’ve been really remiss in not understanding long-term surgical outcomes for older adults,” said Dr. Zara Cooper, a professor of surgery at Harvard Medical School and the director of the Center for Geriatric Surgery at Brigham and Women’s Hospital in Boston.

    Of particular importance is information about how many seniors die, develop disabilities, can no longer live independently, or have a significantly worsened quality of life after major surgery.

    “What older patients want to know is, ‘What’s my life going to look like?’” Cooper said. “But we haven’t been able to answer with data of this quality before.”

    In the new study, Dr. Thomas Gill and Yale colleagues examined claims data from traditional Medicare and survey data from the National Health and Aging Trends study spanning 2011 to 2017. (Data from private Medicare Advantage plans was not available at that time but will be included in future studies.)

    Invasive procedures that take place in operating rooms with patients under general anesthesia were counted as major surgeries. Examples include procedures to replace broken hips, improve blood flow in the heart, excise cancer from the colon, remove gallbladders, fix leaky heart valves, and repair hernias, among many more.

    Older adults tend to experience more problems after surgery if they have chronic conditions such as heart or kidney disease; if they are already weak or have difficulty moving around; if their ability to care for themselves is compromised; and if they have cognitive problems, noted Gill, a professor of medicine, epidemiology, and investigative medicine at Yale.

    Two years ago, Gill’s team conducted research that showed 1 in 3 older adults had not returned to their baseline level of functioning six months after major surgery. Most likely to recover were seniors who had elective surgeries for which they could prepare in advance.

    In another study, published last year in the Annals of Surgery, his team found that about 1 million major surgeries occur in individuals 65 and older each year, including a significant number near the end of life. Remarkably, data documenting the extent of surgery in the older population has been lacking until now.

    “This opens up all kinds of questions: Were these surgeries done for a good reason? How is appropriate surgery defined? Were the decisions to perform surgery made after eliciting the patient’s priorities and determining whether surgery would achieve them?” said Dr. Clifford Ko, a professor of surgery at UCLA School of Medicine and director of the Division of Research and Optimal Patient Care at the American College of Surgeons.

    As an example of this kind of decision-making, Ko described a patient who, at 93, learned he had early-stage colon cancer on top of preexisting liver, heart, and lung disease. After an in-depth discussion and being told that the risk of poor results was high, the patient decided against invasive treatment.

    “He decided he would rather take the risk of a slow-growing cancer than deal with a major operation and the risk of complications,” Ko said.

    Still, most patients choose surgery. Dr. Marcia Russell, a staff surgeon at the Veterans Affairs Greater Los Angeles Healthcare System, described a 90-year-old patient who recently learned he had colon cancer during a prolonged hospital stay for pneumonia. “We talked with him about surgery, and his goals are to live as long as possible,” said Russell. To help prepare the patient, now recovering at home, for future surgery, she recommended he undertake physical therapy and eat more high-protein foods, measures that should help him get stronger.

    “He may need six to eight weeks to get ready for surgery, but he’s motivated to improve,” Russell said.

    The choices older Americans make about undergoing major surgery will have broad societal implications. As the 65-plus population expands, “covering surgery is going to be fiscally challenging for Medicare,” noted Dr. Robert Becher, an assistant professor of surgery at Yale and a research collaborator with Gill. Just over half of Medicare spending is devoted to inpatient and outpatient surgical care, according to a 2020 analysis.

    What’s more, “nearly every surgical subspecialty is going to experience workforce shortages in the coming years,” Becher said, noting that in 2033, there will be nearly 30,000 fewer surgeons than needed to meet expected demand.

    These trends make efforts to improve surgical outcomes for older adults even more critical. Yet progress has been slow. The American College of Surgeons launched a major quality improvement program in July 2019, eight months before the covid-19 pandemic hit. It requires hospitals to meet 30 standards to achieve recognized expertise in geriatric surgery. So far, fewer than 100 of the thousands of hospitals eligible are participating.

    One of the most advanced systems in the country, the Center for Geriatric Surgery at Brigham and Women’s Hospital, illustrates what’s possible. There, older adults who are candidates for surgery are screened for frailty. Those judged to be frail consult with a geriatrician, undergo a thorough geriatric assessment, and meet with a nurse who will help coordinate care after discharge.

    Also initiated are “geriatric-friendly” orders for post-surgery hospital care. This includes assessing older patients three times a day for delirium (an acute change in mental status that often afflicts older hospital patients), getting patients moving as soon as possible, and using non-narcotic pain relievers. “The goal is to minimize the harms of hospitalization,” said Cooper, who directs the effort.

