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Nearly one in five voters in battleground states says that President Biden is responsible for ending the constitutional right to abortion, a new poll found, despite the fact that he supports abortion rights and that his opponent Donald J. Trump appointed three Supreme Court justices who made it possible to overturn Roe v. Wade. Trump supporters and voters with less education were most likely to attribute responsibility for abortion bans to Mr. Biden, but the misperception existed across demographic groups. Twelve percent of Democrats hold Mr. Biden responsible, according to New York Times/Siena College polls in Arizona, Georgia, Michigan, Nevada and Wisconsin and a Times/Philadelphia Inquirer/Siena poll in Pennsylvania. “I think the buck stops with him, so he had the ability to fight that, and that’s not what I’m hearing that he did,” said Terri Yonemura, 62, an abortion rights supporter in Las Vegas who said she would not vote for Mr. Trump, but is unsure about Mr. Biden, so may not vote at all.
Persons: Biden, Donald J, Trump, Roe, Mr, , that’s, , Terri Yonemura Organizations: Wade, New York Times, Times, Philadelphia Inquirer, Mr Locations: Siena, Arizona , Georgia, Michigan, Nevada, Wisconsin, Pennsylvania, Las Vegas
The financial health of Social Security and Medicare, two of the nation’s most crucial safety net programs, has improved this year as a stronger-than-expected U.S. economy attracted more workers to the labor market, buttressing funding for the critical programs. Annual reports released on Monday by trustees of the old age and retirement programs showed that while both still face long-term shortfalls that could ultimately result in reduced retirement and medical benefits, lawmakers will have slightly more time before they begin to fray. About 70 million people receive Social Security benefits, and more than 66 million participate in Medicare. The fate of the popular programs continues to be a contentious political issue, one that is expected to intensify as the November presidential election draws near. President Biden has pledged to block any cuts to Social Security and Medicare and has called for shoring up the programs with higher taxes on the rich.
Persons: Biden, Donald J, Trump Organizations: Social Security, Republican, Biden
Florida’s Abortion Ban Will Reach Well Beyond FloridaAugust 2021 Miles to nearest clinic offering abortions after 6 weeks 50 150 250 350 450 Source: Caitlin Myers, Middlebury College As of Wednesday, Florida has banned abortion after six weeks of pregnancy. Florida, North Carolina and Virginia were the only states in the South offering abortion after six weeks of pregnancy. Women in several states will need to travel hundreds of miles farther to reach a clinic. Florida’s new ban could change that, researchers said — an illustration of how regional abortion access has become. If the amendment earns the support of 60 percent of voters, it will reverse the ban and protect abortion rights until about 24 weeks.
Persons: Miles, Caitlin Myers, Roe, Wade, , Jenny Black, , , Andrew Shirvell, Ron DeSantis, Professor Myers, Dobbs, Stephanie Loraine Piñeiro, Myers’s, Myers Organizations: Middlebury College, Planned, Eastern Seaboard, Guttmacher Institute, Jackson, Health, Florida Voice, Gov, Republican, Florida Access, Florida Supreme, Food and Drug Administration Locations: Florida, South . Florida , North Carolina, Virginia, North Carolina, South Carolina, West Virginia, ” Florida, California, New York, Illinois, Dobbs v, Miami, Charlotte, N.C, Washington, Alabama, Georgia, Louisiana, Mississippi, Alabama , Arkansas, Louisiana , Mississippi , Oklahoma , Tennessee , Texas
The recent cyberattack on the billing and payment colossus Change Healthcare revealed just how serious the vulnerabilities are throughout the U.S. health care system, and alerted industry leaders and policymakers to the urgent need for better digital security. Hospitals, health insurers, physician clinics and others in the industry have increasingly been the targets of significant hacks, culminating in the assault on Change, a unit of the giant UnitedHealth Group, on Feb. 21. The ransomware attack on the nation’s largest clearinghouse, which handles a third of all patient records, had widespread effects. Fixes and workarounds have alleviated some distress, but providers are still unable to collect billions of dollars in payments. Even now, very little information about the exact nature and scope of the attack has been disclosed.
