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‘The Voice’ Fans Have Strong Opinions About Reba McEntire Replacing Blake Shelton – Yahoo Life

  1. ‘The Voice’ Fans Have Strong Opinions About Reba McEntire Replacing Blake Shelton Yahoo Life
  2. Blake Shelton Approves of Reba McEntire Replacing Him on ‘The Voice’ PEOPLE
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Telling the Truth About Possible War Over Taiwan

Soldiers rush after alighting from an assault amphibious vehicle during a military drill in Kaohsiung City, Taiwan, Jan. 12.



Photo:

Daniel Ceng/Associated Press

Honesty is not the default policy in Washington these days, so the political and media classes were jolted this weekend by the leak of a private warning by a U.S. general telling his troops to prepare for a possible war with China over Taiwan in two years. Imagine: A warrior telling his troops to be ready for war.

In an internal memo leaked to NBC News, Gen. Michael Minihan told his troops: “I hope I am wrong. My gut tells me we will fight in 2025.” The general runs the Air Mobility Command, the Air Force’s tank-refueling operation, and he says in his memo that he wants his force to be “ready to fight and win in the first island chain” off the eastern coast of continental Asia. He called for taking more calculated risks in training.

The general’s document won’t be remembered for subtlety. One of his suggestions is that airmen with weapons qualifications start doing target practice with “unrepentant lethality.” Another tells airmen to get their affairs in order. This candor seems to have alarmed higher-ups at the Pentagon, and NBC quoted an unidentified Defense official as saying the general’s “comments are not representative of the department’s view on China.”

But while Gen. Minihan’s words may be blunt, his concern is broadly shared, or ought to be. U.S. Navy Adm.

Phil Davidson

told Congress in 2021 that he worried China was “accelerating their ambitions to supplant the United States,” and could strike Taiwan before 2027. Gen. Minihan came to his post after a tour as deputy of Indo-Pacific Command. He like many others suggested that 2025 may be a ripe moment for Chinese President

Xi Jinping

to move. Taiwan and the U.S. both have presidential elections in 2024 that China may see as moments of weakness.

No less than Secretary of State

Antony Blinken

said last year that Beijing was “determined to pursue reunification” with Taiwan “on a much faster timeline” than it had previously contemplated. Are war-fighters supposed to ignore that message as they prepare for their risky missions?

Gen. Minihan is doing his troops a favor by speaking directly about a war they might have to fight. A recent war game conducted by the Center for Strategic and International Studies warned that, in a conflict over Taiwan, “the scale of casualties” would “stagger a U.S. military that has dominated battlefields for a generation.” Gen. Minihan’s boom operators are accustomed to working in skies the U.S. controls. Tankers would be essential in a fight for Taiwan given the vast distance over the Pacific—and would be vulnerable to heavy losses.

Former naval officer

Seth Cropsey

explained on these pages last week that America isn’t investing in the ships and weapons stockpiles that would be required to support a long war in the Western Pacific. Such yawning gaps in U.S. preparedness make a decision by Beijing to invade or blockade the democratic island more likely. Preventing a war for Taiwan requires showing Beijing that the U.S. has the means and the will to fight and repel an invasion.

Whatever his rhetorical flourishes, Gen. Minihan seems to understand this, and what Americans should really worry about is that some of his political and military superiors don’t.

Journal Editorial Report: Paul Gigot interviews General Jack Keane. Images: Zuma Press/Polish Defense Ministry via AP Composite: Mark Kelly

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Appeared in the January 30, 2023, print edition as ‘Telling the Truth About War Over Taiwan.’

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The Campaign to Re-Educate Jordan Peterson

Canadian psychologist Jordan Peterson in 2019.



Photo:

zoltan balogh/Shutterstock

You would think Canadians had learned by now not to tell

Jordan Peterson

what to say. The psychology professor became an internet sensation in 2016 after arguing that Canadian legislation amounted to “compelled speech” on gender pronouns. Now the College of Psychologists of Ontario is demanding that Mr. Peterson acknowledge he “lacked professionalism” in public statements and undergo a “coaching program” of remedial education.

Maybe the new commissars missed Mr. Peterson’s videos praising Aleksandr Solzhenitsyn, the man who said: “Live not by lies.” Mr. Peterson won’t comply, and he says he’ll now face a disciplinary committee that could revoke his license to practice.

The College of Psychologists, the profession’s governing body in Ontario, appointed an investigator in March to examine complaints about Mr. Peterson’s comments on Twitter and the popular Joe Rogan podcast. On Nov. 22, the College’s panel released a decision. Per images provided by Mr. Peterson, the panel ruled: “The comments at issue appear to undermine the public trust in the profession as a whole, and raise questions about your ability to carry out your responsibilities as a psychologist.”

