Archives for category: Health

Dan Rather and his friend Eliot Kirschner recently wrote about Robert F. Kennedy Jr.’s was against vaccines, which is either cynical or insane. You choose.

They wrote on the blog Steady:

When historians look back to analyze this era’s toxic irrationality, they may well focus on the anti-vaccine movement.

How tragic that we have to stand up and defend one of the most successful health innovations in the history of our species. Vaccines have saved hundreds of millions of lives and eradicated or greatly reduced scourges like smallpox and polio. They have protected millions from the worst effects of COVID and hastened a return to our pre-pandemic way of life, even though the dangers of the disease are not fully behind us.

Vaccines are also incredibly safe, especially when compared to all the other things people put into their bodies. There is no reputable scientific debate over any of this.

But none of these facts have dissuaded the instigators of ignorance, the cultivators of conspiracy theories, and the sellers of pseudoscience. They have whipped up their throngs of followers into a mania around vaccines that threatens the safety of this country and the world. And they have targeted doctors, scientists, and other medical professionals — the very people trying to keep us healthy.

This past weekend, we saw a particularly grave example of this destructive dynamic. Joe Rogan, the right-wing podcast host and frequent amplifier of conspiracy theories, welcomed notorious anti-vaxxer Robert Kennedy Jr. to his show. Kennedy is running for president as a Democratic challenger to President Biden, even though he sounds more like a MAGA Republican. Not surprisingly, he spouted his usual nonsense about the alleged dangers of vaccines, and Rogan ate it up.

That would have been bad enough. But the incident quickly escalated across social media and into the general press in a manner that speaks to our particularly troubled times. Pediatrician and vaccine expert Dr. Peter Hotez, dean of the National School of Tropical Medicine at Baylor College of Medicine, shared this article from Vice: “Spotify Has Stopped Even Sort of Trying to Stem Joe Rogan’s Vaccine Misinformation.” Spotify, the online music service, hosts Rogan’s podcast.

The response to Dr. Hotez’s tweet — which has now been viewed more than 28 million times — was a tidal wave of bananas. The doctor, a prominent voice on the importance of reputable science, was already a boogeyman for the anti-vaxxers and COVID deniers. They were ready to pounce. Rogan challenged Dr. Hotez to come on his podcast to “debate” Kennedy.

Then Elon Musk piled on and attacked Dr. Hotez on Twitter, which further empowered the legions of right-wing radicals. Dr. Hotez said he was confronted by anti-vaxxers outside his home. Scientists, journalists, and even business leaders like Mark Cuban jumped to the researcher’s defense against the onslaught of anti-science nonsense from Rogan, Musk, and their confederates.

There are many angles to this particular story that highlight the bad faith of the vaccine critics. They like to paint promoters of inoculations as tools of “Big Pharma.” But Dr. Hotez has developed a patent-free vaccine for COVID, which means neither he nor a big drug company will benefit financially from its use. Furthermore, going onto a podcast to talk about vaccines with Kennedy is not a “debate” — it’s performative nonsense. We don’t have NASA scientists debate flat Earthers.

And the idea that this is a matter of free speech is undercut when Musk uses the platform he bought to intimidate responsible voices by unleashing the mob (not to mention that we aren’t talking about government prosecution). In the wake of this episode, reports indicate scientists are (understandably) leaving Twitter in greater numbers because it has become an increasingly vile environment for mainstreaming anti-science harassment.

More generally, this episode represents another data point in a very disturbing trend, one exacerbated by, but not limited to, COVID or vaccines. Science is under siege from powerful players in American politics, business, and culture. It is largely a phenomenon of the modern Republican party and its reactionary allies, but not exclusively. It can be seen in our haphazard response to the climate crisis but also in a broad assault on data, expertise, and knowledge. This overall, general attack on science as a whole is a threat to our national security, health, and welfare.

Science can be a wonderfully encouraging and hopeful endeavor. It is a means for learning about the mysteries of life and the universe. It can lead to solutions for seemingly intractable problems. It is why cancer is not always a death sentence, why we can turn sunlight into clean electricity and take pictures of distant stars. Scientists aren’t perfect, of course. They are humans, after all. But science offers a way for us to arrive at important truths and then figure out where to go from there.