Persons: UnitedHealth Organizations: Healthcare, UnitedHealth Locations: U.S
Challenging Abortion, Again
  + stars: | 2024-03-25 | by ( Emily Bazelon | ) www.nytimes.com   time to read: +1 min
How safe is it to take abortion pills? The case could curtail Americans’ access to mifepristone, the first pill taken in a two-drug regimen for a medication abortion. A decision in the plaintiff’s favor would change the landscape of abortion not state by state, like the effects of the 2022 ruling that overturned Roe v. Wade, but across the country. Post-Roe AmericaThe abortion opponents who sued the government in tomorrow’s case, F.D.A. v. Alliance for Hippocratic Medicine, are frustrated by how common abortion has remained.
Persons: Roe, Wade, Margot Sanger, Katz, Claire Cain Miller Organizations: Alliance, Hippocratic Locations: United States
A nationwide ban on abortions after 16 weeks of pregnancy — which Donald J. Trump is considering backing, according to a New York Times report — would prevent very few abortions in the United States. Mr. Trump, the front-runner to be the Republican presidential nominee, has not publicly spoken about the proposal. It would most likely keep in place more restrictive bans in the nearly half of states that have them, but would be a change for states where abortion remains largely unrestricted. Such a law, which would require congressional action, would affect only a small minority of women seeking abortions. Those women tend to have medically complicated pregnancies.
Persons: Donald J, Trump, Roe, Wade Organizations: New York Times, Republican, for Disease Control Locations: United States
Listen and follow The DailyApple Podcasts | Spotify | Amazon MusicFrom the moment that Roe v. Wade was overturned, the question was just how much the change would reduce abortions across the United States. Now, more than a year later, the numbers are in. Margot Sanger-Katz, who writes about health care for The Upshot, explains why the results are not what anyone had expected.
Persons: Roe, Wade, Margot Sanger, Katz Organizations: Spotify Locations: United States
The first data on births since Roe v. Wade was overturned shows how much abortion bans have had their intended effect: Births increased in every state with a ban, an analysis of the data shows. Until now, studies have shown that many women in states with bans have ended their pregnancies anyway, by traveling to other states or ordering pills online. What they have been unable to show is how many women have not done so, and carried their pregnancies to term. “The importance of our results is when you take away access, it can affect fertility,” said Daniel Dench, an economist at Georgia Tech and an author of the paper with Mayra Pineda-Torres of Georgia Tech and Caitlin Myers of Middlebury College. “When you make it harder, women can’t always get out of states to obtain abortion.”
Persons: Roe, Wade, , , Daniel Dench, Mayra Pineda, Torres, Caitlin Myers, can’t Organizations: Institute of Labor, Georgia Tech, Torres of Georgia Tech, Middlebury College
In the 12 months after the Dobbs decision in June 2022, there were on average 82,298 abortions a month, compared with 82,115 in the two months before Dobbs, WeCount found. The new data, released Tuesday, included 83 percent of known providers, and researchers estimated the remainder based on historical trends and abortion data from states. The report does not include abortions outside the U.S. medical system — such as ordering abortion pills from abroad or traveling across the border. The biggest increases in legal abortions occurred in states that border those with bans, suggesting that many patients traveled across state lines. In Florida, which bars abortions after 15 weeks of pregnancy but is surrounded by states with stricter bans, abortions were up 28 percent, to 7,705.
Persons: Dobbs, WeCount, Abigail Aiken, Alexia Rice, Henry Organizations: Society of Family, Guttmacher, University of Texas, ARC Locations: Austin, New Mexico, Illinois, Florida
The suit targeted a large doctors’ group that operates anesthesia practices in several states, claiming the group and the private equity firm advising and financing it were consolidating doctors’ groups in Texas so they could raise prices and increase their profits. The agency brought the civil lawsuit in federal court against U.S. Anesthesia Partners and Welsh, Carson, Anderson & Stowe, a private-equity firm in New York. “These tactics enabled USAP and Welsh Carson to raise prices for anesthesia services — raking in tens of millions of extra dollars for these executives at the expense of Texas patients and businesses,” said Lina M. Kahn, the chair of the F.T.C., in a statement. “The F.T.C. will continue to scrutinize and challenge serial acquisitions, roll-ups and other stealth consolidation schemes that unlawfully undermine fair competition and harm the American public.”