What are these comments? Calling Elliot Page, the transgender actor, by her former name, “Ellen,” and the pronoun “her,” on Twitter. Calling an adviser to Prime Minister

Justin Trudeau

a “prik.” A sarcastic crack at antigrowth environmentalists for not caring that their energy policies lead to more deaths of poor Third World children.

Calling a former client “vindictive.” Objecting to a Sports Illustrated swimsuit cover of a plus-size model: “Sorry. Not Beautiful. And no amount of authoritarian tolerance is going to change that.” In Canada even offenses begin with “sorry.”

“The impact risk in this case is significant,” the panel found, because the comments “may cause harm.” It counseled Mr. Peterson that coaching would help “mitigate any risks to the public.” The College of Psychologists declined to comment on the case, citing confidentiality.

Mr. Peterson responded sensibly: “Who exactly was harmed, how, when, to what degree, and how was that harm measured”? He says there have been about a dozen formal complaints since 2017, each one demanding a formal reply. One complainant cited Mr. Peterson’s Twitter response to a critic worried about overpopulation: “You’re free to leave at any point.” Mr. Peterson thinks the investigations aren’t about mitigating harm but preventing free expression, and that “the process is the punishment,” giving online detractors an effective way to badger him.

Professional bodies are supposed to ensure that practitioners are competent, not enforce political orthodoxies or act as language police outside the office. But that’s the trend in Western medical associations and beyond. The Law Society of Ontario had pushed a mandatory diversity pledge for all lawyers until a members’ revolt took over the board and nixed the pledge in 2019. At the time, an Ontario lawyer objected to the “ever-expanding mission to socially engineer the profession.”

Sounds like an issue of id, ego and superego. You could ask a psychologist about it.

The release of the so-called ‘Twitter Files’ continues, with attention now turning to Twitter’s relationship with agencies including the FBI and DHS. Images: AFP/Getty Images Composite: Mark Kelly

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Central Banks May Stoke Risks by Raising Interest Rates Together

Central banks around the world are raising their key interest rates in the most widespread tightening of monetary policy on record. Some economists fear they may go too far if they don’t take into account their collective impact on global demand.

According to the World Bank, the number of rate increases announced by central banks around the world was the highest in July since records began in the early 1970s. On Wednesday, the Federal Reserve delivered its third 0.75 percentage-point increase in as many meetings. This past week its counterparts in Indonesia, Norway, the Philippines, South Africa, Sweden, Switzerland, Taiwan and the U.K. also upped rates.

Moreover, the size of those rate rises is larger than usual. On Sept. 20, Sweden’s Riksbank increased its reference rate by a full percentage point. It hadn’t previously raised or lowered rates by more than half a point since adopting its current framework in July 2002.

Those central banks are almost universally responding to high inflation. Inflation across the Group of 20 leading economies was 9.2% in July, double the rate a year earlier, according to the Organization for Economic Cooperation and Development. Higher rates cool demand for goods and services and reassure households and businesses that inflation will be brought down over the coming year.

Federal Reserve Chairman Jerome Powell said he anticipates that interest-rate increases will continue as the Fed fights high inflation. Photo: Kevin Lamarque/Reuters

But some worry that central banks are effectively pursuing national responses to what is a global problem of excess demand and high prices. They warn that central banks as a group will thus go too far—and push the world economy into a downturn that is deeper than necessary.

“The present danger…is not so much that current and planned moves will fail eventually to quell inflation,”

Maurice Obstfeld,

formerly chief economist at the International Monetary Fund, wrote earlier this month in a note for the Peterson Institute for International Economics, where he is a senior fellow. “It is that they collectively go too far and drive the world economy into an unnecessarily harsh contraction.”

There are few signs that central banks are going to pause and take stock of the impact of their rate increases to date. The Fed indicated Wednesday it would likely raise rates 1 percentage point to 1.25 percentage points over its next two meetings. Economists at JPMorgan expect central bankers from Canada, Mexico, Chile, Colombia, Peru, the eurozone, Hungary, Israel, Poland, Romania, Australia, New Zealand, South Korea, India, Malaysia and Thailand to raise rates in policy meetings scheduled through the end of October.

That is an array of central-bank firepower with few precedents. But do they all need to be doing so much if they are all doing the same thing?