    She told me about a recent patient, whom she described as a “social woman in her early 80s who was still wearing skinny jeans and going to cocktail parties.” This woman came to the emergency room with acute diverticulitis and delirium; a geriatrician was called in before surgery to help manage her medications and sleep-wake cycle, and recommend non-pharmaceutical interventions.

    With the help of family members who visited this patient in the hospital and have remained involved in her care, “she’s doing great,” Cooper said. “It’s the kind of outcome we work very hard to achieve.”

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    Source link

    November 25, 2022
  • Anti-abortion activists say Trump will still need to win them over in 2024 | CNN Politics

    Anti-abortion activists say Trump will still need to win them over in 2024 | CNN Politics

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    CNN
     — 

    Anti-abortion proponents who believe Donald Trump’s crowning achievement was the overturning of Roe v. Wade say the newly declared 2024 contender will still have to earn their support in the upcoming Republican presidential primary – and he may be off to a rocky start.

    In his more-than-hour-long speech announcing his candidacy, the former president omitted any mention of his anti-abortion credentials or his appointment of three of the conservative Supreme Court justices who ultimately abolished federal abortion protections. Within hours, Susan B. Anthony Pro-Life America, a leading anti-abortion group, released a statement pointedly dismissing candidates “who shy away from this fight.”

    Though the group did not mention Trump by name, its message was clear: No matter what he did to advance the anti-abortion cause during his first term, he must continue to prove his commitment as he seeks a second term or risk losing some conservative coalition support.

    Trump “raised the bar very high for what it meant to be a pro-life president,” SBA president Marjorie Dannenfelser told CNN in an interview this week. For that reason, Dannenfelser said, she was “surprised” the former president didn’t do more to tout his anti-abortion bona fides in his campaign announcement.

    “It’s a deep moral failure not to step up in the most important moment for our movement and if you think you can breeze through Iowa and South Carolina without a strong pro-life national vision, you’re just wrong,” she said, naming two of the early voting states that can buoy or tank a presidential candidate’s bid.

    Others said Trump, who has confided to aides that he believes the abortion issue may be hurting Republican candidates, passed on a layup by touting some of his core achievements in the conservative policy sphere but declining to mention his first-term efforts to limit abortion access. Instead, Trump highlighted his deliverance of tax cuts and deregulatory and counterterrorism actions by his administration as he addressed throngs of loyalists in the ballroom of his Mar-a-Lago estate on Tuesday.

    “For sure it was a missed opportunity,” said Kristan Hawkins of Students for Life. “President Trump has done many, many things we are grateful for but regardless, whoever gets our vote will have to earn it.”

    “We expect to be courted in the primary process and the person we want to get behind will be unapologetic in speaking up to defend the pre-born and calling for federal protections,” Hawkins said.

    The demand among leading abortion opponents for unflinching advocates comes as Trump, whose muted reaction to the overturning of Roe did not go unnoticed among anti-abortion conservatives, is expected to face primary challengers whose advancement of anti-abortion efforts date much further back than his own and may be more willing to embrace more stringent restrictions on abortion access in the months to come, possibly at the federal level. Trump has also found himself weakened in the wake of midterm defeats as some deep-pocketed GOP donors and elected Republicans call for the party to move on from him, underscoring the importance of keeping the conservative grassroots in his corner.

    “He does not want to risk any loss in the pro-life, evangelical or Catholic spheres,” Dannenfelser said.

    “I think Republicans who are running away from the issue right now are wrong,” added Tom McClusky, director of government affairs at CatholicVote, an advocacy organization that opposes abortion and spent $9.7 million in the 2020 presidential contest to boost Trump over Joe Biden.

    Trump’s apparent lack of interest in promoting his anti-abortion achievements is not new, McClusky added, saying that “he didn’t mention all that unless prodded during his presidency.” After the Supreme Court ended federal abortion rights this summer – kicking authority on the issue to state governments – Trump took a brief victory lap, declaring in a statement that the landmark ruling wouldn’t have happened without him “nominating and getting three highly respected and strong Constitutionalists confirmed to the United States Supreme Court.”

    Meanwhile, other elements of Trump’s reaction to the ruling raised questions among abortion opponents about his support for new laws restricting the procedure, particularly after the former president had previously sidestepped questions about whether he supported a controversial Texas law banning abortion after six weeks of pregnancy, with exceptions for life-threatening medical emergencies.

    “This brings everything back to the states where it has always belonged,” Trump told Fox News in the wake of the June 24 Dobbs decision.

    At a September campaign rally in Ohio for then-Senate GOP hopeful J.D. Vance, Trump once again affirmed his believe that abortion rights or restrictions should be determined “in the states,” adding that “Republicans have to get smart with that issue.”

    “It’s turned over to the states and it’s working out… The places where it’s not working out, it will work out,” Trump said.