The likes of Kennedy, Rogan, and Musk are robbing us of this better future. By sowing discord and confusion, they are turning science and medicine into political footballs they toss back and forth at the public’s expense. But ultimately, the truth often wins out. Dr. Hotez and those who support him are standing up to the destructive bullying. In their courage and commitment, we can find reasons for hope.

The release of the NAEP Long-Term Trend data yesterday set off the usual hysterical reaction. The scores fell as a consequence of the pandemic, when most kids did not get in-school instruction.

These are not secrets but they bear repeating:

*Students don’t learn what is tested when they are not in school for long periods of time.

*Learning online is inferior to learning in-person from a qualified teacher.

*It’s better to lose points on a test than to risk serious illness or death or infecting a family member or teacher or other member of the school staff.

During the depths of the pandemic, no one knew for sure whether it was better to keep schools open or closed. A superintendent in Florida—Rocky Hanna of Leon County— was threatened with loss of his license after he closed the schools, following the death of a third-grader from COVID. Teachers died of COVID. Some children lived with elderly grandparents at risk of getting COVID. Which matters most: lives or test scores?

Whatever was lost can be regained if students have good instruction and stability.

It is not surprising that test scores went down after a once-in-a-century pandemic.

This is not a “Sputnik moment.”

The Washington Post reported, under a ridiculous scare headline “National test scores plunge, with still no sign of pandemic recovery” (Patience needed!):

National test scores plummeted for 13-year-olds, according to new data that shows the single largest drop in math in 50 years and no signs of academic recovery following the disruptions of the pandemic.

Student scores plunged nine points in math and four points in reading on the National Assessment of Educational Progress (NAEP), often regarded as the nation’s report card. The release Wednesday reflected testing in fall 2022, comparing it to the same period in 2019, before the pandemic began.

“These results show that there are troubling gaps in the basic skills of these students,” said Peggy G. Carr, commissioner of the National Center for Education Statistics (NCES), which administers the tests. The new data, she said, “reinforces the fact that recovery is going to take some time.”

The average math score is now the same as it was in 1990, while the average reading score is the same as it was in 2004.

Hardest hit were the lowest-performing students. In math, their scores showed declines of 12 to 14 points, while their highest-performing peers fell just six points. The pattern for reading was similar, with lowest performers seeing twice the decline of the highest ones.

Students from all regions of the country and of all races and ethnicities lost ground in math. Reading was more split. Scores dropped for Black, multiracial and White students. But Hispanic, Asian, American Indian and Alaska Native students were described as “not measurably different.”

Most of those tested were 10 years old, in fourth or fifth grade, at the onset of the pandemic. They were in seventh or eighth grade as they took the tests.

Will politicians whip up a panicked response and demand more of what is already failing, like charter schools, vouchers, high-stakes testing, and Cybercharters? or will they invest in reduced class sizes and higher teacher pay?

A federal judge in Arkansas tossed out a state law prohibiting gender-affirming care for transgender youth. The judge ruled that medical decisions should be made not by politicians but by patients, their parents, and their physicians. I don’t know anyone who is transgender, but I’m happy for those who are because personal medical decisions should not be controlled by politicians.

A federal judge in Arkansas on Tuesday struck down the state’s law forbidding medical treatments for children and teenagers seeking gender transitions, blocking what had been the first in a wave of such measures championed by conservative lawmakers across the country.

The case had been closely watched as an important test of whether bans on transition care for minors, which have since been enacted by more than a dozen states, could withstand legal challenges being brought by activists and civil liberties groups.

In his 80-page ruling, Judge James M. Moody Jr. of Federal District Court in Little Rock said the law both discriminated against transgender people and violated constitutional rights for doctors. He also said that the state of Arkansas had failed to substantially prove a number of its claims, including that the care was experimental or carelessly prescribed to teenagers.

“Rather than protecting children or safeguarding medical ethics, the evidence showed that the prohibited medical care improves the mental health and well-being of patients and that by prohibiting it, the state undermined the interests it claims to be advancing,” Judge Moody wrote.

“Further,” he wrote, “the various claims underlying the state’s arguments that the act protects children and safeguards medical ethics do not explain why only gender-affirming medical care — and all gender-affirming medical care — is singled out for prohibition.”