Most economists accept that inflation in any one country isn’t solely due to forces within that country. Global demand also affects the prices of easily traded goods and services. This has long been apparent with commodities such as oil; a boom in China drove up prices in 2008 even as the U.S. slid into recession. It has also been true in recent years of manufactured goods, whose prices were boosted worldwide by disruptions to supply chains, such as at Asian ports, and elevated demand from government stimulus. One Fed study found that U.S. fiscal stimulus raised inflation in Canada and the U.K.

Sweden’s Riksbank, led by Gov. Stefan Ingves, raised its reference rate by a full percentage point this week.



Photo:

Mikael Sjoberg/Bloomberg News

But an individual central bank’s focusing on matching supply and demand at a national level could go too far, because other central banks are already weakening the global demand that is one of the drivers of national inflation. If each central bank does so, the excess tightening globally may be significant.

The World Bank shares Mr. Obstfeld’s worries, warning in a report that “the cumulative effects of international spillovers from the highly synchronous tightening of monetary and fiscal policies could cause more damage to growth than would be expected from a simple summing of the effects of the policy actions of individual countries.”

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The Economic Outlook with Larry Summers and the Fed’s Neel Kashkari

WSJ Chief Economics Correspondent Nick Timiraos sits down with former Treasury Secretary Lawrence Summers and Neel Kashkari, president of the Federal Reserve Bank of Minneapolis, to discuss the steps the Fed is taking to battle inflation.

That risk could be reduced through coordination between central banks—for example, when they cut key interest rates together during the global financial crisis. Likewise, in 1985 when advanced economies acted together to bring down the dollar and then again in 1987, when they acted together to support it.

Fed Chairman

Jerome Powell

noted Wednesday that central banks have coordinated interest-rate actions in the past, but that it wasn’t appropriate now when “we’re in very different situations.” He added that contact among global central banks is more or less ongoing. “And it’s not coordination, but there is a lot of information-sharing,” he said.

If coordination isn’t feasible, a more attainable goal may be, as the World Bank advised, for national policy makers to “take into account the potential spillovers of globally synchronous domestic policies.”

Fed Chairman Jerome Powell said it wasn’t appropriate for central banks to coordinate interest-rate actions at the moment.



Photo:

Drew Angerer/Getty Images

Mr. Powell suggested that already happens. The Fed’s forecasts always take account of “policy decisions—monetary policy and otherwise [and] the economic developments that are taking place in major economies that can have an effect on the U.S. economy,” he told reporters.

Many central banks are worried about raising rates too little in the face of stiff inflation. “In this environment, central banks need to act forcefully,” said

Isabel Schnabel,

a policy maker at the European Central Bank, in a late August speech. “Regaining and preserving trust requires us to bring inflation back to target quickly.”

“Informal coordination would be beneficial,” said

Philipp Heimberger,

an economist at the Vienna Institute for International Economic Studies. “Systematic thinking on the impact of interest-rate hikes would need to take into account what other central banks are doing simultaneously. This would be a game changer.”

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What could be the ripple effects of monetary tightening by central banks around the world? Join the conversation below.

Mr. Heimberger said that the Fed has a key role as the prime mover behind the rise in global interest rates and that it should “seriously consider the implications of its interest-rate hiking cycle for other parts of the world.”

Gilles Moëc,

chief economist at insurer

AXA SA,

is doubtful that effective coordination is achievable and argues that in its absence, central banks should tread more carefully as they contemplate further rate rises.

“Once monetary policy is in restrictive territory, I think it becomes dangerous to hike mechanically at every policy meeting without taking the time to assess how the economy is responding,” Mr. Moëc said. “The quantity of new info between two meetings can be too small and the risk of overreaction rises.”

Write to Paul Hannon at paul.hannon@wsj.com

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Alisyn Camerota: What I learned about the ‘baby business’ more than 15 years after undergoing IVF

My own twins are among them.

It’s been a long time since I first went public with my fertility journey. As newlyweds, my husband and I struggled for three years to get pregnant. After two miscarriages and three rounds of failed in vitro fertilization (IVF), I was devastated.

Back then, I kept our struggle secret. I still felt the stigma and silence around infertility. With no idea how many other people were going through it, I felt supremely alone.

In 2005, IVF finally worked, and my twins were born. Thirteen months later, an even bigger shock: I was pregnant with my third child — naturally. Filled with gratitude, I started a peer support group through RESOLVE: The National Infertility Association. I vowed to do whatever I could to help other people with infertility feel less alone.

More than 15 years later, I’m so relieved that these days much of that stigma is gone. Between celebrities such as Michelle Obama, Amy Schumer, Gabrielle Union, Brooke Shields and others sharing their stories, it seems the shame of infertility is slowly fading away. In addition, American women are giving birth later in life, and LGBTQ+ couples and single people are growing their families at unprecedented rates.