    But if he repeats that in the primary, Trump could land himself in hot water with anti-abortion groups that have been championing efforts to legislate abortion at the federal level.

    “One thing that will not be satisfactory and a disqualifier is any candidate who says this is a state issue,” said Dannenfelser, who has remained in touch with Trump since he left office.

    Others simply want to see Republican presidential candidates – including Trump – talking about abortion as much as possible in the months to come. Prior to the midterms elections, however, Trump expressed concern to advisers that the reversal of Roe would backfire on GOP candidates by injecting a jolt of energy into the Democratic base, according to two people familiar with his comments.

    One of those sources said Trump has since griped to aides that his prediction was right, partly blaming the GOP’s underwhelming midterm performance on the attention abortion received from voters. CNN exit poll data found that 61 percent of voters were displeased with the Supreme Court decision to overturn Roe v. Wade and about seven in 10 of those voters backed Democratic candidates running for Congress.

    A Trump campaign spokesman did not respond to a request for comment.

    “A lot of folks seemed skittish about talking about abortion immediately after Roe’s reversal. We believe that it’s dangerous for Republicans not when you talk about it but when you don’t talk,” said Hawkins.

    Democrats have similarly taken note of Trump’s caution around the abortion subject, noting that they will continue to highlight his record.

    “It’s no surprise Donald Trump is terrified about talking about his own record of paving the way for abortion bans across the country,” said Ammar Moussa, a spokesman for the Democratic National Committee, adding that “Democrats will remind voters how [Trump] said there should be ‘some form of punishment’ for women who get an abortion’” during his 2016 presidential campaign.

    With Trump kicking off the 2024 primary earlier this week, several abortion opponents have said they have already been impressed with at least one of his potential rivals – former Vice President Mike Pence – and are closely watching to see how others handle the issue as they near possible campaigns of their own.

    That includes Florida Gov. Ron DeSantis, potentially Trump’s leading foe if he mounts a campaign, who signed a 15-week abortion ban into law this past April but hasn’t committed to including additional legislative restrictions in an upcoming special session of the Florida state legislature, despite calls from abortion opponents to do so.

    “We would like to see him do more and see him speak more loudly,” said Hawkins, who remains hopeful that DeSantis’ sweeping reelection victory will embolden him “to take on additional measures in this coming legislative session.”

    Pence, for his part, has long charted a political identity with anti-abortion advocacy at its core since his days as a conservative congressman from Indiana. Just weeks after the Dobbs decision was handed down, the former vice president traveled to South Carolina to deliver a speech outlining a Republican policy blueprint for “post-Roe America.” He and his wife Karen have also been quietly raising funds for crisis pregnancy centers across the country and in keynote remarks at a gala for Susan B. Anthony Pro-life America in September, Pence also appeared to endorse Republican efforts to shepherd a national abortion ban through Congress.

    “I welcome any and all efforts to advance the cause of life in state capitals or in the nation’s capital,” Pence said at the time.

    At a CNN town hall this week, Pence praised the Dobbs decision, saying it gave “the American people a new beginning for life.” While suggesting that laws around abortion had been “returned to the states and the American people, where it belongs,” Pence also said he remains hopeful that all 50 states will eventually “stand for the sanctity of life.”

    Marc Short, a top adviser to the former vice president, said Pence will continue to train a spotlight on the issue whether or not he decides to run for president in 2024.

    “He’s always said we now have to take our case to the American people in a winsome way, while others have said, ‘just stop talking about it,’” Short said, adding that abortion “has never been a comfortable issue for President Trump and one he thinks of as a political loser.”

    While Pence’s intense focus on the issue has scored him points with abortion opponents, Short said it has also rankled some donors who don’t want to see third rail issues “highlighted as much [or] don’t necessarily agree with his position.” Pence, who is in the midst of promoting his new book “So Help Me God” that chronicles his time as vice president, has “loyal supporters who don’t necessarily share his views on life” but continue to support him because they consider him “a role model in public service,” Short said.

    After federal abortion rights were overturned, former Secretary of State Mike Pompeo – another possible 2024 contender – tweeted that conservatives would soon see “which politicians supported the pro-life cause to win elections, and which actually believed it.” But in a September interview with the Sioux City Journal during one of several visits he has made to Iowa, Pompeo also declined to offer support for Iowa Republican Gov. Kim Reynolds’ push to outlaw abortion after six weeks in her state.

    “Iowa will sort through it for itself, the state of Kansas will sort through it for itself,” said Pompeo, a former congressman from Kansas, which earlier this year rejected a proposed state constitutional amendment that could have paved the way for a statewide ban on abortion. Pompeo described the vote as “very confusing.”

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    November 20, 2022
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