The challenge to the law, which was brought by the American Civil Liberties Union of Arkansas and named several transgender children and a doctor as plaintiffs, argued that the ban violated transgender people’s constitutional right to equal protection, parents’ rights to make appropriate medical decisions for their children and doctors’ right to refer patients for medical treatments.

Transgender people have been around for many years, as has medical treatment for them. Why now the Republican hysteria about allowing trans people to live as they choose? It’s a diversion from the fact that Republicans have no policies to improve the lives of ordinary people. So, they whip up culture war issues like trans youth, gay marriage, critical race theory, drag queens. Why now indeed.

Judd Legum writes here on his blog about the dangerous crusade of Robert F. Kennedy Jr. against vaccines and the pernicious support of his campaign by people like Elon Musk and Jack Dorsey, the founder of Twitter. Kennedy’s claims about anti-vaccines have been debunked repeatedly by scientists, but that doesn’t faze him.

If his name were Robert F. Smith, no one would care what he says. But he’s trading on the family name to spread his crackpot views. Worse, he’s running for the Presidency, based on his famous name, and could be a spoiler. Trump loyalists like Steve Bannon are already talking up a Trump-Kennedy ticket. This would be funny, if it weren’t so dangerous, to public health and the future of our democracy.

Judd Legum wrote:

Every year, vaccines save millions of lives. Polio, which used to cripple and kill thousands of children in the United States, has been eliminated thanks to widespread vaccination. Diphtheria, which used to be the most common cause of childhood death in the United States, is exceedingly rare. Other serious illnesses, including measles, whooping cough, and tetanus, are no longer a pervasive threat. Overall there are more than 25 vaccines that can safely “prevent diseases, protect health throughout the lifespan, and help to prevent and mitigate outbreaks.”

But Robert F. Kennedy Jr. has spent the last two decades of his professional life using discredited, manipulated, and cherry-picked evidence to argue that life-saving vaccines are dangerous. Now Kennedy, part of the most famous family in American politics, is running for president.

Kennedy’s candidacy — and anti-vaccine propaganda — has attracted vocal support from a small but influential group of very wealthy people. Their support may not make Kennedy’s longshot bid for the Democratic presidential nomination viable. But it could help legitimize Kennedy’s lies about the safety and efficacy of vaccines. And the consequences could be lethal.

Last Thursday, Joe Rogan, the popular podcaster who inked an exclusive deal with Spotify for $200 million, hosted Kennedy for a three-hour conversation. Kennedy told Rogan’s more than 10 million listeners that “vaccines are unavoidably unsafe.” Rogan, a comedian and former host of Fear Factor, spent the entire episode validating Kennedy’s views. Kennedy was presented as a brave truth-teller, standing up to powerful forces. Anyone who doesn’t accept Kennedy’s conspiracy theories, according to Rogan, is unable to think for themselves.

Kennedy spent the better part of an hour rehashing an article he wrote in 2005, which falsely claimed that childhood vaccines are linked to autism. The article was so flawed it was ultimately retracted by the outlet that published it, Salon. “[C]ontinued revelations of the flaws and even fraud tainting the science behind the connection make taking down the story the right thing to do,” Salon’s editor wrote.

In the piece, Kennedy relied extensively on the work of Mark Geier, a doctor whose license to practice medicine was revoked by Maryland in 2011. Geier pushed the vaccine-autism link as a frequent expert witness. He also misrepresented his credentials and developed “a ‘protocol’ for treating autism that involved injecting children with the drug that is used to chemically castrate sex offenders at a cost of upwards of $70,000 per year.”

More broadly, Kennedy alleged a massive, multi-decade coverup by governments, non-profits, and private industry to hide the dangers of “thimerosal, a mercury-based preservative” used in some vaccines. Kennedy quotes Mark Blaxill, a vehement opponent of vaccines, who claims that the harm done by vaccines is “bigger than asbestos, bigger than tobacco, bigger than anything you’ve ever seen.”

Kennedy’s “proof” was the Simpsonwood conference, a gathering of experts to discuss the possible links between thimerosal in vaccines and autism. Kennedy “relied on the 286-page transcript of the Simpsonwood meeting to corroborate his allegations—and wherever the transcript diverged from the story he wanted to tell, he simply cut and pasted until things came out right.”