It’s no surprise then that the use of assisted reproductive technology (ART) has doubled in the past decade, according to the CDC. There’s no doubt the fertility field has been the medicine of miracles for so many people, myself included.

But it’s also been the source of occasional horror stories and tragic mistakes. Now, as the multi-billion-dollar fertility industry booms, there are people calling for more oversight, regulations and legislation.

In our reporting for the documentary, “CNN Special Report: The Baby Business,” we spoke to remarkable people with stunning stories: donor-conceived children searching for siblings, an egg donor with 27 known genetic children, as well as families devastatingly affected by what they claim is a lack of oversight of the industry.

Laura and David Gunner are a couple from upstate New York. In 2020, they lost their 27-year-old son Steven to a fatal opioid overdose after a long battle with schizophrenia and mental health issues. More than a year after his death, they discovered details about the anonymous sperm donor they had used in the 1990s. The tragic details of the donor’s life were eerily similar to their son’s. That sperm donor had also been diagnosed with schizophrenia. He had been in a mental institution before he ever donated sperm. He died of an opioid overdose at age 46.

Discovering those details about their donor was shocking. Equally shocking was that the medical history they’d meticulously examined about the donor was fabricated. But what they learned about the industry was even more stunning: sperm banks are not required to verify the self-reported medical information provided by donors. The Gunners decided to take action. Now, they’re pushing for the passage of “Steven’s Law” on the federal level and the “Donor Conceived Person Protection Act” in New York state.

Critics of such legislation, such as Dr. Jaime Shamonki, chief medical officer for California Cryobank, say that new laws and regulations will likely increase costs for an already exorbitant process, deter potential donors and limit access to fertility medicine overall. “You may inadvertently drive up the cost of producing a vial of sperm. Or it may even put some of the smaller sperm banks out of business, which given the fact that we currently have a shortage of sperm donors in the US I think is really bad for families,” says Shamonki.

We also examine the biggest growth area of the fertility industry: elective egg freezing. Every year, more and more women in their 20s and 30s freeze their eggs with the hope of protecting their future fertility until they’re ready to start a family.

We feature the prolific egg donor and surrogate Tyra Reeder, who has shared her own uncommon fertility with many families across the country. By Tyra’s count, she’s had 14 cycles of egg retrievals over seven years with clinics around the country, resulting in hundreds of donated eggs. As a gestational surrogate, she’s given birth to three children over six years. Reeder shared her own insider and unique perspective on how to improve the reproductive industry. She would like to see more on the long-term health effects for egg donors and surrogates.

To be clear, there are strict rules on fertility clinics’ accurate reporting of success rates to the CDC. And the American Society for Reproductive Medicine (ASRM), a professional organization for the fertility field whose membership includes scientists and physicians, has its own guidelines on surrogacy, sperm and egg donation. But almost everyone we spoke to emphasized that these are merely suggested guidelines, not enforceable rules or regulations. Many advocates for change said it’s high time for our laws and ethics to catch up with our vast advances in technology. I want other families to have the life-changing benefits of fertility treatments, as I did, without any of the unnecessary heartbreak.

When I started reporting for this documentary, I had no agenda, other than to highlight the fast-changing landscape for patients over the past few years. I also wanted to shine some light on some of the darker corners of the fertility industry — places where the consumer experience could be improved. What I’ve learned is that the exponential growth of this complex industry poses some real dangers. Our laws and regulatory oversight haven’t had a chance to catch up with technology. If nothing changes, the ethical challenges will only get bigger.

With reporting by CNN Documentary Producer A. Chris Gajilan.

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Biden’s Half-Trillion-Dollar Student-Loan Forgiveness Coup

President Joe Biden announces a federal student loan relief plan that includes forgiving up to $20,000 for some borrowers and extending the payment freeze at the White House on Aug. 24.



Photo:

Bonnie Cash – Pool via CNP/Zuma Press

Well, he did it. Waving his baronial wand, President Biden on Wednesday canceled student debt for some 40 million borrowers on no authority but his own. This is easily the worst domestic decision of his Presidency and makes chumps of Congress and every American who repaid loans or didn’t go to college.

The President who never says no to the left did their bidding again with this act of executive law-making, er, breaking. The government will cancel $10,000 for borrowers making less than $125,000 a year and $20,000 for those who received Pell grants. The Administration estimates that about 27 million will be eligible for up to $20,000 in forgiveness, and some 20 million will see their balances erased.