Persons: Anderson, Anderson & Stowe, Welsh Carson, , Lina M, Kahn Organizations: Federal Trade Commission, U.S, Anesthesia Partners, Anderson & Locations: Texas, Carson, New York
Medicare may just be the budget buster that wasn’t. Somehow, after decades of nonstop growth, its spending per person has flattened over the past dozen years, saving taxpayers roughly $3.9 trillion since 2011, according to an Upshot analysis. But the reasons for the slowdown — and its duration — are not well understood. reduced the payments Medicare made to hospitals and to the insurance companies that administer private Medicare Advantage plans. Those changes alone are responsible for more than a trillion dollars in spending reductions, according to estimates from the Congressional Budget Office, or about a quarter of the savings attributable to the recent flat spending trend.
Persons: ” — Stephen Organizations: Affordable Care, Congressional, Office Locations: Columbus , Ohio
A Huge Threat to the U.S. Budget Has Receded. For decades, runaway Medicare spending was the story of the federal budget. Budget news often sounds apocalyptic, but the Medicare trend has been unexpectedly good for federal spending, saving taxpayers a huge amount relative to projections. In a recent letter to the Senate Budget Committee, economists at the Congressional Budget Office described the huge reductions in its Medicare forecasts between 2010 and 2020. Medicare is growing more slowly than ever, but still more quickly than the rest of the federal budget.
Persons: Ronald Reagan, Barack Obama, that’s, , David Cutler, Cutler, haven’t, I’ve, Melinda Buntin, Buntin, Simpson, Bowles, aren’t, Trump, Joshua Gordon, Mitt Romney’s, , Sherry Glied Organizations: Medicare, , U.S, Budget, Harvard, Obama, Affordable, Senate, Congressional, New York Times, Office, White, Office of Management, Johns Hopkins, Social Security, Congress, Federal, Veterans, NASA, Wagner School Locations: Iraq, Afghanistan, N.Y.U, Washington
Historically, doctors’ practices have been relatively small, and owned by doctors themselves. Hospitals and insurance companies have also bought out many independent physicians’ practices. Optum, an arm of the publicly traded UnitedHealth Group, which also owns one of the nation’s largest insurers, employs roughly 70,000 physicians. Private equity is often viewed by physicians as an attractive alternative to having their practice bought by a hospital. “It can be a really good thing, but the private equity firms have to keep their promises and be held accountable,” she said.
Persons: , , , Richard Scheffler, Lisa Walkush, Grant Thornton, Michael Kroin Organizations: Physicians, Institute, Petris, . Hospitals, UnitedHealth Group, Growth Partners Locations: U.S, Berkeley, Chicago
daily record (2003) 35: E.P.A.’s safe daily levels 377: Wednesday in New York City Source: New York City Community Air Survey and New York State Department of Environmental Conservation Data shows hourly concentrations of PM2.5 particles, measured in micrograms per cubic meter, for seven N.Y.C. The air in New York City on Wednesday wasn’t just bad by the city’s standards. It was historically bad, even compared with places around the world that generally experience much more air pollution. Wednesday’s daily average was the highest since recording in New York began in 1999. Wednesday’s pollution, of course, was not caused by a power plant or vehicles, but by major wildfires in Canada, mostly in Quebec.
Persons: San Francisco —, Eric James, James Organizations: New York City, New York City Community Air Survey, New York State Department of Environmental, Records, Protection Agency, state’s Department of Environmental, Environmental Protection Agency, University of Colorado, National Oceanic, Atmospheric Administration, Administration Locations: New York, Portland ,, San Francisco, New York City, Canada, Northern California, Quebec, North America
Annual deficit projections $3 trillion Current trajectory Full debt limit deal Debt limit bill House G.O.P. bill passed in April $2 trillion $1 trillion 2023 2028 2033 Annual deficit projections $3 trillion $2 trillion $1 trillion Current trajectory Full debt limit deal Debt limit bill House G.O.P. But negotiators are confident enough in the agreement that they are moving forward with the debt limit bill this week. The debt limit deal scenarios assume that after budget caps lift in 2026, Congress will increase spending in line with inflation. It's also possible that the entire deal holds, and the next Congress will still make vastly different spending choices.