For example, Kennedy quoted developmental biologist and pediatrician Robert Brent as saying: “We are in a bad position from the standpoint of defending any lawsuits… This will be a resource to our very busy plaintiff attorneys in this country.” The implication is Brent was acknowledging the link between thimerosal and autism, and explaining why it should be covered up. But Brent actually said he was concerned that “junk scientist[s]” would misuse data to falsely claim that thimerosal in vaccines is linked to autism at the behest of “plaintiff attorneys.”

The link between thimerosal vaccines and autism has been disproven again and again by scientific studies. But even if Kennedy was right (he’s not), thimerosal has not been used in vaccines (except certain flu vaccines) since 2001. So the alleged dangers of thimerosal are not a reason to avoid vaccines today.

On the Rogan podcast, Kennedy simply waved away this inconvenient fact and continued to argue that life-saving vaccines are dangerous. Kennedy told Rogan that it could be aluminum in vaccines that is causing problems. But an adult typically ingests “7 to 9 milligrams of aluminum per day” through foods, and a typical vaccine has less than half a milligram. Infants will be exposed to far more aluminum through their diet than vaccines. And there is no scientific evidence that aluminum is linked to autism or any of the other health concerns cited by Kennedy. Perhaps that’s why Kennedy hedged. “There’s lots of other toxins in the vaccines that, you know, could be responsible,” he said.

Ivermectin inanity

Kennedy also used his appearance on Rogan’s podcast to falsely claim that COVID-19 vaccines are extremely dangerous and that people who take COVID-19 vaccines are significantly more likely to die. The data shows the opposite is true. A comprehensive study by the Commonwealth Fund “estimates that, through November 2022, COVID-19 vaccines prevented more than 18.5 million US hospitalizations and 3.2 million deaths and saved the country $1.15 trillion.”

According to Kennedy, thousands of athletes have died on the playing field as a result of taking the COVID-19 vaccines. There is no evidence to support this, and a large Australian study found “no association between out-of-hospital cardiac arrests and COVID-19 vaccinations.”

Kennedy claimed that ivermectin, which can treat river blindness in humans and is also useful as a horse dewormer, can effectively treat COVID-19. These facts, according to Kennedy, were covered up so that pharmaceutical companies could make money selling vaccines. At one point, Kennedy alleged that Bill Gates purposely funded studies in which people would be given lethal doses of ivermectin to discredit the treatment.

But ivermectin was studied repeatedly as a potential treatment for COVID-19. And it has been found repeatedly to be totally ineffective.

Joe Rogan told Kennedy that he took ivermectin when he contracted COVID-19 and credited it for his quick recovery. But Rogan also received monoclonal antibodies, an FDA-approved treatment for COVID-19 associated with a faster reduction in viral load….

Kennedy is benefiting from a steady stream of elite support to boost his profile and anti-vaccine advocacy. Jack Dorsey, the co-founder and former CEO of Twitter, has formally endorsed Kennedy. Dorsey has avoided discussing Kennedy’s views on vaccines specifically but praised Kennedy for having an “edge” and “no fear in exploring topics that are a little bit controversial.” David Sacks, an investor and close associate of Elon Musk, and Chamath Palihapitiya, a prominent venture capitalist, hosted a high-dollar fundraiser for Kennedy this month.

Do any of Kennedy’s elite backers believe he has a real chance to be the next president? It’s unclear. But supporting Kennedy has become a trendy way to signal you have a rebellious streak. It’s a very dangerous game.

Mehdi Hassan of MSNBC writes here about Ron DeSantis’ lies about Florida’s COVID deaths.

DeSantis is an advocate of herd immunity, although he was not at the start of the pandemic. To woo the hard-right base of the GOP, he turned Florida into a state that opposed mandates for masks and vaccines. He found a surgeon general who agreed with him. He placed the economy above the lives of Floridians.

What were the results? Open the link.

During the darkest days of the pandemic, Sweden garnered widespread attention for its approach to COVID. Its leading specialist advised the government to let life go on as usual: no lockdowns, open schools, no mandates. The goal was “herd immunity,” in which enough people are infected so that the disease doesn’t spread. Sweden was often held up as a model by those who hated the lockdowns, which crippled economic activity and closed down schools.

Michael Hiltzik of the Los Angeles Times wrote that Sweden’s approach was a disaster.