But there’s much more. Mr. Biden is also extending loan forbearance for another four months even as unemployment among college grads is at a near record low 2%. Congress’s Cares Act deferred payments and waived interest through September 2020, but

Donald Trump

and Joe Biden have extended the pause for what will now be nearly three years.

The Administration is claiming, again, that this will be the last extension and is needed to help borrowers prepare to resume payments. But even if the Administration lets the forbearance end in December, about half of borrowers won’t have to make payments since their debt will be canceled.

Most of the rest will only make de minimis payments because Mr. Biden is also sweetening the income-based repayment plans that Barack

Obama

expanded by fiat. Borrowers currently pay only up to 10% of discretionary income each month and can discharge their remaining debt after 20 years (10 if they work in “public service”).

Democrats said these plans would reduce defaults. They haven’t. Federal student debt has ballooned because many borrowers don’t make enough to cover interest and principal payments, so their balances expand. Student debt has nearly doubled since 2011 to $1.6 trillion, though the number of borrowers has increased by only 18%.

Now Mr. Biden is cutting undergrad payments to a mere 5% of discretionary income. The government will also cover unpaid monthly interest for borrowers so their balances won’t grow even if they aren’t paying a penny. This will mask the cost to taxpayers of the Administration’s rolling loan write-off. Student-loan debt won’t appear to swell even as it does. What a fabulous accounting trick.

The Penn Wharton Budget Model estimates that canceling $10,000 for borrowers earning up to $125,000 will cost about $300 billion. The Pell grant addition could increase this by as much as $270 billion. The four-month freeze on payments will cost $20 billion on top of the roughly $115 billion it already has.

The payment plan revisions could eventually add hundreds of billions of dollars more. An analysis commissioned by the Trump Education Department estimated that taxpayers would lose $435 billion on federal student loans, largely because borrowers in these payment plans on average were expected to repay only half of their balances. Now they will repay even less.

Worse than the cost is the moral hazard and awful precedent this sets. Those who will pay for this write-off are the tens of millions of Americans who didn’t go to college, or repaid their debt, or skimped and saved to pay for college, or chose lower-cost schools to avoid a debt trap. This is a college graduate bailout paid for by plumbers and

FedEx

drivers.

Colleges will also capitalize by raising tuition to capture the write-off windfall. A White House fact sheet hilariously says that colleges will “have an obligation to keep prices reasonable and ensure borrowers get value for their investments, not debt they cannot afford.” Only a fool could believe colleges will do this.

***

It’s important to appreciate that there has never been an executive action of this costly magnitude in peacetime. Not Mr. Obama’s immigration amnesties, not his Clean Power Plan, not Mr. Trump’s border-wall fund diversion. Nothing comes close to this half-trillion-dollar or more executive coup.

Congress authorized none of Mr. Biden’s loan relief and appropriated no funds for it. Progressives say the Higher Education Act of 1965 lets the Education Secretary “compromise” (i.e., modify) student debt. But the Federal Claims Collection Act of 1966 sets very limited terms and strict procedures for such “compromise.”

Even Mr. Biden said in December 2020 it was “pretty questionable” whether he had authority to cancel debt this way. The Supreme Court recently underscored in West Virginia v. EPAthat Congress must provide clear authorization to agencies taking action on major questions. Canceling so much debt is beyond major to a mega-ultra-super question.

With the cancellation precedent, progressives will return to this vote-buying exercise every election year. The only antidote will be if Democrats conclude this gambit boomeranged politically by mobilizing an opposition coalition of Americans who are tired of being played for saps by progressives. The test arrives in November.

Journal Editorial Report: It insults the millions who paid their loans back (05/01/22). Images: Getty Images for We The 45 Million Composite: Mark Kelly

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Appeared in the August 25, 2022, print edition as ‘A Half-Trillion-Dollar Executive Coup.’

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Hopeful Signs for Democrats in the 2022 Midterms



Photo:

Getty Images

The race to the midterm elections will accelerate after Labor Day—and if past is prologue, Democrats are likely to lose control of at least one legislative chamber. But current facts are more ambiguous than the historical record.

Midterm elections are usually referendums on the incumbent president and his party. Although President Biden’s job approval remains low (as it has been for the past year), it appears to have improved by 2 to 3 percentage points in recent weeks. If this trend continues, the president will be less of a drag on his party’s candidates than he was at his nadir.

Surprisingly, Democrats remain tied with Republicans in the generic congressional ballot, which reflects national preferences for the parties’ House candidates. If this is still true on Election Day, Republican gains will be much smaller than they were in 1994 and 2010. Other factors—including the record low number of truly competitive House districts—point in the same direction.