Persons: Kevin McCarthy, Biden, , It's Organizations: House Republicans, White, New York Times, Congressional, Republicans, Office, SNAP, Internal Revenue Service, Social Security, Medicare, Savings, Energy, Biden, Medicaid, of Commerce, Federal Locations: That’s, G.O.P, Washington
A U.S. Experiment on Single-Payer Care Just Ended
  + stars: | 2023-05-15 | by ( Margot Sanger-Katz | ) www.nytimes.com   time to read: +1 min
For the last three years, the United States has been operating an experiment in single-payer health care — for one disease. That era largely came to an end last week as the public health emergency for Covid-19 expired. It required insurers to pay for all Covid tests and paid testing facilities when uninsured people used them. Some people will still be able to get free Covid tests, if their insurance wants to cover them that way. If you have insurance, you can still get free Covid vaccines.
Budget Cuts in the G.O.P. If every agency is cut If defense, veterans’ health and border security are spared Defense Defense –18% 0% No change Veterans' medical Veterans' medical –18% 0% No change Health and Human Services Health and Human Services –18% –51% Education Education –18% –51% Housing and Urban Development Housing and Urban Development –18% –51% Homeland Security Homeland Security –18% 0% No change Justice Justice –18% –51% State State –18% –51% Transportation Transportation –18% –51% Agriculture Agriculture –18% –51% International aid International aid –18% –51% NASA NASA –18% –51% Veterans (other) Veterans (other) –18% –51% Energy Energy –18% –51% Interior Interior –18% –51% Treasury Treasury –18% –51% Labor Labor –18% –51% Social Security Administration Social Security Administration –18% –51% Commerce Commerce –18% –51% Environmental Protection Agency Environmental Protection Agency –18% –51% Corps of Engineers Corps of Engineers –18% –51% Other Other –18% –51% Source: Analysis of Congressional Budget Office data by Bobby Kogan, Center for American Progress Note: Figure shows base discretionary budget authority totals for 2024-2033. The New York TimesThe charts above show how exempting big categories of spending would make the budget caps more draconian. The budget caps aren’t the only changes in the current House bill that would reduce federal spending. tax enforcement Budget cuts would reduce tax collections, reducing the savings in the rest of the bill –$120 billion Sources: Committee for a Responsible Federal Budget ; Congressional Budget Office Note: TANF refers to the Temporary Assistance for Needy Families program.
Mifepristone is used as part of a two-drug regimen to end a pregnancy without surgery. Along with the second drug, misoprostol, it is known as medication abortion, or “the abortion pill” in common parlance. Mifepristone blocks a hormone called progesterone that is necessary for a pregnancy to continue. Misoprostol brings on uterine contractions, causing the body to expel the pregnancy as in a miscarriage. Growing evidence from overseas suggests that abortion pills are safe even among women who do not have a doctor to advise them.
A nascent but rapidly growing industry of abortion providers administers abortions only through telemedicine, with no physical clinics. A federal court ruling Wednesday that aims to ban the mailing of abortion pills could make it much harder for them to operate. Honeybee, which fills the prescriptions for most of them and is the largest mail-order pharmacy for abortion pills in the United States, said it would continue to mail the pills to the 24 states where it’s allowed. “As a licensed pharmacy, we abide by the F.D.A.’s policies and regulations,” said Jessica Nouhavandi, co-founder and president of Honeybee. Rulings in the lower courts, if they go into effect, could severely limit the availability of the drug, including allowing it to be administered only to patients in a doctor’s office.