Throughout much of the pandemic, Sweden has stood out for its ostensibly successful effort to beat COVID-19 while avoiding the harsh lockdowns and social distancing rules imposed on residents of other developed nations.


Swedish residents were able to enjoy themselves at bars and restaurants, their schools remained open, and somehow their economy thrived and they remained healthy. So say their fans, especially on the anti-lockdown right.


A new study by European scientific researchers buries all those claims in the ground. Published in Nature, the study paints a devastating picture of Swedish policies and their effects.

“The Swedish response to this pandemic,” the researchers report, “was unique and characterized by a morally, ethically, and scientifically questionable laissez-faire approach.”


The lead author of the report, epidemiologist Nele Brusselaers, is associated with the prestigious Karolinska Institutet in Stockholm; her collaborators are affiliated with research institutes in Sweden, Norway and Belgium.


The details of Swedish policies as described by Brusselaers and her co-authors are horrifying. The Swedish government, they report, deliberately tried to use children to spread COVID-19 and denied care to seniors and those suffering from other conditions.

The government’s goal appeared geared to produce herd immunity — a level of infection that would create a natural barrier to the pandemic’s spread without inconveniencing middle- and upper-class citizens; the government never set forth that goal publicly, but internal government emails unearthed by the Swedish press revealed that herd immunity was the strategy behind closed doors.


Explicit or not, the effort failed. “Projected ‘natural herd-immunity’ levels are still nowhere in sight,” the researchers wrote, adding that herd immunity “does not seem within reach without widespread vaccinations” and “may be unlikely” under any circumstances.


That’s a reproach to the signers of the Great Barrington Declaration, a widely criticized white paper endorsing the quest for herd immunity and co-written by Martin Kulldorff, a Sweden-born Harvard professor who has explicitly defended his native country’s policies.


The country’s treatment of the elderly and patients with comorbidities such as obesity was especially appalling.

“Many elderly people were administered morphine instead of oxygen despite available supplies, effectively ending their lives,” the researchers wrote. “Potentially life-saving treatment was withheld without medical examination, and without informing the patient or his/her family or asking permission.”


In densely populated Stockholm, triage rules stated that patients with comorbidities were not to be admitted to intensive care units, on grounds that they were “unlikely to recover,” the researchers wrote, citing Swedish health strategy documents and statistics from research studies indicating that ICU admissions were biased against older patients.

These policies were crafted by a small, insular group of government officials who not only failed to consult with experts in public health, but ridiculed expert opinion and circled the wagons to defend Anders Tegnell, the government epidemiologist who reigned as the architect of the country’s approach, against mounting criticism.

The bottom line is that Swedes suffered grievously from Tegnell’s policies. According to the authoritative Johns Hopkins pandemic tracker, while its total death rate from February 2020 through this week, 1,790 per million population, is better than that of the U.S. (2,939), Britain (2,420) and France (2,107), it’s worse than that of Germany (1,539), Canada (984) and Japan (220).

More tellingly, it’s much worse than the rate of its Nordic neighbors Denmark (961), Norway (428) and Finland (538), all of which took a tougher anti-pandemic approach.


Anti-lockdown advocates continue to laud Sweden’s approach even today, despite the hard, cold statistics documenting its failure.


The right-wing economic commentator Stephen Moore, a reliably wrong pundit on many topics, preened over Sweden’s death rate compared to other countries that imposed more stringent lockdowns: “Sweden appears to have achieved herd immunity much more swiftly and thoroughly than other nations,” Moore wrote.


Sadly, no.

According to Johns Hopkins, on Feb. 17, the day that Moore’s column appeared in the conservative Washington Examiner, Sweden’s seven-day average death rate from COVID was 5.25 per million residents.

That was better than the rate of 6.84 in the U.S., where lockdowns had been fading and had always been spotty, and in Denmark (5.65), but worse than France (3.97), Germany (2.23), Britain (2.23), Canada (2.03) and Norway (0.92).


Moore also declared, “What is clear today is that the Swedes saved their economy.”

The Organization for Economic Cooperation and Development, or OECD, of which Sweden is a member, isn’t quite so sanguine.


The OECD found that in terms of pandemic-driven economic contraction, Sweden did marginally better than Europe as a whole, but markedly worse than its Nordic neighbors Denmark, Norway and Finland, “despite the adoption of softer distancing measures, especially during the first COVID wave.” COVID-19, the OECD concludes, “hit the economy hard.”