In Senate races, candidate quality matters more. As has happened repeatedly in recent cycles, Republicans appear to have damaged their prospects during primary contests by choosing nominees who have more appeal with their party’s base than with statewide electorates. In Ohio, Pennsylvania, Georgia and Arizona, nominees backed by

Donald Trump

trail their Democratic opponents, several by wide margins.

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In the race to succeed

Pat Toomey,

the two-term Republican senator from Pennsylvania, Democrat Lt. Gov.

John Fetterman

leads TV personality

Mehmet Oz

by double digits. In Ohio—which Mr. Trump carried by wide margins in 2016 and 2020—Democratic Rep.

Tim Ryan

has moved out to a 4.5-point lead over political neophyte J.D. Vance. If Democrats can pick up this seat, which Republicans have held since 1999, the GOP’s chances of retaking the Senate will be dealt a possibly fatal blow, even if

Herschel Walker

and

Blake Masters

manage to eke out victories over Democratic incumbents in Georgia and Arizona.

Inflation will do more than any other issue to shape this year’s midterms, and broad-based price increases have tilted polls toward the Republicans since last fall. But even on this issue recent trends have been favorable for Democrats. According to the AAA’s daily survey, gasoline prices have fallen to $3.95 a gallon from a peak of $5.02 two months ago. Lower shipping prices and a strengthening dollar should hold down the prices of imported goods, and bloated inventories will force retailers to give consumers some relief. Although July’s more positive inflation report—which showed a modest reduction in year-over-year inflation, to 8.5% from 9.1%—doesn’t necessarily signal a trend, a sustained decline between now and November could persuade some voters that the worst is behind them.

In midterm elections, turnout is variable—and crucial. When Democratic interest in the 2014 cycle was muted, Republicans added 13 House seats to their already substantial majority. In 2018, by contrast, Democrats surged to the polls to express their opposition to President Trump and gained 41 seats, retaking the majority after eight years in opposition.

Democrats’ enthusiasm about going to the polls this fall had substantially trailed Republicans’—but recent events have narrowed the gap. After the Supreme Court overturned Roe v. Wade, Democratic interest in the midterms surged. The passage of the major energy-and-climate bill that many Democrats had given up for dead further lifted their spirits.

The abortion issue could prove a game-changer. As the results of Kansas’ Aug. 2 referendum indicate, the court’s decision in Dobbs v. Jackson Women’s Health Organization isn’t popular, and severe restrictions on abortion are even less so. Eighty-five percent of Americans favor allowing abortions in cases of rape, incest and risks to the mother’s life, and a strong majority believe that the procedure should be widely available during the first trimester of pregnancy. While only 3 in 10 Americans favor abortion on demand, less than 1 in 10 support an outright ban. Most voters accept abortion in some circumstances but not others, and candidates who appear dogmatic or extreme will pay a price at the polls. By a margin of 25 points, voters favor protections for abortion in their state constitutions—a position backed by most demographic groups and even by one-third of Republicans.

Women care about this issue, which now trails only inflation in their list of top concerns. The pain of loss typically outweighs the satisfaction of gain, and tens of millions of pro-choice women have suffered a loss that until recently seemed unimaginable. If Democrats do better than expected this November, the justices who voted to overturn Roe will be a big piece of the explanation.

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Opinion: The problem with monkeypox vaccine distribution

I tried and tried again, but between dwindling supplies, huge demand and difficulties with the appointment website, each time I failed.

On Tuesday, New York City Health Commissioner Ashwin Vasan said that 9,200 vaccination appointments were fully booked in just seven minutes after they went online last week. It should come as no surprise, then, that New York City’s health department decided to switch its two-dose vaccination strategy to a one-dose strategy. Vasan said the agency hasn’t scrapped the second shot but is focusing on first shots for now.
The demand outpacing supply is a problem we could have prevented; demand was and is largely predictable as cases in the US are still mostly limited to men who have sex with men (MSM) — many of whom self-identify as gay, bisexual or transgender. And studies consistently show that LGBTQ individuals are much more likely to get vaccinated than our heterosexual peers — including getting the Covid-19 vaccine.

There is no doubt that there is an urgent need to fast-track the delivery and distribution of more vaccines. But, as a gay physician-in-training who has taken care of LGBT people in low-income and immigrant neighborhoods, I am worried that our current approach to rationing available vaccine reserves is not equitable and disadvantages individuals who may need it the most.