The new data overestimates the total reduction in abortions, because it does not include people who obtained abortions outside the U.S. health system, such as by ordering pills online from other countries. That is more than the total decline in legal abortions, though it is uncertain how many of those requests result in abortions. For the places that did not provide data, the group estimated the changes based on historical data and the trends for nearby clinics. Abortions also fell substantially in states with restrictions that fell shy of complete bans. For example, in Georgia, which outlaws abortions after six weeks of pregnancy, the number of abortions decreased 40 percent.
Organizations: Society of Family Locations: Florida, America, Texas, WeCount, Georgia
How 31 Presidential Budgets Compared With RealityYear of budget 1994 Deficits Budgets Reality Spending Taxes and other revenueYou have probably heard of the main reason for this: The president’s budget has no force of law. But the president’s budget is often not predictive for another reason: Unexpected, cataclysmic events end up changing the trajectory of federal spending far more than shifts in any line item in a budget table. Bill ClintonDeficits Budgets Reality Spending Taxes and other revenueMr. Clinton’s budgets matched actual spending and revenue far more than those of the presidents who followed him. Another was the Budget Control Act, a bipartisan bill that reduced federal spending across the government that Mr. Obama had not proposed. And as we’re often reminded during budget season, budgets are also important because they tell you about a president’s goals and values.
Chart showing the percentage cut the committee would make to each area of government spending to balance the budget over 10 years. 8 8 8 Deficit 6 6 6 4 4 4 Spending Spending Spending Revenue Revenue Revenue 2 2 2 2023 2033 2023 2033 2023 2033 Current projections Deficits are projected to grow to $2.7 trillion by 2033. 8 8 8 Deficit 6 6 6 4 4 4 Spending Spending Spending Revenue Revenue Revenue 2 2 2 2023 2033 2023 2033 2023 2033 Eliminate by increasing taxes Current projections Eliminate by cutting spending Deficits are projected to grow to $2.7 trillion by 2033. plan to balance budget 50% Projections 1920 1930 1940 1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050 Current trajectory 200% of G.D.P. plan to balance budget 50% Projections 1930 1960 1990 2020 2050 Sources: Committee for a Responsible Federal Budget; Congressional Budget Office; Republican Study Committee Note: Both plans were released in 2022 and are based on outdated baseline projections; their debt reduction may differ modestly.
To capture this moment of adaptation, we contacted 200 New York Times readers who had sent us photographs of their pandemic lives at the end of 2020 and asked them to share a new photo reflecting what normal means two years later. Nearly the same share, 42 percent, said the pandemic had changed their lives in lasting and significant ways. Just 12 percent said the pandemic never changed much: “I didn’t give up anything,” one respondent said. What is one thing about your life that the pandemic has changed in a lasting way? Together, the photos collected below capture a kind of then-and-now of pandemic times, when many are still figuring out what comes next.
Air temperature ⭠ Warmer air Colder air ⭢ Freezing +80°F +60°F +40°F +20°F 0 -20°F Source: NOAA's National Centers for Environmental Prediction Note: The map depicts air temperatures two meters above ground. It shows a detailed simulation of air temperatures that was created by blending high-resolution weather forecast models with recent observations from satellites and over 30,000 weather stations. The polar vortex spins in a counter-clockwise direction, creating the path of cold air that traveled south, then east, and finally north again. It became “pretty breezy” as the freezing air shifted east, said Caleb Grunzke, a meteorologist with the National Weather Service’s office in Chanhassen, Minn. As the cold air traveled down the central part of the country, its path was deflected by the Rocky Mountains.
But the Inflation Reduction Act, which represents about a third of the spending, was passed by Democrats alone. The White House is still pushing a more expansive child tax credit that was not included in the Inflation Reduction Act. Here’s a detailed look at what Mr. Biden wanted and what he got:Climate and Environment Proposed $722 billion Passed $509 billionOn climate, the Biden administration got much of what it wanted. Health Care Proposed $563 billion Passed $412 billionOn health care, there were some victories for the president — and much trimming. The family programs were eliminated largely because of concerns from Mr. Manchin about the overall size of what became the Inflation Reduction Act.
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