The Nature authors show that Swedish government authorities denied or downplayed scientific findings about COVID that should have guided them to more reasoned and appropriate policies.


These included scientific findings that infected but asymptomatic or pre-symptomatic people could spread the virus, that it was airborne, that the virus was a greater health threat than the flu and that children were not immune.


The Swedish policymakers “denied or downgraded the fact that children could be infectious, develop severe disease, or drive the spread of the infection in the population,” the Nature authors observe. At the same time, they found, the authorities’ “internal emails indicate their aim to use children to spread the infection in society.”

So the government refused to counsel the wearing of masks or social distancing or to sponsor more testing — at least at first. One fact that tends to be glossed over by anti-lockdown advocates is that Sweden did eventually tighten its social distancing regulations and advisories, though only after the failure of its initial policies became clear.


At first, in early March when other European countries went into strict lockdowns, Sweden only banned public gatherings of 500. Within weeks, it reduced the ceiling to 50 attendees. The state allowed no distance learning in schools at first, but later permitted it for older pupils and university students.

In June 2020, Tegnell himself acknowledged on Swedish radio that the country’s death rate was too high. “There is quite obviously a potential for improvement in what we have done in Sweden,” he said, though he backtracked somewhat during a news conference after the radio interview aired.


And in December 2020, King Carl XVI Gustaf shocked the country by taking a public stand against the government’s approach: “I think we have failed,” he said. “We have a large number who have died and that is terrible.”


He was correct. If Sweden had Norway’s death rate, it would have suffered only 4,429 deaths from COVID during the pandemic, instead of more than 18,500.


What may be especially damaged by the experience is Sweden’s image as a liberal society. The pandemic exposed numerous fault lines within its society — notably young versus old, natives versus immigrants.


The Nature authors underscore the irony of that outcome: “There was more emphasis on the protection of the ‘Swedish image’ than on saving and protecting lives or on an evidence-based approach.”

The lesson of the Swedish experience should be heeded by its fans here in the U.S. and in other lands. Sweden sacrificed its seniors to the pandemic and used its schoolchildren as guinea pigs. Its government plied its people with lies about COVID-19 and even tried to smear its critics.


These are features of the policies of the states that have been least successful at fighting the pandemic in the U.S., such as Florida — sacrifices borne by the most vulnerable, scientific authorities ignored or disdained, lies paraded as truth. Do we really want all of America to face the same disaster?

A federal judge in Florida issued a ruling blocking the state’s ban on gender-affirming care. He basically ruled that the issue was between parents, their children, and their doctors, not politicians. As in, butt out and respect parental rights.

TALLAHASSEE, Fla. — A federal judge delivered a stinging rebuke to Florida Gov. Ron DeSantis and the Republican-controlled Legislature over rules and a new state law that banned minors from receiving “puberty blockers” and other types of gender-affirming care.

U.S. District Judge Robert Hinkle on Tuesday blocked the state from applying the ban to three minors whose parents are part of an ongoing lawsuit, saying they would “suffer irreparable harm” if they were not allowed to continue access to hormones and other types of treatment.

The preliminary injunction does not apply to other minors who may wish to obtain treatment, but the ruling suggests that a key part of the law itself could get knocked down as the legal challenge proceeds. Lawmakers approved the new law in early May at the urging of Republicans, who called the treatments “evil” and “child abuse.”

Hinkle’s 44-page ruling called the decision to pursue the ban on puberty blockers and hormonal treatment a political decision and not a “legitimate state interest.” Several states — including Texas — have also recently enacted bans on gender affirming care.

“Nothing could have motivated this remarkable intrusion into parental prerogatives other than opposition to transgender status itself,” wrote Hinkle, who was appointed by former President Bill Clinton.

Hinkle also added that “the statute and the rules were an exercise in politics, not good medicine. This is a politically fraught area. There has long been, and still is, substantial bigotry directed at transgender individuals. Common experience confirms this, as does a Florida legislator’s remarkable reference to transgender witnesses at a committee hearing as ‘mutants’ and ‘demons.’ And even when not based on bigotry, there are those who incorrectly but sincerely believe that gender identity is not real but instead just a choice.”