First and foremost, we need to prioritize vaccine distribution in Black and brown communities. This includes not just opening up sites in predominantly minority neighborhoods but ensuring that people who live there can access them. Latest surveillance data from the NYC Department of Health shows that non-white individuals make up a larger share of known monkeypox cases than white individuals. Additionally, 2 out of every 5 cases are outside Manhattan and Staten Island, in boroughs that are predominantly non-white. Other cities, like Atlanta, appear to have a similar racial/ethnic disparity among known cases, with Black individuals being impacted more.
Yet, based on what I’ve heard from Black and brown peers and patients, and corroborated by what’s being anecdotally reported on social media, people of color seem to be having a very difficult time securing vaccination appointments. As more doses become available in the future, we need to adjust our distribution strategies so that these individuals and their communities are not further stymied. Releasing anonymized sociodemographic information on who is getting the vaccines and in which neighborhoods may help ensure that minority neighborhoods are being reached.
We also need to supplement the current approach in many cities of first-come-first-served, online-only scheduling portals with pre-registration (like Washington, DC is doing) and walk-in options. As we witnessed with the Covid-19 vaccine rollout, the online, first-come-first-served system disadvantages anyone who has work or other obligations that prevent them from getting online the minute appointments are released, as well as people with unstable housing who don’t often have access to digital technology.

There are also still a fair number of MSM who prioritize anonymity and discretion over health. I’ve seen this not only in my own patient pool but in conversations with people online. Many of these individuals don’t feel comfortable with the digital traceability of online portals. We are doing a disservice to people if we don’t employ different, more discreet strategies such as walk-in appointments with no online registration.

Language equity, too, is important when disseminating information on vaccine updates, especially in urban centers like New York, which are linguistically diverse. I know several gay men who only speak Mandarin or Portuguese and who have struggled to understand the updates released about vaccine availability. Though webpages can often be translated, cities should look into ensuring that monkeypox information and updates about vaccine availability are efficiently and accurately reaching those who are not native English speakers.

Finally, current eligibility criteria encourages people with immunocompromising conditions to seek out vaccines, but they are not afforded priority in a first-come-first-served scheduling portal despite the fact that some early data indicates that those who are immunocompromised — including from uncontrolled or poorly controlled HIV — may have more serious outcomes from monkeypox. We should prioritize vaccinations for these individuals.
The monkeypox situation is rapidly evolving. In New York City, we went from one case in May to over 600 in mid-July. And even though a majority of known cases have been in adult men, Dr. Mary Bassett, commissioner of the New York State Department of Health, mentioned in a recent town hall that health authorities are starting to see cases in children. Renewed emphasis on vaccination as well as primary prevention will be critical to curbing the spread of the virus in different groups.

There is no perfect, one-size-fits all solution to vaccine distribution challenges that will cater to everyone’s needs. But it is especially important to me, as an immigrant and a physician-in-training, to be able to advocate for the needs of disadvantaged groups that I serve. I must vouch for their visibility in the public health system to help ensure that access to resources is equitable for all New Yorkers.



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Opinion: The problem with monkeypox vaccine distribution

I tried and tried again, but between dwindling supplies, huge demand and difficulties with the appointment website, each time I failed.

On Tuesday, New York City Health Commissioner Ashwin Vasan said that 9,200 vaccination appointments were fully booked in just seven minutes after they went online last week. It should come as no surprise, then, that New York City’s health department decided to switch its two-dose vaccination strategy to a one-dose strategy. Vasan said the agency hasn’t scrapped the second shot but is focusing on first shots for now.
The demand outpacing supply is a problem we could have prevented; demand was and is largely predictable as cases in the US are still mostly limited to men who have sex with men (MSM) — many of whom self-identify as gay, bisexual or transgender. And studies consistently show that LGBTQ individuals are much more likely to get vaccinated than our heterosexual peers — including getting the Covid-19 vaccine.

There is no doubt that there is an urgent need to fast-track the delivery and distribution of more vaccines. But, as a gay physician-in-training who has taken care of LGBT people in low-income and immigrant neighborhoods, I am worried that our current approach to rationing available vaccine reserves is not equitable and disadvantages individuals who may need it the most.

First and foremost, we need to prioritize vaccine distribution in Black and brown communities. This includes not just opening up sites in predominantly minority neighborhoods but ensuring that people who live there can access them. Latest surveillance data from the NYC Department of Health shows that non-white individuals make up a larger share of known monkeypox cases than white individuals. Additionally, 2 out of every 5 cases are outside Manhattan and Staten Island, in boroughs that are predominantly non-white. Other cities, like Atlanta, appear to have a similar racial/ethnic disparity among known cases, with Black individuals being impacted more.
Yet, based on what I’ve heard from Black and brown peers and patients, and corroborated by what’s being anecdotally reported on social media, people of color seem to be having a very difficult time securing vaccination appointments. As more doses become available in the future, we need to adjust our distribution strategies so that these individuals and their communities are not further stymied. Releasing anonymized sociodemographic information on who is getting the vaccines and in which neighborhoods may help ensure that minority neighborhoods are being reached.
We also need to supplement the current approach in many cities of first-come-first-served, online-only scheduling portals with pre-registration (like Washington, DC is doing) and walk-in options. As we witnessed with the Covid-19 vaccine rollout, the online, first-come-first-served system disadvantages anyone who has work or other obligations that prevent them from getting online the minute appointments are released, as well as people with unstable housing who don’t often have access to digital technology.

There are also still a fair number of MSM who prioritize anonymity and discretion over health. I’ve seen this not only in my own patient pool but in conversations with people online. Many of these individuals don’t feel comfortable with the digital traceability of online portals. We are doing a disservice to people if we don’t employ different, more discreet strategies such as walk-in appointments with no online registration.

Language equity, too, is important when disseminating information on vaccine updates, especially in urban centers like New York, which are linguistically diverse. I know several gay men who only speak Mandarin or Portuguese and who have struggled to understand the updates released about vaccine availability. Though webpages can often be translated, cities should look into ensuring that monkeypox information and updates about vaccine availability are efficiently and accurately reaching those who are not native English speakers.

Finally, current eligibility criteria encourages people with immunocompromising conditions to seek out vaccines, but they are not afforded priority in a first-come-first-served scheduling portal despite the fact that some early data indicates that those who are immunocompromised — including from uncontrolled or poorly controlled HIV — may have more serious outcomes from monkeypox. We should prioritize vaccinations for these individuals.
The monkeypox situation is rapidly evolving. In New York City, we went from one case in May to over 600 in mid-July. And even though a majority of known cases have been in adult men, Dr. Mary Bassett, commissioner of the New York State Department of Health, mentioned in a recent town hall that health authorities are starting to see cases in children. Renewed emphasis on vaccination as well as primary prevention will be critical to curbing the spread of the virus in different groups.

There is no perfect, one-size-fits all solution to vaccine distribution challenges that will cater to everyone’s needs. But it is especially important to me, as an immigrant and a physician-in-training, to be able to advocate for the needs of disadvantaged groups that I serve. I must vouch for their visibility in the public health system to help ensure that access to resources is equitable for all New Yorkers.



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Ketanji Brown Jackson to be sworn in as Supreme Court Justice as court issues final opinions

President Joe Biden speaks at a news conference in Madrid on Thursday. (Susan Walsh/AP)

President Biden indicated Thursday that he supports an exception to the 60-vote threshold needed to advance legislation in the Senate to codify abortion and privacy rights following the Supreme Court’s ruling overturning the landmark Roe v. Wade.

“I believe we have to codify Roe v Wade into law. And the way to do that is to make sure that Congress votes to do that. And if the filibuster gets in the way, it’s like voting rights, it should be, we provide an exception for this. The exception – the required exception of the filibuster for this action to deal with the Supreme Court decision,” Biden told reporters at a press conference in Madrid, Spain, Thursday.

Pressed moments later to clarify that he was opening to changing filibuster rules for those issues, Biden said, “Right to privacy, not just abortion rights, but yes, abortion rights.”

Codifying Roe v. Wade requires 60 votes in the Senate, which it does not currently have, unless the filibuster rules are changed to require a simple majority. Key moderate Democratic Sens. Joe Manchin of West Virginia and Kyrsten Sinema of Arizona have expressed opposition to changing filibuster rules. Manchin, however, is open to codifying Roe v. Wade legislatively. 

Biden also said he would be meeting with governors Friday to receive their feedback and would have “announcements to make then.”

“The first and foremost thing we should do is make it clear how outrageous this decision was and how much it impacts not just on a woman’s right to choose, which is a critical, critical piece, but on privacy generally, on privacy generally. And so I’m going to be talking to the governors as to what actions they think I should be taking, as well. But the most important thing to be clear about: we have to change, I believe we have to codify Roe v Wade in the law,” he said.

More context: There has been no indication those two senators, Manchin and Sinema, have or will change their positions.

But Biden’s call does dovetail with the White House efforts to ramp up the urgency in advance of the midterm elections – and it comes as national Democrats have increasingly raised concerns that the Biden administration is not doing enough to address – and fight – the Supreme Court decision.

Despite flagging poll numbers and poor prospects in holding onto the Democratic majority in the House, the White House sees a path to gaining Senate seats to increase their narrow majority.

Holding their current seats and adding at least two new Democratic senators could, in theory, create the pathway to securing the votes for a Senate rules change.

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