The parents of the children expressed relief. DeSantis’ office had no comment. The sponsor of the bill responded that he would never stop fighting for children, even if their parents don’t want his help.

Harold Meyerson of The American Prospect writes here about the sharp divergence between red states and blue states. Their elected officials have very different ideas about how to build their state and serve the needs of the public. There is one issue that he overlooked: vouchers. Red states are busy handing out tax dollars to families whose children are already enrolled in private and religious schools and tearing down the wall of separation between church and state.

Which side are you on?

He writes:

Two Prospect pieces on red and blue trifecta states make clear we really are two separate nations.

If there’s anyone who’s still mystified about why congressional Democrats and Republicans can’t come to an agreement on anything so basic as honoring the debts they’ve incurred, may I gently suggest they take a look at what Democrats and Republicans are doing in the particular states they each completely control.

Yesterday, we posted a piece by my colleague Ryan Cooper on how Minnesota, where Democrats now control both houses of the legislature and the governor’s office, has just enacted its own (to be sure, scaled-back) version of Scandinavian social democracy—including paid sick leave for all, paid family leave, a minimum wage for Uber and Lyft drivers, sector-wide collective bargaining in key industries, and the outlawing of “captive audience” meetings, in which management compels employees to attend anti-union rants. A new law also strengthens women’s right to an abortion. Similar laws have been enacted or are under consideration in other Democratic “trifecta” states, though none quite so pro-worker as some of Minnesota’s.

Also yesterday, we posted one of my pieces, this one on everything that Texas’s Republican legislature and governor are enacting to strip power from their large cities, almost all of which are solidly Democratic. One new bill says the state can declare elections to be invalid and compel new ones to be held under state supervision in the state’s largest county, Harris County, which is home to reliably Democratic Houston. And the state Senate has also passed a bill that would strip from cities the ability to pass any regulations on wages, workplace safety, business and financial practices, the environment, and the extent of property rights that exceed the standards set by the state. Which leaves cities with the power to do essentially nothing. No other Republican trifecta states have gone quite as far as Texas, but Tennessee’s legislature did effectively abolish Nashville’s congressional district and expel its assemblymember; Alabama’s legislature revoked Birmingham’s minimum-wage law; and Florida’s governor suspended Tampa’s elected DA because he wouldn’t prosecute women and doctors for violating the state’s new anti-abortion statutes. Beyond their war on cities, Republican trifecta states have long refused to expand Medicaid coverage, have recently also begun to re-legalize child labor and legislate prison terms for librarians whose shelves hold banned books, and in the wake of the Dobbsdecision, criminalized abortions.

Just as cosmic inflation propels the stars away from each other with ever-expanding speed, so Democratic and Republican states are also moving away from each other at an accelerating pace—the Democrats toward a more humane future; the Republicans borne back ceaselessly into a nightmare version of the past. Any dispassionate view of America today has to conclude that the differences between these two Americas are almost as large and intractable as those that split the nation in 1860 and ’61. (The South’s opposition to fairly paid and nondiscriminatory labor was the central issue then and remains a central issue now.)

That said, when confronted with the choice between those two Americas, voters in those red states have frequently backed the blue-state versions of economic rights and personal freedoms, as is clear from their many initiative and referendum votes to raise the minimum wage, expand Medicaid, and preserve the right to an abortion. Likewise, the polling on unions shows their national favorability rating now exceeds 70 percent of the public, including roughly half of self-declared Republicans. Only by their relentless demagoguery on culture-war issues and immigration, their adept gerrymandering, and the disproportionate power that the composition of the Senate vests in barely inhabited states can the Republicans enforce their biases against a rising public tide—but enforce them they do wherever they have the power.

All right, as John Dos Passos wrote in his USA Trilogy, we are two nations—and becoming more so with each passing day.


Postscript: In his Washington Post column…, Perry Bacon noted that while a number of news publications have gone under recently, a few, in his words, “are reimagining political journalism in smart ways.” He cited seven such publications, and his list was headed by—ahem—The American Prospect.

Gavin Newsom, Governor of California, regularly sends out emails pointing out the errors and hypocrisies of Republicans in other states. I enjoy them.

South Carolina, Diane…

Where the Republican governor just signed a six-week abortion ban, which he says will “begin saving lives.” All while that very same governor refuses to do anything about the fact South Carolina has one of the highest homicide rates in the country — more than 2x the rate of California.

Tweet from Gavin Newsom: 'The Republican party is showing us exactly who they are. They want to tell you what you can read. What you can say. Who you can love. Or when you get to start a family. They want to make your decisions for you. That's not freedom.'

You can’t make this up.

Today’s Republican party refuses to regulate assault weapons while gun violence is the leading cause of death of kids in America, but will champion the regulation of women’s bodies and take away reproductive freedom.

This is what Republicans want to do nationally.

And worse.

Be outraged.

Gavin

The Washington Post tells the story of Baby Milo. His mother learned midway through her pregnancy that the fetus had a rare fatal condition. It would die within hours or days of its birth. She wanted to get an abortion but Florida abortion law made it impossible. The unborn baby had a heartbeat. No doctor would break the law by performing an abortion despite the fatal diagnosis. She had to carry the baby for three months. Baby Milo was born, then died in 99 hours. That must have made legislators happy to know the baby was born, despite the toll on its mother and father.

Milo Evan Dorbert drew his first and last breath on the evening of March 3. The unusual complications in his mother’s pregnancy tested the interpretation of Florida’s new abortion law.

Deborah Dorbert discovered she was pregnant in August. Her early appointments suggested the baby was thriving, and she looked forward to welcoming a fourth member to the family. It didn’t occur to her that fallout from the U.S. Supreme Court’s decision to overturn a half-century constitutional right to abortion would affect them.

A routine ultrasound halfway through her pregnancy changed all that.

Deborah and her husband, Lee, learned in late November that their baby had Potter syndrome, a rare and lethal condition that plunged them into an unsettled legal landscape.

The state’s ban on abortion after 15 weeks of gestation has an exception for fatal fetal abnormalities. But as long as their baby’s heart kept beating, the Dorberts say, doctors would not honor their request to terminate the pregnancy. The doctors would not say how they reached their decision, but the new law carries severe penalties, including prison time, for medical practitioners who run afoul of it. The hospital system declined to discuss the case.

Instead, the Dorberts would have to wait for labor to be induced at 37 weeks.

For the next three months, the Dorberts did their best to prepare for their second son’s short life. They consulted with palliative care experts and decided against trying to prolong his life with high-tech interventions.

“The most important thing for us was to let him know he was loved,” Deborah said.

The day before Milo was born, the Dorberts sat down with their son Kaiden to explain that the baby’s body had stopped working and that he would not come home. Instead, someday, they told Kaiden, they would all meet as angels. The 4-year-old burst into tears, telling them that he did not want to be an angel….

Without functioning kidneys, a fetus with Potter syndrome cannot produce the amniotic fluid that allows the lungs to expand and that cushions the growing body. The babies who survive until birth typically have contracted limbs, club feet and flattened features from being compressed against the uterus wall.

But after Deborah’s 12-hour labor, Milo turned out to be 4 pounds and 12 ounces of perfection, with tiny, flawlessly formed hands and feet and a head of brown hair.

“I thought I had my miracle,” said Peter Rogell, the baby’s grandfather, who attended the delivery. He allowed himself a moment of hope until the obstetrician cut the umbilical cord that for 37 weeks had performed the functions Milo’s underdeveloped lungs and missing kidneys would now take over.

He never cried or tried to nurse or even opened his eyes, investing every ounce of energy in intermittent gasps for air.

“That was the beginning of the end,” Rogell said, recalling the persistent gulps that he thought at first were hiccups but turned out to be his grandson’s labored efforts to inhale.

Lee read a book to his dying son — “I’ll Love You Forever,” a family favorite that the Dorberts had given Kaiden for Valentine’s Day — and sang Bob Marley’s “Three Little Birds.”

For 99 minutes that lasted a lifetime, they cuddled and comforted their newborn.

Ron DeSantis recently changed the Florida abortion law to make it more restrictive: abortions not permitted after six weeks. The Governor and legislature have essentially banned abortion in the state since few women know they are pregnant within six weeks. They may think their period is delayed, and they won’t have time to get the required doctor’s approval.

The six-week ban won’t go into effect until after the state’s Supreme Court has decided a challenge to the 15-week ban. Since DeSantis appointed four of seven justices, the court’s approval is expected.

Expect more heart-breaking stories, more grief, more sadness.